Supported Independent Living Overview
Supported Independent Living (SIL) is help with and/or supervising of daily tasks in a shared living environment, with a focus on developing the skills of each individual to live as independently as possible. The support is provided to each person living in the shared arrangement based on their support needs.
Assistance provided to a participant will be included as part of their plan depending on the level of support they require to live independently in the housing option of their choice.
The NDIA is committed to improving transparency of our processes and fairness of our decision making.
As such, we are clarifying the set price limits for SIL supports, replacing the current quoting and negotiation process.
The 2020-21 NDIS Price Guide has updated the price limits for Assistance with Daily Living supports following the Annual Price Review. These will be set at relevant Assistance with Daily Living base price limits as an interim measure.
The NDIA is conducting a review of SIL price controls and new SIL-specific price limits will be included in an updated Price Guide released later in 2020. Until this review is complete the price limits for Assistance with Daily Living will apply to SIL supports.
The Assistance with Daily Living price limits will be in effect from 1 July 2020 for SIL supports, and will also be applied to any open SIL quotes awaiting approval.
Existing plans containing agreed quotes will continue until the end of their 12 month term, at which point the new SIL price limits will apply.
From 1 July 2020, providers will no longer need to submit a quote for SIL pricing.
Providers should develop a roster of care (ROC) using the Assistance with Daily Living price limits to help the NDIA decide the type of supports to be included in a participant’s plan.
Providers will still need to submit the ROC to the NDIA for consideration.
Material changes to the ROC will require detailed documentation to support the changes (for example, an allied health professional report).
The rate limit used for SIL will be increased only when the relevant Assistance with Daily Living price limits are increased – in accordance with the pricing review decisions for the impact of the Fair Work Commission Minimum Wage and Award decisions and Equal Remuneration Order increases. There will be no other indexation increases applied.
The NDIA is also working to strengthen participant input into the SIL planning process.
Before a plan with SIL supports is approved, the NDIA will directly ask the participant (or their nominee) to confirm they have had an opportunity to see and provide input to the ROC. The support coordinator, if in place, will also be engaged to ensure this occurs.
These changes will mean the SIL process is more efficient and will enable providers to get paid without lengthy negotiation.
A new SIL Provider Pack will be available before 1 July 2020.
Plan automatic extensions and SIL service bookings
When we have been unable to undertake a plan review by the time a participant’s current plan ends, it will be automatically extended by 365 days.
This creates a discrepancy between service bookings and the plan, because the SIL service booking displays a higher amount than the plan amount.
SIL providers should claim at the amount for the original (non-extended) plan and accepted quote.
When a participant has a new plan in place, SIL providers can claim at a rate appropriate to the new plan.
Providers now have the ability to adjust the unit prices and quantities of Agency-created services bookings. This will assist with modifying automatically extended service bookings to match the original plan.
Participants in NSW and the ACT
SIL service booking end dates will be extended by 12 months and funding increased for participants in NSW and the ACT with plans due for review during May through to August 2020. This increase is an extension of what was approved in the previous plan.
The increase is shown in your service booking as an increase to the unit cost only (approximately double the unit cost), with no change to the units. Service bookings can now be amended by providers to reflect the correct unit cost and quantity.
Coronavirus (COVID-19) cases in SIL
We know participants living in SIL arrangements are at higher health risk during the coronavirus (COVID-19) pandemic, due to the SIL environment and other existing health conditions.
We are also aware that providers may require additional funding to manage the care and support of residents who are diagnosed with coronavirus (COVID-19).
Two new support items will be available from Thursday 30 April 2020 for participants residing in SIL properties and diagnosed with coronavirus (COVID-19).
These new items will support SIL providers to continue to deliver services and ensure participants receive the support they need.
The new support items will cover three situations when a participant is diagnosed with coronavirus (COVID-19):
- They continue to reside in their normal SIL accommodation.
- They are admitted to hospital.
- They are relocated to alternative housing for isolation purposes or while transitioning into or out of hospital.
A participant could move through all of these situations, and funding will follow to the provider in all of these situations.
The two new support items are:
- Cleaning services: $300 to cover the cost of a one-off professional deep cleaning of a residence per participant newly diagnosed with coronavirus (COVID-19), with one claim allowable per participant diagnosed with coronavirus (COVID-19).
- Higher intensity support: $1,200 maximum daily rate to cover the cost of higher intensity support including staffing increase, Personal Protective Equipment (PPE), professional laundering, and any ancillary costs directly related to the participant’s diagnosis. This item may be claimed throughout a participant’s period of infection (based on number of days from diagnosis to negative test result), whether they are located in their normal accommodation, in hospital, or isolated in alternative accommodation.
The NDIS will not cover additional administrative costs, staff sick leave, medical costs associated with a hospital stay or everyday expenses.
SIL providers can continue to claim usual SIL costs while a participant diagnosed with coronavirus (COVID-19) is in hospital or isolated in alternative accommodation. Alternative accommodation will also be claimable through the short term accommodation support item.
The new line items will be available in the NDIS Price Guide and Support Catalogue which will be published Thursday 30 April 2020.
SIL providers who have a participant residing in SIL who is diagnosed must immediately notify the NDIS Quality and Safeguards Commission .
The Commission will inform the NDIA, and we will update the participants plan as quickly as possible to include additional funding against these new items as stated supports.
New SIL service booking process for providers during coronavirus (COVID-19)
The NDIA has changed the SIL service booking process to assist and ensure providers are paid promptly and can continue to deliver SIL services to participants in the current coronavirus (COVID-19) environment.
Currently, providers have been unable to receive payment for SIL services delivered to participants where a participant’s plan has been approved with SIL supports yet no approved SIL quote or service booking is in place.
From Wednesday 8 April 2020, if an approved SIL quote is not in place when a participant’s plan is approved, a service booking for this support will be created by the NDIA.
- This will ensure funds are available for SIL providers to claim against when delivering these supports.
- Service bookings created by NDIA will be based on the best available information at that time, using available Roster of Care information and the current NDIS Price Guide.
- The change applies to all current and future approved plans with SIL supports that do not have a service booking in place.
If the service booking created does not reflect your service offering or there has been a change of circumstances, you can submit supporting evidence to SIL@ndis.gov.au. The NDIA will assess this evidence and, if required, vary the service booking or make a manual payment.
Providers are encouraged to submit quotes in the required timeframe if they do not want a service booking created by the NDIA.
The NDIA is looking to reform SIL (including the quoting process) and is currently undertaking a provider payment remediation process to resolve outstanding SIL payment.
For enquiries or more information, please email SIL@ndis.gov.au.
For the latest information on the NDIA’s response to coronavirus (COVID-19), please visit the coronavirus (COVID-19) information and support page.