NDIS Physiotherapy Toowoomba | You Move Physical Therapy YMPT

Physiotherapy for NDIS Participants

For more detailed information, please visit www.ndis.gov.au.

The information below was taken directly form the NDIS website and is accurate as at 13 November, 2023.

The NDIS is responsible for supports that help you go about your daily life and are related to your disability-related impairments that impact your functional capacity. The NDIS fund supports that are related to things you can and can’t do, due to your disability, which you need on an ongoing or regular basis.

This includes maintenance supports, given or supervised by qualified healthcare staff. These are ongoing supports that help you keep your body’s functions and abilities. This could include long term therapy or support, to improve your abilities over time or stop things from getting worse.

The NDIS is responsible for these supports if:

the support is directly related to your disability-related impairments that impact your functional capacity – the things you can and can’t do because of your disability
you also need the support so you can continue to live in the community, study or work.

Accessing the NDIS

Below is a quick guide to accessing the NDIS:

Refer to the NDIS Physiotherapy checklist for eligibility: https://www.ndis.gov.au/applying-access-ndis/am-i-eligible
You may also wish to contact the NDIS on 1800 800 110 to speak with an NDIS representative.
Once your application is approved you will then work with a Local Area Co-Ordinator (LAC) to assist you in allocating your funding.

NDIS Assessments and Reports

Please note: You + Move Physical Therapy is not an NDIS registered business.

I often hear navigating the NDIS for the first time is like trying to learn a new language, with many of my patients reporting feeling overwhelmed. I'm here to help.

The primary role of NDIS reports from health practitioners is to provide evidence that assists decision-makers at the NDIS. This means it is necessary to provide an official diagnosis of your disability and supporting documentation from a specialist to confirm that diagnosis (eg. multiple sclerosis, postural orthostatic tachycardia syndrome (POTS), anxiety, autism, other). Your application will also need to show that the disability and its impairments are permanent.

At YMPT I have experience with writing NDIS access and review reports and have helped many clients to successfully apply for NDIS support/funding. The report writing process is centered around research so you can be confident the recommendations being made are clear, evidence-based recommendations.

What's The Process?

A well written report starts with getting to know all about you. This means YMPT has a strict intake process before I commence the assessment and reporting writing process. Please note I cannot guarantee acceptance by the NDIS and I reserve the right to decline a report request if I do not think your application is likely to be accepted. If I don't have the capacity or experience to complete an NDIS report, I will refer you to another provider who may be better placed to assist.

Report Types

I offer two main reports:

Access Letter of Recommendation
Full Functional Report

Access Letter of Recommendation | $188.42/hr or prorata

*** YMPT schedule of fees will be changing to 193.99/hr from 01/01/2025 ***

Report length 1-3 pages and includes:

A brief review of your diagnosis.

An explanation of your main impairments and their functional impact with general comments about difficulties with mobility, self-care, and community access.

Your treatment to date and your response to that treatment.

Proposed frequency of treatment on the NDIS and a short literature review to support these recommendations.

Other recommendations regarding low cost assistive technology.

Recommendations for other services eg. occupational therapy.

Full Functional Report | $188.42/hr or prorata

*** YMPT schedule of fees will be changing to 193.99/hr from 01/01/2025 ***

Plan Review, Change of Circumstances or Access Request

Report length typically 5-10 pages and includes:

A full review of your diagnosis and history of your condition/s.

Explanation of your diagnosis and its functional impacts.

Past and current treatments.

Detailed review of your capacity within the 6 NDIS domains (mobility, communication, social. interaction, learning, self-care, self-management.

Standardised questionnaires and objective results of assessments with tabulated results.

Evidence based recommendations directly related to your NDIS goals.

Recommendations for NDIS funding into the future.

NDIS NEW PATIENT INTAKE

Document Checklist

Below is a list of documents you'll be asked to complete and submit as part of the YMPT onboarding process.

☐ YMPT new patient registration form + NDIS service agreement >>> download here
☐ Current NDIS plan
☐ Confirmation of NDIS approved conditions
☐ Consent to obtain information
☐ Copy of relevant reports i.e. OT, Speech, Physiotherapy, Exercise Physiology, other
☐ Copies of diagnostic letters/reports, sensory profiles, behavioural reports, other
☐ GP health summary and other relevant medical and social history
☐ Home visit risk assessment (if applicable)
☐ Guardianship order (if applicable)What happens next?

