How do we decide the amount of SIL funding you get?

We will use your Roster of Care to work out how much funding you need.

We have some information below about what we need in the SIL Pack. Check out the Guide to Using the Provider SIL Pack, for information about the pack and how to use it.

Has the Provider SIL Pack been completed correctly?

Your provider needs to submit the Provider SIL Pack correctly. We make sure they have followed all the steps in the Guide to Using the Provider SIL Pack. If it’s missing anything or hasn’t been completed correctly, we’ll ask your provider to fix it.

We check your Roster of Care before your plan gets approved. We make sure your provider completed the Roster of Care correctly, and they included you in creating it.

How much support do you need?

The Roster of Care page shows your staffing mix. It should also include the ratio of supports you get in a normal week. SIL doesn’t have to be “round the clock” – there might be times when you don’t need support, or when you’re out of the house. 

We review these levels of support with: 

  • the information in the SIL Roster of Care Tool 
  • any other information submitted with your SIL Pack 
  • any other supporting information we have.

When we review this section, we make sure: 

  • the hours of community participation and informal supports in a week match information from your planning meeting. For example, if you work five days per week, your provider should show you will be at work these hours 
  • the ratios of support are reasonable and necessary, based on the information given
  • that SIL only funds support for you in the home. Some activities, such as group day programs to build your capacity may be covered through other funding. 
  • your support ratio on public holidays is appropriate. As a guide, most participants need similar levels of support on public holidays and Sundays.
  • you have the right amount of support for irregular events, such as if you get sick.

As we mentioned above, we also look at your last Roster of Care. This helps us understand any changes in your supports.

Crossover shifts

If a shift crosses over times with two different hourly rates, your provider must pay the support worker at the higher hourly rate for the entire shift. We also make sure shift start and end times don’t cross over each other. For example, we check afternoon shifts don’t end after the start of the overnight shift.

Your provider must avoid any times where an afternoon support worker and overnight support worker help you at the same time.

Overnight supports

If you need overnight supports, there are two types:

  • active overnights are where your support worker needs to be awake during normal sleeping hours to provide support to you or one of your housemates because of your disability.
  • sleepovers are where your support worker can sleep for an eight-hour shift. They might just need to give you support sometimes when you need it. For example, you might need to go to the bathroom. 

The sleepover price includes up to two hours of awake support overnight. If you need more than this, your provider can claim:

  • extra support hours at the daytime rate for weekends and public holidays 
  • extra support hours at the Saturday rate on weeknights. 

For example, you may need three hours of active support on a Wednesday overnight shift. Your provider can claim one of the support hours at the Saturday rate.

If you share supports with a housemate who needs active overnight support, your provider will list you as needing active support too. This is so your overnight support worker gets paid fairly. 

Adjustments

Your provider can make small changes to the Roster of Care. They can make adjustments if your Roster of Care doesn’t capture your support needs completely. For example, your provider could make adjustments when you: 

  • would like to give us more accurate information
  • have more than one support worker overnight due to significant behaviours of concern 
  • choose to change your day program, or see your family and friends more often 

Your provider must say why they made the adjustments. They must have enough detail and show how they calculated the support you need. 

We make sure your provider did the adjustments right. We also check they haven’t recorded more than 24 hours of support per day.

Your Support Coordinator, LAC, friends and family can also help you with this.

Can you see your Roster of Care?

Yes. Your provider must give you a copy of your Roster of Care, so you know how much support you’ll get in your plan. This could be a physical copy or a digital copy. We can also give you a copy if you don’t have one. You should also have been involved in the making of the roster of care. If you haven’t, let us know.

It will show only your roster – we can’t share personal information for anyone else in your home. 

Can you change your Roster of Care?

Sometimes things change over time and you might need changes to your Roster of Care.

Unless your situation has changed, you generally would have the same Roster of Care as your last plan. 

What if your needs change?

You might need a different Roster or Care if your goals have changed, your support needs have changed, or you want to change your typical week.

Sometimes you might need changes to your Roster of Care. Just like getting your first Roster of Care, we’ll ask you if you were involved in making the new roster with your provider. 

We’ll also ask you for a report from an allied health professional for big changes to your Roster of Care. The allied health professional shouldn’t be from the same organisation as your SIL provider. 

If there are any mistakes in your Roster of Care or we need more information, we’ll talk to your provider. You’ll get a new copy if there are any changes.

What happens if your plan expires before you have a Roster of Care? 

If we can’t agree on a Roster of Care with your provider four weeks before your plan expires, we’ll use the same Roster of Care as your previous plan. This will include updated pricing for the SIL price limits in the NDIS Price Guide.

In extreme situations, your provider may be unable to provide an acceptable Roster of Care for supports. If this happens, we can help you get a Roster of Care from other providers.

This page current as of
21 September 2020
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