The National Disability Insurance Scheme (NDIS) is designed to be flexible and responsive to each participant’s changing needs. One of the ways this is achieved is through NDIS Plan Reviews. Whether you’re new to the scheme or an existing participant, understanding how plan reviews and appeals work is key to getting the most out of your supports.
In this article, we break down the review and appeal process, what you can expect, and how you can prepare to ensure your needs are heard and supported.
What Are NDIS Plan Reviews?
NDIS plan reviews are designed to ensure that your plan continues to meet your needs as your circumstances evolve. A review allows participants and the NDIA to check whether:
- Your supports are working for you
- Your goals are still the same or have changed
- Any new supports are needed
- Funding is still appropriate
How Often Do Reviews Happen?
Most plans are reviewed annually (every 12 months), but some plans may run for up to 24 months or longer in certain cases. A plan review may also be triggered:
- When requested by the participant or nominee
- When there is a significant change in your circumstances
- As part of a scheduled reassessment by the NDIA
Why Active Participation Matters
Being actively involved in your plan review helps ensure the NDIA understands your needs accurately. This includes:
- Clearly communicating your goals
- Sharing evidence of your current support needs
- Asking for what you need (including extra supports, if required)
Remember: you know your situation best — and your voice is essential.
What to Expect During a Plan Review
NDIS plan reviews can take place:
- In person
- Over the phone
- Via video call
The review is usually conducted by a planner or Local Area Coordinator (LAC) and will cover:
- Your current supports — what’s working and what isn’t
- Your progress toward current goals
- Any changes to your living situation, health, or daily needs
- Any new goals you’d like to add to your plan
Preparing for a Review
To get the best possible outcome from your review:
- Start early — at least 2 months before your plan end date
- Gather documentation, such as:
- Support worker logs
- Therapist reports
- Functional Capacity Assessments (if relevant)
- Progress updates from service providers
- Write down your goals and what supports you need to achieve them
- Ask your providers for updated reports or recommendations
Being organised shows the NDIA that your request for funding is based on real needs and clear evidence.
Understanding Your Plan Review Outcomes
Once your review is complete, the NDIA will make a decision about your plan. Outcomes may include:
- Increased supports – if your needs have grown or new goals are identified
- Reduced supports – if less support is needed, or past funding wasn’t fully used
- Unchanged plan – if the NDIA determines your needs are being met with the current level of support
How You’ll Be Notified
You’ll receive a copy of your new plan through the participant portal (myplace), by email, or in the mail. You should also receive a written explanation if your funding has decreased or stayed the same.
Review decisions can feel overwhelming — especially if you feel the outcome doesn’t reflect your needs. That’s where the appeals process comes in.
Navigating Plan Review Appeals
If you disagree with your plan review outcome, you have the right to request an internal review of the decision.
When Can You Appeal?
You can appeal any NDIA decision you’re unhappy with, such as:
- Funding amounts (e.g. not approving support coordination)
- Denial of requested supports (e.g. therapies, home modifications)
- Length of the plan
How to Appeal (Internal Review)
- Submit a written request for an internal review within 3 months of receiving your plan
- Include a clear explanation of why you disagree and any supporting evidence
- The NDIA will review your case and may:
- Confirm the original decision
- Vary the decision
- Set it aside and make a new one
This process usually takes up to 60 days.
What If the Internal Review Fails?
If you’re still unhappy with the outcome, you can escalate to the Administrative Appeals Tribunal (AAT) for an external review. This is a more formal process and often involves legal or advocacy support.
Resources and Support for Appeals
You don’t have to go through the appeals process alone. Help is available:
- NDIS Appeals Program – Government-funded support for navigating AAT reviews
- NDIS website – www.ndis.gov.au has step-by-step guides
- Your Support Coordinator – They can assist with documentation and submissions
Empowering Yourself with NDIS Knowledge
Knowledge is power — especially when navigating the NDIS. Understanding your rights, responsibilities, and the structure of plan reviews puts you in a stronger position to advocate for yourself.
Key Rights to Remember:
- You have the right to request a review at any time
- You have the right to appeal NDIA decisions
- You are entitled to support in advocating for your needs
Stay Informed
- Check for updates on www.ndis.gov.au
- Ask your support coordinator or LAC questions
- Attend webinars or community information sessions
Final Words
NDIS plan reviews and appeals may seem complicated — but they exist to make sure your supports match your evolving needs.
Preparation, documentation, and self-advocacy are the most powerful tools you can bring into any review.
Don’t be afraid to speak up, ask questions, or challenge decisions. The NDIS is here to support you — and understanding the system is the first step in making it work for you.
Need more help? Visit www.ndis.gov.au or call 1800 800 110 for official support.