Crack Down on Fraud

The Crack Down on Fraud program supports the work of the Fraud Fusion Taskforce and is focussed on strengthening our systems and improving our processes to detect, prevent and respond to fraud.

This will make it easier for participants to use and pay for NDIS supports in the right way, and for providers to claim for NDIS supports they deliver in the right way. Making it easier to get it right, harder to get it wrong. 

The Crack Down on Fraud program will improve:

Our systems that assess, process and pay over 400,000 NDIS claims per day.
Systems that check identities to increase participant safety and privacy.
The my NDIS app and NDIS portals.

The program will build:

New ICT systems to connect with other agencies, providers and banks so claims and payments can be done faster with less errors.
A new fraud investigation system that will connect with other enforcement agencies.

Improvements from the Crack Down on Fraud program are being developed in consultation with the disability community and sector.

Crack Down on Fraud improvements delivered

Participants and nominees can now sign into their NDIS portals and app via the myGov system.

myGov is the go-to place for digital government services and communications. 

Connecting to myGov helps us more securely check the identities of people accessing NDIS systems and to protect participant plans and personal data. 

All self-managed participants are now required to provide a description before a claim can be submitted in the NDIS portals and app.

By having more information in a claim, we can check to make sure the payment is for NDIS supports in the participant’s plan. Including descriptions before a claim is submitted means we can process the claim faster and help keep participants and NDIS plans safe from fraud.

We created a new online fraud tip-off form to streamline the reporting of suspected fraud and non-compliance.

The new form helps us to get the information needed so that we can effectively and quickly follow up tip-offs.

Payment processing timeframes have been re-aligned with NDIA payment terms of claims being paid within 2 – 3 business days.

This means we have more time to check claims are compliant before they are paid to strengthen compliance within the NDIS.

A program has been introduced to check and record account details signing into NDIS portals and apps via myGov. It shows when information is being used to sign in to NDIS portals or app does not match our records for that particpant’s account.

We use this to follow up on participant accounts that are being accessed incorrectly or accounts that are not real - increasing security of participants’ information and privacy and reducing fraudulent activity with participants’ funding.

We have established a new system to collect and analyse data and information to help find and stop non-compliance and fraud in the NDIS.

To reduce non-compliance and fraud, we have stopped automatic payments for claims from almost 1,000 plan managers.

This means we can manually review the claims to make sure they are compliant and in line with participants’ plans before the plan manager is paid.

NDIS portal and app users can no longer use the secret question and answer myGov sign in option to access NDIS portals and app.

This makes sure more secure myGov sign in options are used to access myGov and linked NDIS systems. This change protects participants’ digital identities and reduces fraudulent activities in the NDIS portals and app.

The Agency commonly requests evidence to support claims. Participants who make a claim for self-managed supports in the portals and app will need to provide an Australian Business Number (ABN) and evidence before a claim can be submitted. 

This can include invoices, receipts and evidence of payroll expenses for the NDIS support being claimed. If a claim is supported by payroll information, this should not include a tax file number (TFN).

By having more information before a claim is submitted, we can:

Identify and trace NDIS supports.
Process claims faster.
Keep participants and NDIS plans safe from fraudsters.