As an NDIS registered plan manager, we comprehend the concept of “reasonable and necessary supports” with ease, yet translating and implementing it proves challenging. What meets the criteria for one participant may not necessarily be applicable to others, given the distinctive and specific needs of each individual participant.
The responsibility of a plan manager does not encompass the evaluation of whether purchased supports or services are reasonable and necessary. Instead, the plan manager’s role is to ensure the proper implementation of the participant’s plan, ensuring that funds are expended in accordance with the plan and aligning with the anticipated NDIS plan spend. It’s important to note that a plan manager does not have the authority to determine the supports a participant can access.
While the majority of acquired supports readily correspond with participants’ outlined plans, certain purchases might lack evident alignment and necessitate supplementary documentation. This additional documentation could encompass anything from a report provided by an allied health professional to an email confirmation from your support coordinator or local area coordinator.
A plan manager may be liable to repay any amounts that have not been spent in accordance with a participant’s plan. This is the main reason why plan managers adopt a careful and measured approach when processing invoices or claims.
Participants benefit from routinely reviewing the NDIS guide on comprehending reasonable and necessary supports. This informative guide is available on the NDIS website, accessible by clicking the link provided below.