Supported independent living overview
Supported independent living (SIL) is help and/or supervision of daily tasks to help participants live as independently as possible, while building their skills. It is the paid personal supports and is most commonly used in shared living arrangements.
SIL is one of many support options participants can receive. When considering if SIL is the best option for a participant, the following are considered:
- the participant’s goals for their potential home and living arrangements, and the support required for daily tasks to assist in living as independently as possible
- if alternative supports may be a better option
- if the participant has significant support needs that require person-to-person supports, and what supports they already receive
- if the NDIA decides the support meets the reasonable and necessary criteria for SIL funding.
The Operational Guideline for SIL explains how decisions are made about SIL supports, providing more clarity and transparency for participants and providers.
This Operational Guideline is written in a new more accessible style. This is part of our commitment to making the Scheme easier to understand.
The NDIA is committed to improving transparency of our processes and fairness of our decision making.
The 2020-21 NDIS Price Guide has updated the price limits for Assistance with Daily Living supports following the Annual Price Review.
The NDIA is conducting a review of SIL price controls 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 came into effect from 1 July 2020 for SIL supports and were applied to any open SIL quotes awaiting approval.
Existing plans containing agreed SIL 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 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.
Provider SIL Pack
The Provider SIL Pack includes the tools and templates that providers must use to develop the participant’s Roster of Care (RoC) and supporting documents. The RoC is a critical document that helps participants, providers and the NDIA determine the type and level of supports a participant needs.
Version 1.2 of the Provider SIL Roster of Care Submission Tool includes:
- updated price limits to reflect NDIS Price Guide updates effective from 1 December 2020
- formulas to ensure providers do not exceed Assistance with Daily Living price limits.
SIL providers must use the Roster of Care Submission Tool and Template below when making a RoC submission:
- Guide to using the SIL Provider Pack (DOCX 2.7MB)
- Provider SIL Roster of Care Submission Template (DOCX 75KB)
- Provider SIL Roster of Care Submission Tool (XLSX 909KB)
- Provider SIL Roster of Care Submission Tool Examples (XLSX 920KB).
Automatic plan extensions
When we are 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 must claim at the amount for the original (non-extended) plan and accepted quote. This means participants pay the same amount for their SIL supports under an automatically extended plan as under their original plan.
To modify automatically extended service bookings to match the original plan, providers should update the unit price and quantity in service bookings.
We are contacting a number of providers who appear to have claimed at a higher rate than the accepted quote for participants with automatically extended plans.
Providers who have over-claimed will be asked to review their payment claims. Unsupported claims may need to be repaid to the NDIA or referred to the NDIS Quality and Safeguards Commission.
Details about provider's compliance obligations and the NDIA's compliance monitoring, including what actions may be taken, can be found on:
Providers concerned they may be in breach of, or at risk of breaching, their responsibilities under the Provider Payment Assurance Program should contact the NDIA on 1800 800 110.
Coronavirus (COVID-19) cases in SIL
COVID-19 cleaning and higher intensity supports for participants have been extended until 30 June 2021.
Two support items are available for participants residing in SIL properties who:
- have been diagnosed with COVID-19
- are required to self-isolate or quarantine
- are in isolation or quarantine while waiting for the results of a COVID-19 test or because of measures taken by government or medial authorities in response to the COVID-19 pandemic.
These line items support SIL providers to continue to deliver services and ensure participants receive the support they need.
The support items will cover 3 situations where a participant is diagnosed with 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 2 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 COVID-19, with one claim allowable per participant diagnosed with 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 COVID-19 is in hospital or isolated in alternative accommodation. Alternative accommodation will also be claimable through the short term accommodation support item.
The line items are available in the NDIS Price Guide and Support Catalogue.
Providers and participants should discuss and agree on any pricing changes before they are applied.
SIL providers who have a participant residing in SIL who is diagnosed with coronavirus must immediately notify the NDIS Quality and Safeguards Commission .