Understanding Reasonable and Necessary in the NDIS Funding

NDIS, the National Disability Insurance Scheme, along with disability services in Melbourne and country-wide, is Australia’s answer to the pressing need to assist individuals with disabilities. It represents a significant step toward inclusivity and empowerment, ensuring that people with disabilities can lead fulfilling lives with dignity and independence.

But within the vast realm of NDIS, one concept looms large: “Reasonable and Necessary.” What does it mean, and how does it shape the funding landscape for those in need?

Aim of NDIS

The fundamental goal of NDIS is to empower individuals living with disabilities. It aims to enable them to lead lives that are not just bearable but rich and fulfilling.

The cornerstone of this empowerment is providing individuals with the tools and resources they need to gain independence and participate actively in their communities. It goes beyond just physical disability support in Point Cook to encompass educational, social, and emotional well-being.

Importance of NDIS Funding

At the core of NDIS lies the funding mechanism that makes this support possible. Every dollar allocated must be spent wisely, efficiently, and, most importantly, equitably.

The key to understanding how NDIS allocates funds lies in the concept of “Reasonable and Necessary.” It is not just a buzzword but the axis on which the entire NDIS funding framework pivots. It defines what kind of support participants can receive and to what extent.

Reasonable Defined

“Reasonable” in the context of NDIS is a term that has sparked numerous interpretations and debates. From a layperson’s perspective, it might imply something within the bounds of logic and fairness.

However, in the eyes of NDIS, “reasonable” doesn’t refer to what an individual might personally consider fair or sensible. Instead, it takes into account the broader picture of societal norms, resources, and expectations.

Exploring Necessary

The counterpart of “reasonable” is “necessary.” This term emphasises that not all supports, even if they are reasonable, will be funded. NDIS requires that the support must be essential for the participant to achieve their goals.

Necessary supports are those that are directly linked to a participant’s disability and are critical for them to lead an ordinary life. This criterion helps NDIS focus its resources on the most impactful support services.

Who Qualifies for NDIS?

NDIS eligibility is a multi-faceted process. First and foremost, it is essential to meet the disability criteria, which includes having a significant and permanent disability.

The permanence of the disability is a critical factor. NDIS isn’t a short-term solution; it, along with disability services in Melbourne, strives to support individuals throughout their lives, so the disability must be long-lasting.

Assessment Process

Once eligibility is established, the assessment process kicks in. Gathering the necessary evidence and information is pivotal. It’s not just about showing that a disability exists but also proving the impact it has on the individual’s life.

The assessment includes a meeting with the National Disability Insurance Agency (NDIA) to discuss the participant’s needs, goals, and how the NDIS can best support them. This meeting is a crucial step in tailoring the support plan to the individual.

The Role of the NDIA

NDIA’s decision-making is a careful balancing act. They must determine what supports are both reasonable and necessary while considering the available budget.

This process is transparent, with decisions made based on comprehensive assessments and consultations. The goal is to provide maximum support within the available resources.

Funding Plans

NDIS funding plans are highly individualised. They’re not off-the-shelf solutions but rather tailor-made to cater to the unique needs of each participant.

Flexibility is a hallmark of these plans. As a participant’s needs and circumstances change, the support plan can be adjusted to ensure that it remains relevant and effective.

Reasonable and Necessary Supports

Types of Supports

There are two main categories of NDIS support: core support and capacity-building support.

Core supports are designed to assist with daily living activities, such as personal care or transport, and help participants maintain their independence. 

Capacity-building supports, on the other hand, focus on skill development and achieving long-term goals.

Customising Support Plans

One of the beauties of NDIS is the ability to customise support plans. Each participant’s plan is tailored to their specific needs and goals.

This individualised approach means that support is not one-size-fits-all. It’s about empowering individuals to set and achieve their objectives.

Challenges in Determining Reasonable and Necessary


The subjectivity of “reasonable and necessary” is one of the most significant challenges. What’s considered reasonable can vary greatly depending on who you ask.

This grey area sometimes leads to debates and disagreements, making it challenging to set clear boundaries on the scope of support.

Appeals and Reviews

The NDIS recognises that disagreements can arise. Therefore, a robust appeals and review process is in place to address this. Participants have the right to appeal decisions they believe are incorrect.

Seeking reevaluation when disagreements occur is essential for ensuring that individuals receive the support they genuinely need.

Advocating for Your Needs


Empowerment begins with self-advocacy. Participants need to be well informed about their rights and the NDIS processes. Disability services in Melbourne can assist you in understanding the terminology and expressing your thoughts clearly in front of the NDIS delegates.

Effective communication is a powerful tool. Articulating your needs and goals is essential in ensuring that the support plan aligns with your aspirations.

Support Networks

The road to NDIS success isn’t one you have to travel alone. Friends and family can be pillars of support, helping navigate the complexities of the system.

Additionally, various advocacy groups and organisations exist to provide guidance and resources to participants seeking support.

Tips for Navigating NDIS


Maintaining meticulous records of your condition, needs, and the support you receive is vital.

Regularly updating your records helps ensure that your support plan remains aligned with your changing circumstances.


Clear and open communication with NDIA officials is essential. Participants should express their needs, goals, and concerns without hesitation.

Setting clear expectations helps reduce misunderstandings and ensures that your support plan meets your objectives.

Summary of Key Takeaways

“Reasonable and Necessary” is not just a catchphrase; it’s the heart of NDIS funding, defining the scope of support available. Empowering individuals with disabilities to lead fulfilling lives is at the core of the NDIS mission.

Horizon Access is a trusted team of disability support workers who undergo extensive training to understand the unique needs of NDIS participants. They aim to assist you in attaining your goals and be independent as much as possible. 

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