To access the benefits of the NDIS, individuals need to meet specific eligibility criteria. In this article, we will explore the key factors and steps involved in qualifying for the National Disability Insurance Scheme.

1. Understanding the Eligibility Criteria

The NDIS eligibility criteria are designed to ensure that the scheme reaches those who require ongoing support due to a significant and permanent disability. To be eligible for the NDIS, applicants must meet the following criteria:

   a. Age: The applicant must be under 65 years of age at the time of application.

   b. Residency: The applicant must be an Australian citizen, a permanent resident, or a Protected Special Category Visa holder.

   c. Disability: The applicant must have a permanent impairment or condition that significantly affects their ability to participate in activities or requires substantial support. Evidence is required to justify the above and demonstrate that the applicant will likely need NDIS support for the duration of their lifetime.

2. Gathering Relevant Documentation

To support the NDIS application, it is important to gather all relevant documentation that demonstrates the applicant’s disability and its impact on their daily life. This may include medical reports, specialist assessments (e.g. occupational therapy functional capacity assessment), and any other documentation that provides a clear picture of the disability and its functional impact. Health Journey Partner’s occupational therapists are experienced in providing detailed functional capacity assessment reports, and have successfully assisted clients in accessing the NDIS.

3. Contacting the National Disability Insurance Agency (NDIA)

The next step is to contact the NDIA, the government agency responsible for administering the NDIS. The NDIA can provide guidance on the application process and assist in determining eligibility. They will guide applicants through the necessary steps and provide any required forms or documentation.

4. Completing the Access Request Form

The Access Request Form is the official application form for the NDIS. It requires detailed information about the applicant’s personal details, disability, functional limitations, and support needs. It is crucial to complete this form accurately and provide supporting documentation to ensure a thorough assessment of eligibility.

5. Assessment of Eligibility

Once the Access Request Form is submitted, the NDIA will review the application and assess eligibility. This assessment involves considering the applicant’s disability, functional limitations, support requirements, and the impact on their daily life. The NDIA may request additional information or conduct further assessments, if necessary, to make an informed eligibility decision.

6. Planning and NDIS Supports

If the applicant is deemed eligible for the NDIS, the next step is to develop an NDIS plan. The plan is personalized and tailored to the individual’s specific needs and goals. It outlines the support and services that the NDIS will fund to help the participant achieve their objectives and improve their quality of life.

7. Review and Plan Updates

Once the NDIS plan is implemented, it is reviewed periodically to ensure it remains relevant and meets the changing needs of the participant. Plan reviews enable adjustments to be made based on the participant’s progress, new goals, and evolving circumstances.


The National Disability Insurance Scheme provides vital support to individuals with disabilities, enabling them to access the services and assistance they require. By understanding the eligibility criteria and following the necessary steps, individuals can navigate the process of qualifying for the NDIS successfully. Health Journey Partner can provide occupational therapy services in The Hills District, the Greater Parramatta region and up to Macquarie Park to support individuals in their application to access the NDIS.