NDIS Service Agreement

This Agreement is made for providing support services on an hourly rate under the Participant’s NDIS plan and which may include a

combination of the following as per NDIS current guidelines and ECM registrations:

a. Improved Daily Living Skills

i. Individual Counselling $156.15

ii. Psychology $232.99

iii. Speech Pathology $193.99

iv. Occupational Therapy $193.99

v. Exercise Physiologist $166.99

vi. Social Work $193.99

vii. Physiotherapist $183.99

viii. Allied Health Assistants $86.79

ix. Comprehensive and Clinical Reports hourly rate

x. Assessments hourly rate

xi. Progress Reports hourly rate

xii. Resources compiled by clinician (Non face to face) hourly rate

xiii. Group Programs as per NDIS Guidelines

b. Improved Relationships

i. Specialist Behavioural Intervention Support $222.99

ii. Behaviour Management Plan & Training in Behaviour $222.99

Management Strategies (hourly rate)

The Parties agree that this Agreement is made in the context of the NDIS, which is a scheme that aims to

1. Support the independence and social and economic participation of people with disability; and

2. Enable people with a disability to exercise choice & control in pursuing their goals & planning & delivering their support services.

A more detailed breakdown of the costs can be provided on request. Recommendations and appointment allocation specific to

each discipline are often more accurate after the initial appointment with the clinicians and when therapy plans are compiled incorporating

NDIS goals. Quantity allocated for each service may vary based on therapy plans, changes in participant goals, and/or due

to unforeseen circumstances. Future appointment lists will be issued which will determine allocation of funds and consistency.

1. Provide participant a copy of this service agreement (if requested)
2. Provide you/your Caregiver with a written therapy plan tailored to the client’s support requirements.
3. Work collaboratively and communicate effectively with all providers.
4. Consult you/your Caregiver on the provision of support.
5. Communicate in an open, honest, and prompt manner.
6. Listen to comments and address complaints; provide opportunities: feedback/complaints/mediation.
7. Describe the management of disagreements and/or complaints.
8. Maintain accurate and timely records of the assistance provided using Power Diary.
9. Guard your privacy and sensitive information.
10. Operate under all privacy requirements- informed consent
11. All ECM employees must file child abuse and neglect reports.
12. Inform you/your carer how, if necessary, to locate alternative service providers and provide a four week notice if ECM must terminate the service agreement, including a written summary.
13. Review the services consistent with laws/policies/legislations
14. 14. ECM will provide written/electronic notification to participants two weeks before implementing changes.
15. Write evaluation reports and intervention plans, including comprehensive assessment/progress reports.
16. Communicate any changes to your future appointment schedule.

1. Late cancellations (including No Shows) fees are defined as less than 2 BUSINESS days’ notice from your scheduled appointment. This will incur 100% of the appointment fee charged against the NDIS Plan (or credit/debit card on file if you are self-managed or you have run out of NDIS funds).
2. You agree to inform ECM of any Changes inc Early Review, Change of Circumstances or Plan Extension
3. You may be required to participate in a NDIS Audit Process. You can opt out of this.
4. You agree to assist ECM with liaising with Plan-Managers regarding outstanding invoices when required.
5. You are agreeing to pay for NDIS services as per NDIS Pricing Arrangements and Price Guide.
6. If Self-Managed, you agree that invoices are paid at the time of the scheduled appointment.
7. If Self-Managed, you agree that late cancellations will be charged to the credit/debit card on file, or you will be charged the outstanding fee at the time of your next appointment.
8. You agree that you have adequate funding in your NDIS plan for the services allocated to and provided by Educational Case Management. You agree to inform ECM if your NDIS budget has been exhausted.
9. You will be expected to pay privately if you have any outstanding invoices with ECM.
10. Depending on the client’s needs, sessions are typically 50 minutes long.
11. Non-face-to-face fees apply to therapy plans, resources (communication books, chat books, social stories), observations, equipment assessment, tele/ video conference, email support, and training
12. Co-operate with ECM to ensure that the delivered services and supports meet your requirements
13. Communicate with third parties if you need clinicians to provide services outside the scope of practice.
14. Participate actively in therapy and follow-up.
15. Provide a safe environment for ECM clinicians in the home when your support is being delivered.
16. Notify ECM of any changes to your situation that may affect the arrangement.
17. Contact ECM if you have concerns about the provided services or support.
18. Provide ECM with reasonable notice if you wish to modify or terminate this agreement.
19. Failure to comply with the terms of the service agreement may result in ECM withdrawing services, terminating the service agreement, cancelling all scheduled appointments ,notifying the NDIS legal department, and/or referring the client to a debt collection agency.
20. Pay for Educational Case Management’s services according to the NDIS Fees.

ECM values feedback as a chance to improve our services or to learn when we’re performing well. Our Practice Manager can provide you with a copy of our Feedback and Complaints Policy and all applicable forms. Contact the Practice Manager, at 4969 8060 or practicemanager@ecmonhudson.com if you want to provide ECM with feedback or lodge a complaint. If you are not satisfied The National Disability Insurance Agency – 1800 800 110 or www.ndis.gov.au; NDIS Quality and Safeguards Commission – 1800 035 544 www.ndiscommision.gov.au; Disability Ombudsmen NSW – 1800 451 524 or www.ombo.nsw.gov.au; Newcastle Disability Advocacy on (02) 4927 0111 or email newcastle@da.org.au

Permission is given until I withdraw my authority in writing or for the following period from the date of this authority: By signing this form, I declare that the information is true and correct. I acknowledge that I have read and understood the terms and conditions. I authorize ECM to store my clinical records on Power Diary Management system. I authorize ECM to store my debit/credit card and debit payments from my nominated debit/credit card (only applies to self-managed funds). I acknowledge I am personally liable for fees if my NDIS funds do not cover the service.