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Practical Guide to the NDIS NDIS provider travel and participant transport Author: Pascale Dreyer, NDS Victoria Contact: Stephanie Worsteling, NDIS National Adviser, with any enquiries at stephanie.worsteling@nds.org.au Provider travel and participant transport are different concepts. This practical guide explains the differences and notes specific rules and arrangements for both travel and transport under the National Disability Insurance Scheme (NDIS). The Practical Guides have been made available through Funding from the Victorian Government's NDIS Transition Support Package. About Provider travel: Provider travel describes scenarios when a provider is able to claim for worker time when travelling to deliver supports to a participant based on the NDIS Provider travel information. This guide will refer to provider travel as worker travel time. About participant transport: Participant transport refers to the transport supports used by participants, and may be funded in a participant’s NDIS plan to cover relevant costs. If delivering community access supports providers are able to claim, in addition to claiming for workers’ time, a contribution for additional transport costs (such as, cost of public transport or cost per km for car usage) if agreed to in advance by the participant. The Appendix provides practical examples related to travel and transport. Disclaimer: National Disability Services Limited (NDS) believes that the information contained in this publication is correct at the time of publishing. NDS does not accept any liability to any person for the information or advice (or the use of such information or advice) which is provided on in this guide or incorporated into it by reference. The information is provided on the basis that all persons undertake responsibility for assessing the relevance and accuracy of its content. No responsibility is taken for any information or services that may appear on any linked websites. Provider Travel There are a number of factors that determine whether a provider is able to claim for worker travel time, including the type of support being delivered, the location of the appointment, and where a worker’s journey starts and finishes Providers are able to claim worker travel time under certain circumstances when delivering the following supports: Personal care Community access Therapeutic supports Early Childhood Early Intervention (ECEI) supports Tips for service providers Providers need to discuss worker travel time with participants prior to commencing services and must have the agreement of the participant in advance of claiming for associated costs. Service Agreements should specify how and when providers will claim worker travel time, tailored to each individual participant. When claiming worker travel time, providers need to keep accurate records for payment assurance purposes as the NDIA may audit providers at any time. For more information refer to the NDIS Provider Toolkit, Provider Payment and Assurance Program. When worker travel time cannot be claimed There are a number of instances when worker travel time cannot be claimed. These scenarios include (but are not limited to) if a worker: Travels more than 20 minutes between appointments for personal care and community access supports, and therapeutic or ECEI supports in metro and other areas identified in the Modified Monash Model as being in MMM1−3 areas. Travels more than 45 minutes between appointments for personal care and community access supports, and therapeutic or ECEI supports in regional areas (MM−4 or 5) When travelling from the final appointment to the office if delivering personal care or community access supports Delivers supports outside the scope of NDIA’s provider travel policy (for example, for support coordination) Refer to the Appendix for specific examples. Claiming for worker travel time When claiming for worker travel time, providers need to focus on where the service is delivered as this has implications for the maximum amount of time that a provider can claim for. Providers are able to claim up to 20 minutes of worker travel time if the appointment is delivered in a metro area, as determined by the Modified Monash Model (note, MMM1−3 includes large regional centers). If the appointment is in a regional area (MMM4 or 5) providers are able to claim up to 45 minutes of worker travel time. This means that if a provider is traveling from one metro area to another, they are only able to claim up to 20 minutes of travel time even if it takes 1 hour to get there. Providers are required to claim separately for worker travel time using the corresponding line item of the support delivered.1 This means that when claiming, providers will need to identify the claim type as ‘travel charges’ in either the bulk upload or individual payment request. For example if a provider delivers 2 hours of personal care supports and the worker has travelled 15 minutes to the appointment, the provider claims 2 hours of personal care supports as a standard claim, and claims 15 minutes separately as a travel charge. Ways to increase efficiency Providers need to consider flexible ways of working to reduce worker travel time. To increase efficiency, providers may wish to consider: Meeting with the participant at the provider premises, if appropriate Organising staff appointments according to the location of participants (to minimise travel time and distance between appointments) Helping participants to coordinate the timing of periodic appointments for therapeutic supports (particularly in remote and regional areas) Participant Transport Providers can recover transport costs (for example, costs associated with use of provider-owned vehicle) when ‘accompanying and/or transporting participants in the community’, as a part of delivering community access supports, or when delivering transport supports. For more information and examples, refer to the Appendix. Funding for transport Where it is reasonable and necessary, a participant plan may include funding for transport. A participant is allocated transport funding if they cannot use public transport without substantial difficulty as a result of their disability. It is not intended to cover transport assistance for informal carers or parents to transport the participant 1 See the ‘Step-by-step guide: myplace Provider Portal’ to everyday commitments. For information about when transport funding is included in a participants plan, refer to the NDIA’s Operational Guideline: Transport. There are three benchmark levels of funding for adults who receive transport funding. For more information, refer to NDIA Factsheet: Participant Transport. Participants are able to use their transport funding flexibly to cover their transport costs. This may include (but is not limited to), paying for taxis or additional provider transport costs (for example, costs negotiated with the provider – these may be calculated by the amount of kilometres travelled). Support coordinators may need to assist participants to understand how their transport funding can be used. NDIS funded transport supports Participants can choose to manage their transport funding in four different ways. They can choose to have the NDIA manage their funding; choose a plan manager to manage their funding; self-manage the funding; or receive periodic payments (usually fortnightly or monthly) into their nominated bank account. If a participant receives transport supports or chooses to use their transport funding to pay any additional provider transport costs, providers will need to recover costs from the participant according to how their funding is managed. For example, providers will need to invoice the participant directly for the additional provider travel costs if a participant receives their transport funding as periodic payments into their nominated bank account. Providers should ensure that when claiming transport costs via the NDIA Provider Portal, they use the appropriate NDIS support line item (i.e. transport: 02_051_0108_1_1), and do not claim the transport costs using a different line item. Participants are also able to pay for any travel costs using their personal funds (derived from their own non-NDIS income). What if the participant wants to exercise choice and control of their Core supports to access more transport supports? Participants are able to use their Core supports flexibly across all support categories (including transport), except where a participant’s total transport funding is set up as periodic payments or if a participant has not been funded for transport supports. Participants can only use transport funding flexibly within Core supports if the participant’s transport funds are NDIA-managed, plan-managed, or self-managed. Participants may choose to have the NDIA manage some of their transport funds and receive the remainder as periodic payments. This would allow the participant to access their Core budget flexibly if they would like access to additional transport funding.
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