Assistive Technology (AT) plays a vital role in supporting independence and improving quality of life for people with disabilities. The NDIS provides funding for a wide range of AT to help participants achieve their goals, engage in daily activities, and enhance their participation in the community. This guide covers everything you need to know about accessing AT through the NDIS, including what is covered, the process for obtaining AT, and tips for justifying your needs.

What Is Assistive Technology (AT)?

Assistive Technology refers to equipment or devices that help individuals perform tasks they may find challenging due to their disability. AT can range from simple, low-cost items like handrails to complex, high-cost devices like electric wheelchairs or communication aids. The NDIS categorises AT into four levels based on complexity and cost:

• Level 1 (Basic AT): Low-cost items that don’t require specialised support (e.g., non-slip bath mats, door handles).

• Level 2 (Standard AT): Higher-cost equipment that may need minor adjustments (e.g., shower stools, walking frames).

• Level 3 (Specialised AT): Higher-complexity equipment requiring professional setup or customisation (e.g., power wheelchairs, hoists).

• Level 4 (Complex AT): Customised solutions for significant support needs, often involving multidisciplinary assessment and ongoing adjustments (e.g., environmental controls, customised seating).

Each level requires different levels of evidence and justification, which are detailed below.

The Process for Accessing Assistive Technology

Accessing AT through the NDIS involves several steps, including discussing AT needs during the planning meeting, obtaining necessary assessments, and providing sufficient evidence to justify the request. Here is a step-by-step overview of the AT access process:

Step 1: Discussing AT Needs in Your Planning Meeting

• Identify Goals Related to AT: Begin by identifying goals in your NDIS plan that require AT support. For example, goals such as improving mobility, enhancing communication, or increasing independence in daily tasks can help justify AT needs.

• Specify the Types of AT Required: During the planning meeting, discuss specific AT you believe would help you achieve your goals. Mention the types of AT you are interested in, as well as any limitations you face without them.

Step 2: Obtaining an AT Assessment

• Assessment by a Qualified Professional: For Level 2 and above AT, an assessment by an allied health professional (such as an Occupational Therapist or Physiotherapist) is typically required. This assessment evaluates your functional needs and provides recommendations for AT based on your abilities, goals, and environment.

• Considerations During Assessment: The assessor will evaluate the type, level, and customisation required for the AT, as well as ensure that it is safe and effective for your specific needs.

• Requesting Multiple AT Items: If you require multiple AT items, they may be combined in a single assessment report to streamline the process.

Step 3: Submitting Evidence and Justifying AT Needs

• Documentation and Justification: Submit all assessment reports and supporting documentation to the NDIS, detailing how each AT item will support your goals. Emphasise the functional benefits of the AT, such as how it will increase your safety, mobility, independence, or social participation.

• Cost and Installation Requirements: Provide a clear cost breakdown and details on installation or maintenance if relevant. For complex AT, include quotes from providers, as this helps the NDIS understand the funding required.

• Demonstrating the ‘Reasonable and Necessary’ Criterion: Ensure your documentation shows that the AT meets the NDIS’s “reasonable and necessary” criteria, which include the AT’s alignment with your goals, its effectiveness in supporting your disability needs, and evidence that it represents value for money.

Step 4: Approval and Funding

• Plan Approval and Funding: Once your AT request is approved, funding will be allocated in your NDIS plan. Depending on the AT level, funding may cover the purchase, installation, setup, and necessary training on how to use the device effectively.

• Ordering and Installation: Once funded, work with providers to order and install the AT. Your therapist or Plan Manager may assist with provider coordination if needed.

• Ongoing Review and Adjustment: If your needs change, you may require modifications to your AT or additional support for maintenance. Consider discussing any evolving AT needs during plan reviews to ensure continued support.

Types of AT Covered by the NDIS

The NDIS funds a wide array of AT across all categories and levels, but items must be directly related to a participant’s disability and necessary for achieving specific plan goals. Common AT categories funded by the NDIS include:

• Mobility Aids: Walkers, manual and power wheelchairs, scooters, and standing frames.

• Communication Devices: Speech-generating devices, hearing aids, and visual aids.

• Daily Living Aids: Shower chairs, adaptive utensils, and personal alarms.

• Environmental Control Systems: Smart home devices, bed and chair adjustments, and environmental controls for increased autonomy.

• Transportation Aids: Modifications to vehicles, such as wheelchair lifts and hand controls.

For each of these AT types, the required level of documentation and assessment depends on the complexity and cost.

The Importance of Justifying Your AT Needs

To maximise the likelihood of approval, it is crucial to provide comprehensive evidence demonstrating how the AT will support your daily life, improve safety, and help you achieve your NDIS goals. Here’s what to keep in mind when justifying AT needs:

• Link AT to Specific Goals: Show how each requested AT item directly contributes to your ability to achieve one or more NDIS plan goals. For example, if your goal is to increase independence at home, explain how a shower chair will allow you to bathe safely and independently.

• Document Functional Limitations Without AT: Include details of how your disability limits certain functions without AT and how the AT will specifically address these challenges.

• Evidence from Support Networks: If applicable, request letters of support from caregivers, family members, or healthcare professionals that confirm your need for AT. Their statements can strengthen your case by providing real-life examples of how the AT will improve your day-to-day experience.

• Value for Money and Sustainability: Explain why the AT represents a cost-effective solution, especially if it helps reduce future support needs or increases independence. The NDIS considers whether the funding requested provides a long-term benefit and value for the investment.

Additional Tips for Accessing AT Through the NDIS

• Consider Trialing AT First: If you’re uncertain about a high-cost AT item, trial options may be available. Many providers offer short-term trials, which can provide valuable insights before committing.

• Utilise AT Resources and Support: Consult with your occupational therapist, who can provide expertise on AT solutions and help coordinate with suppliers. Your OT can be a valuable advocate in obtaining AT approval.

• Plan Ahead for Maintenance Needs: AT items may need regular servicing, adjustments, or replacements over time. During the planning phase, discuss any foreseeable maintenance needs with your planner or therapist to ensure your NDIS plan can accommodate these future costs.

• Keep Detailed Records: Track all communications, assessment documents, and receipts related to AT requests, as this documentation can assist with any future plan reviews or appeals.

Accessing Assistive Technology through the NDIS can be a transformative step toward achieving greater independence, safety, and engagement in daily life. By understanding the AT process, obtaining the appropriate assessments, and carefully justifying your needs, you can increase the likelihood of approval and ensure that your chosen AT meets both your immediate and long-term needs. Remember, your healthcare team and allied health professionals are valuable resources throughout this process, ready to support you every step of the way.