What to Do if Your Request for High Intensity Support is Denied


For many NDIS participants, high intensity care is not just about comfort; it’s about safety, independence, and quality of life. Services such as complex bowel care, tracheostomy management, or enteral feeding require skilled workers and proper funding. But what happens if your request for high intensity support NDIS funding is denied? While it can feel frustrating and overwhelming, there are clear steps you can take to challenge the decision and strengthen your case.


1. Understand Why the Request Was Denied

The first step is to carefully read the decision letter from the NDIA. Common reasons for denial include:

  • Insufficient medical or allied health evidence

  • Supports considered “not reasonable and necessary”

  • A mismatch between the request and your NDIS goals

Knowing the exact reason helps you focus on what needs to be improved for your next application or review.


2. Gather Strong Evidence

NDIS high intensity support requires comprehensive documentation. To strengthen your case, collect:

  • Medical reports from doctors, specialists, or nurses detailing your care needs

  • Risk assessments showing the potential harm without high intensity care

  • Letters from allied health professionals (OTs, physiotherapists, dietitians)

  • Support logs or incident reports from carers

The more specific and recent the evidence, the better. For example, a hospital discharge summary noting daily wound care or catheter management can be powerful proof.


3. Link Support to Your Goals

When appealing, it’s important to connect high intensity care to your personal goals. The NDIS funds supports that help participants live independently, engage with the community, or reduce hospitalisation risks. Instead of simply stating you need 24-hour care, explain how it will help you stay safe at home, attend work or school, or avoid emergency medical interventions.


4. Request an Internal Review

If you disagree with the NDIA’s decision, you can ask for an internal review. This must be done within three months of receiving the outcome letter. During the review:

  • Submit all additional evidence you’ve collected

  • Be clear about the type of high intensity support NDIS services you are seeking

  • Consider getting help from a support coordinator or advocate to strengthen your submission


5. Appeal to the Administrative Appeals Tribunal (AAT)

If the internal review is unsuccessful, the next step is the AAT. While this can be more formal and time-consuming, many participants have successfully overturned decisions at this stage. Having advocacy services or legal assistance can make a significant difference.


6. Work With Experienced Providers

Sometimes, having the right provider on your side can help. Experienced NDIS high intensity support providers can supply care plans, risk assessments, and professional reports that align with NDIS requirements. This evidence can add weight to your application or appeal.


7. Stay Persistent and Informed

It’s important to remember that many participants don’t succeed on their first application. The NDIS process can be complex, but persistence pays off. Stay up to date with guidelines, keep thorough records, and don’t hesitate to ask for help.


Final Thoughts

A denial doesn’t mean the end of your journey toward receiving the high intensity care you need. By understanding the reasons for refusal, collecting stronger evidence, and using the appeals process, you can improve your chances of securing the right supports. With persistence and the right guidance, you can access the high intensity support NDIS funding that keeps you safe, supported, and empowered.

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