Providing Supported Independent Living

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.

In July 2021, the NDIA published a Report of the Review of Pricing Arrangements for Supported Independent Living. The report does not recommend any changes to the current SIL pricing arrangements.

SIL roster of care

Providers should develop a roster of care (RoC) using the NDIS Pricing Arrangements and Price Limits Assistance with Daily Living prices to help the NDIA decide the type of supports to be included in a participant’s plan. 

Providers need to submit the RoC to the NDIA for consideration.

Material changes to an existing 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. 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 ask the participant (or their nominee) to confirm that 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.

The Provider SIL Roster of Care Submission Tool includes:

  • updated price limits to reflect NDIS Pricing arrangements effective from 1 July 2021
  • 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:

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.

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.

COVID-19 information

For information on temporary COVID-19 support measures available to SIL providers and participants, visit the Coronavirus latest advice page.

This page current as of
19 July 2021