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The National Disability Insurance Agency (NDIA) has introduced additional review checks for older NDIS claims.
While these changes are unlikely to affect your day-to-day supports, they may impact how long it takes for some older invoices and reimbursement requests to be processed through Plan Tracker.
What has changed?
The NDIA is applying additional integrity checks to claims submitted six months or more after a support was delivered.
These checks may apply to claims submitted by:
- Self-managed participants
- Plan managers
- Registered NDIS providers
- Unregistered NDIS provider
Why is the NDIA reviewing older claims?
The additional reviews are part of the NDIA’s ongoing approach to monitoring and verifying claims to help ensure NDIS funds are being used appropriately and claims meet NDIS requirements.
What does this mean for you?
If an older claim is selected for review, the NDIA may place it on hold for up to 28 days while further assessment is completed.
During this process, the NDIA may request information to confirm that:
- The support was delivered
- The support meets NDIS requirements
- The claim has been submitted correctly
If the NDIA decides not to approve a claim, it will provide a reason for its decision.
How can delays be avoided?
To help reduce the risk of delays, Plan Tracker encourages participants and providers to submit invoices and reimbursement requests as soon as possible after supports have been delivered.
Submitting claims promptly can help ensure faster processing and reduce the likelihood of a claim being selected for additional review.
For more information, read the NDIA announcement.