Download the checklist here

Then...

1. YMPT will call the patient/carer or guardian/other to make an initial appointment time and will schedule an appointment as soon as practically possible.

2. Depending on the complexity and volume of new patient medical history and other documentation, billable time may be spent prior to the initial assessment, reading, researching and preparing.

3. If applicable, YMPT will provide and seek approval for, a reasonable estimate of time to be spent on the above process.

4. Depending on the complexity of the patient's presentation and circumstances, the initial assessment may need to be conducted over 1-3, typically 60min appointments.

5. If an assessment is required specifically for a report or access letter and recommendation, please make this known prior to the initial assessment to ensure the most appropriate assessment is conducted.

Reports

Please allow 2 weeks from the day of final assessment for a finalised reported to be forwarded. There may be instances where reports are not finalised within this time frame and if this is the case, YMPT will let you know as quickly as possible.

Privacy

All medical and health organisations must comply with security measures to protect personal information sent through email. Please only send documents via email that have been been password protected. e.g. DDMMYYYY

You + Move Schedule of NDIS Fees | As at 15.7.2024

*** YMPT schedule of fees will be changing from 01/01/2025 ***

Assessment Recommendation Therapy or Training - Physiotherapist (15_055_0128_1_3)

Initial assessment, 60mins, $188.42
Subsequent, 60mins, $188.42
Subsequent, 30mins, $96.99
Access letter of recommendation, $188.42/hr or pro-rata
Full functional report, $188.42/hr or pro-rata
Telehealth, 60mins, $145.00
Telehealth, 30mins, $99.00

Provider Travel - non-labour costs

Provider travel, non-labour costs, region, $ split between participants
Provider travel, non-labour costs, $0.85c/km
Provider travel, non-labour costs i.e. tolls - 100% of cost

Provider Travel - time

Travel between participants in the same zone, up to 25mins ($3.14/min)
Zone 1-3: 30mins, $96.99
Zone 4-5: 60mins, $188.42
Zone 6-7: (remote and very remote areas MMM6 - MMM7) - as agreed up to the hourly rate for the support item

You + Move Schedule of NDIS Fees | As at 01.01.2025

Assessment Recommendation Therapy or Training - Physiotherapist (15_055_0128_1_3)

•Face to face and non-face to face clinical work

•Initial assessment, 60mins, $193.99

•Subsequent, 60mins, $193.99/hr or pro-rata

•Access letter of recommendation, $193.99/hr or pro-rata

•Full functional report, $193.99/hr or pro-rata

•Telehealth, 60mins, $166.35

•Telehealth, 30mins, $83.18

Provider Travel – labour and non-labour costs

As per NDIS pricing arrangements 2024 – 2025 accessible here https://www.ndis.gov.au/

“Where a worker is travelling to provide services to more than one participant in a ‘region’, then it is reasonable for a provider to apportion all of the travel time (including the return journey where applicable) between the participants who received support from the worker.”

•Up to 30 minutes in MMM 1-3 (each way) and up to 60 minutes in MMM 4-5 (each way), for example:

•Localities within 4350, 4352 – MMM 2

•Localities within 4354, 4356 – MMM 5

Provider Travel - Labour (15_055_0128_1_3)

•Travel between participants in the same zone, up to 30mins ($3.23/min)

•Zone MMM 1-3: 30mins, $96.99

•Zone MMM 4-5: 60mins, $193.99

•Zone MMM 6-7: (remote and very remote areas MMM6 - MMM7) - as agreed up to the hourly rate for the support item).

•Please follow this link to search for your locality Modified Monash Model (MMM) Suburb and Locality Classification – Home Care Subsidy | Australian Government Department of Health and Aged Care

Provider Travel

•“For a vehicle owned by the provider or the worker, up to $0.99 a kilometer can be charged.

•“For other forms of transport or associated costs, such as road tolls, parking, public transport fares, up to the full amount”, these will be directly on-charged.