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    Participant details.

    First name *

    Last name *

    Email address

    Phone Number *

    NDIS number

    Your NDIS contact/Local Area Coordinator (Optional)

    Date of birth *

    Gender

    Mailing address *

    Suburb

    Postcode

    State

    Additional Information/Notes:

    Participant’s authorised nominee(s).

    Adding Authorised Nominee(s) give us the authority to speak to people who help you!
    If you are a Nominee, add yourself and anyone else who you'd like for us to communicate with.

    First name

    Last name

    Email address

    Phone number

    Relationship with participant

    Add another nominee.
    Add a nominee(s)
    Hide nominee(s)

    Add a nominee 2 (Optional)

    First name

    Last name

    Email address

    Phone number

    Relationship with participant

    Add another nominee.
    Add a nominee(s)
    Hide nominee(s)

    Add a nominee 3 (Optional)

    First name

    Last name

    Email address

    Phone number

    Relationship with participant

    Add another nominee.
    Add a nominee(s)
    Hide nominee(s)

    Add a nominee 4 (Optional)

    First name

    Last name

    Email address

    Phone number

    Relationship with participant

    Help us streamline the process, upload your NDIS plan now.

    Upload Plan Now

    Please read our terms & conditions carefully.

    Item A – Support provided by South East Care.

    As an NDIS Registered Service Provider, South East Care fees are regulated by NDIA.

    South East Care will provide Financial Intermediary Service as follows:
    • Make a claim on the NDIS Portal for the Supports provided
      by the Participant’s Provider that is Plan Managed.

    • Endeavour to claim from the NDIS portal within 3 business
      days of receiving a Provider’s invoice that meets the
      information required to process and the Participant
      has an active Plan to cover the period.

    • Pay the Provider within 2 business days of receipt of a
      successful claim from the NDIS Portal.

    • Provide information on claim outcome to the Participant,
      Authorised Representative and Provider.

    • Maintain communication with the NDIA and Local
      Area Partner.

    If applicable, South East Care may provide Plan Management
    Activities if the Participant requests this service and is
    covered by the Participant’s NDIS Plan.

    South East Care will charge the fee defined on the tables
    adjacent for the support rendered or the amount shown on
    the Plan.

    NDIS Price Guide Extract for Plan Management –
    Financial Administration

    Support item

    Support item reference no.

    UOM

    Price limit

    Plan Management and
    Financial Capacity
    Building – Set Up Costs

    14_033_0127_8_3

    Each

    $232.35

    Plan Management –
    Financial Administration

    14_034_0127_8_3

    Monthly

    $104.45

    NDIS Price Guide Extract for Plan Management Activities

    Support item

    Support item reference no.

    UOM

    Price limit

    CB and Training in
    Plan and Financial
    Management by a
    Plan Manager

    14_031_0127_8_3

    Hourly

    $61.76

    Item B – Terms and Conditions.
    1. Participant’s responsibilities

    You/Your/Participant refers to the Participant in this service agreement. You agree to:

    • Tell us immediately if your NDIS Plan changes or you are no longer an NDIS Participant.

    • Tell us if your personal details change.

    • Let us know if you do not understand or have any concerns regarding this service agreement or our supports.

    2. South East Care responsibilities

    We/Us/Our/South East Care refers to Little Green Steps Pty Ltd. We agree to:

    • Provide you with the Plan Management Financial Intermediary Supports as defined on Item A.

    • Provide you with invoices and statements for the supports.

    • Listen to your feedback.

    • Work with you to resolve issues quickly and effectively.

    3. Pricing, invoicing and payment
    • Our fees will be set by the National Disability Insurance Agency, claimed at the maximum permitted set out in the Price Guide. These prices are reviewed annually with any changes commencing on 1 July of each year. The NDIA Price Guide is publicly available on www.ndis.gov.au.

    • Current fees for our funded supports are set out in Item A, Tables 1 and 2.

    • Fees are taken directly from your NDIS Plan under Improved Life Choices (Support Category 3.14 on NDIS Price Guide). You give us permission to make a service booking and make payment request/claim on this fund, as per Item A when the service is rendered.

    • We will endeavour to backdate claims from Plan approval when possible. Date of Service Booking will determine date of Financial Administration start date.

    4. Goods and Service Tax (GST)
    • A supply of supports under this Service Agreement is a supply of one or more reasonable and necessary supports specified in the statement of supports included, under subsection 33(2) of the National Disability Insurance Scheme Act 2013 (NDIS Act), in the Participant’s Plan currently in effect under section 37 of the NDIS Act.

    • If applicable you must pay any applicable GST on fees for supports, as per the invoice issued by the Provider.

    5. Information you give to us
    • The information you (or Authorised Representative) provide to South East Care, is accepted in good faith that the information is true and accurate and that the claims presented are a true reflection of the goods and services provided to the Participant, as per the NDIS guidelines.

    • South East Care will report any suspected fraudulent or improper claims, to the National Disability Insurance Agency.

    • In some circumstances we may need to disclose relevant information to your Providers to facilitate payment of their invoices. We will advise your Providers when:

      • your support category has been exhausted

      • we are not Plan Managing a specific category;

      • your Plan is inaccessible due to an NDIS Plan review;

      • we can’t make a claim from the NDIS, we will provide the reason given to us by the NDIA.

    • We will also maintain contact with your Local Area Coordinator and/or a delegate from the National Disability Insurance Agency, in regards to your Plan and usage.

    • By signing up with our service you acknowledge that you agree for us to release relevant and reasonable information to your Providers, Local Area Coordinator and/or Planner.

    6. Terminating this agreement
    • This service agreement may be terminated by either party giving adequate notice (28 days).

    • You can end this service agreement without giving adequate notice if your health and safety is at risk from the supports we are providing; and/or

    • We can end this service agreement without adequate notice if:

      • our invoice remains unpaid by its due date; and/or

      • your funded supports are no longer in your NDIS Plan.

    • After this service agreement ends, confidentiality and privacy policy may still apply.

    7. Changing this Agreement
    • This service agreement may change from time to time. South East Care will provide reasonable notice of change(s) to you.

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