You may hear the word compliance when someone is talking about the NDIS and services that are claimed by participants and providers. This is usually referring to the ability of the provider or participant to follow the rules and regulations of the NDIS.
Non-compliance is when the wrong thing happens and the rules are not followed. It could be a mistake, misuse of funding, conflict of interest or dishonest behaviour. The NDIA takes non-compliance seriously and they regularly review invoices and claims for NDIS funding to make sure that this does not happen.
The NDIA take a number of different steps to prevent non-compliance including:
- Information requests – where they ask for more information or supporting documents about the claim.
- Compliance reviews – where they look into certain claims and check that they meet the guidelines. They will usually ask for information as well to show this is correct.
- Enforcement actions – where they tell a provider or participant that the wrong thing has happened and ask them to fix it..
- Debt actions – where they decide the claim is not compliant or correct and request the money be returned to the NDIA.
- Banning order – where they decide that the provider has done the wrong thing intentionally and is no longer able to provide supports to NDIS participants.
While there are a number of steps in place, the NDIA will look at the different circumstances and information provided. The focus of most compliance and enforcement actions is to educate participants and providers to do the right thing.
If a provider or participant continues to do the wrong thing, or does something serious like commit fraud or theft, the NDIA will take more serious action.
For participants, this might mean that money needs to be paid back to the NDIA, or your plan may be changed to NDIA managed.
For providers, the NDIA can choose to ban the provider from claiming from NDIS funding.
Claims for banned providers will be rejected by the NDIA and participants cannot use these organisations. To help participants check, there is a NDIS compliance database where you can find the details of enforcement actions, or even banned providers.
To do this, please go to this page and search for the details of the provider you would like to check. The best way is to search by ABN number. https://www.ndiscommission.gov.au/enforcement-action-search
If you are unsure about a provider and need help checking this information, please contact P2P.
The P2P Plan management team is always working on improvements to ensure that we can communicate effectively with all of our participants and their families.
We would love to hear suggestions from our participants, you can get in touch with the Plan management team by calling 1800 777 723, or by email at ndisfinance@p2pqld.org.au.