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Contents
1. Introduction .................................................................................................................. 5
1.1
Purpose ............................................................................................................... 5
1.2
Scope .................................................................................................................. 5
1.3
Roles and Responsibilities .................................................................................. 5
2. Checklist ....................................................................................................................... 6
3. Procedure ..................................................................................................................... 8
3.1
When to use CRM and PACE ............................................................................. 8
3.2
Identify the ART Document ................................................................................. 8
3.3
Upload the ART Document ................................................................................. 9
3.3.1
Upload the ART Document to LEX .............................................................. 9
3.3.2
Upload the ART Document to CRM ............................................................. 9
3.3.3
Upload the ART Document to PACE ......................................................... 10
3.4
What further action is required? ........................................................................ 11
3.4.1
Orders requiring no action .......................................................................... 11
3.4.2
Orders requiring access to the NDIS be granted ........................................ 11
3.4.3
Orders requiring a Plan build ...................................................................... 11
3.5
Dismissals and Withdrawals .............................................................................. 11
3.5.1
Create a closed Interaction in CRM ............................................................ 11
3.5.2
Create a closed Enquiry Case in PACE .................................................... 12
3.6
Access Matters .................................................................................................. 13
3.6.1
Create an Enquiry Case in PACE .............................................................. 13
3.6.2
Refer the PACE Enquiry Case to the Scheme Eligibility Branch (SEB)..... 14
3.7
Planning Matters ............................................................................................... 14
3.7.1
Refer the matter to TAPIB for Home and Living Supports ......................... 14
3.7.2
Create an ART Order Implementation Interaction in CRM ........................ 15
3.7.3
Build a Plan in CRM .................................................................................. 15
3.7.4
Build a Plan in PACE ................................................................................. 16
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3.7.5
Planning Support ....................................................................................... 16
3.7.6
Delegation Level 5 Plan Approval .............................................................. 16
3.7.7
Create a Plan Implementation Case in PACE ........................................... 16
3.7.8
Refer the PACE Plan Implementation Case .............................................. 19
3.7.9
Create an Enquiry Case in PACE to have the Plan Implementation Case
prioritised by National Delivery .................................................................. 19
3.7.10
Refer the PACE Enquiry Case to National Delivery .................................. 20
3.7.11
Complete the ART Order Implementation Interaction in CRM ................... 21
3.8
Closing an ART Matter ...................................................................................... 21
4. Process Flowchart ...................................................................................................... 22
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1. Introduction
1.1 Purpose
This Standard Operating Procedure will help you to process, review, and finalise
Orders and Notices of the Administrative Review Tribunal (ART), and close
matters in LEX.
The NDIA has a statutory obligation to ensure that, within 28 calendar days of the
date on which an ART Decision, Order or Notice is received:
• a prospective participant is granted access to the Scheme; or
• a participant’s plan is approved and implemented.
1.2 Scope
This procedure applies nationally across the External Review Branch (ERB) and
the Information Access and Privacy Branch (IAP) and is to be used by:
• Case Managers (CM);
• ART Operations Officers; and
• the Planning Support Team (PST).
1.3 Roles and Responsibilities
The roles and responsibilities set out in the Standard Operating Procedure:
Document Control apply also to this procedure.
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□
3.7.9 Create an Enquiry Case in PACE to have the Plan
Implementation Case prioritised by National Delivery
(if required)
□
3.7.10 Refer the PACE Enquiry Case to National
Delivery
(if required)
□
3.7.11 Complete the ART Order Implementation
Interaction in CRM
(if required)
Further Reference:
□ 4 Process Flowchart
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Locate the participant’s record by selecting the
Search Button in the top
left-hand corner of the screen, and searching by their
NDIS Number.
Once you have located the participant’s or prospective participant’s record,
select
Add Items in the bottom right-hand corner of the screen, and then
select
Inbound Document from the pop-up menu. This will open the
New Inbound Document webform.
Use the relevant drop-down menus to complete the webform, as below.
Description: ART Order 20__/____ <complete ART reference number>
Document Type: Others
Priority: Low
Status: Completed
Category 1: NDIA Service
Category 2: Other Form
Employee Responsible: <your name>
After completing the required fields, select
Upload File in the bottom right-
hand corner of the window. Using the file explorer pop-up window, locate a
copy of the relevant ART Order or Notice, and select
Open. Make sure that
the document is listed as an attachment.
To complete the document upload, select
Save.
Proceed to 3.3.3, below.
3.3.3 Upload the ART Document to PACE
To begin uploading an ART Document to PACE, locate the participant’s or
prospective participant’s record. To do so, search by their
NDIS Number in
the
search bar at the top of the PACE window. Select the appropriate
participant’s or prospective participant’s record from the available search
results under the
Accounts tab (centre-screen).
From the participant’s or prospective participant’s record, navigate to the
Documents tab, and select
Add Documents. Complete the pop-up
Document Details window as below, and then select
Next.
Document Category: Authorisation
Document Sub-Category: Legal Order
Personal Identifiable Information: Yes
Description: ART <Order / Dismissal / Withdrawal> 20__/____
<complete ART reference number>
Select
Upload Files,
and using the file explorer pop-up window, locate a
copy of the relevant ART Order or Notice, and select
Open.
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Make sure that all documents are marked
Ready for Upload, and select
Save. If documents are not
ready for upload, or if you encounter an error in
uploading the document, select
Retry.
The document is now uploaded to PACE. You may now select
Close.
3.4 What further action is required?
3.4.1 Orders requiring no action
Dismissal or Withdrawal Notices, or other Orders which seek to dismiss
an application, do
not require further action by the NDIA. Decisions of the
ART which
affirm the decision under review also require
no action.
Proceed to 3.5, below.
3.4.2 Orders requiring access to the NDIS be granted
All ART Orders which relate to a decision to
grant a prospective
participant access to the NDIS, must be referred to the Scheme Eligibility
Branch (SEB). All access decisions are to be actioned in PACE only.
Proceed to 3.6, below.
3.4.3 Orders requiring a Plan build
All ART Orders which relate to a decision to
fund one or more supports, require that a plan be built and implemented. Refer to 3.1 for guidance
around when to use CRM and PACE.
Proceed to 3.7, below.
3.5 Dismissals and Withdrawals
Where a matter is dismissed by the ART, withdrawn by a participant or prospective
participant (or their representative), or affirmed by the ART, you will create a
closed interaction in CRM (if required)
and a
closed enquiry case in PACE,
after you have uploaded
copies of the ART Document(s) (3.3).
3.5.1 Create a closed Interaction in CRM
Refer to 3.1 for guidance around when to use CRM.
In the participant’s or prospective participant’s record in CRM, select
Add Items in the bottom right-hand corner of the screen, and then select
Interaction from the pop-up menu. This will open the
Create Interaction
(Interaction Record) webform.
Use the relevant drop-down menus to complete the webform, as below.
Category 1: Specialised
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Category 2: AAT
Category 3: AAT Application – Closed
Channel: Internal Notes
Status: Closed
Notes: AAT Application dismissed / withdrawn <select as appropriate>
Select
Submit in the bottom right-hand corner of the window.
Proceed to 3.5.2, below.
3.5.2 Create a closed Enquiry Case in PACE
From the participant’s or prospective participant’s record in PACE, navigate
to the
Details tab and select
Create Enquiry. This will open a new pop-up
window in which you will record information related to the enquiry.
Complete the first step, titled
Who is Making the Request?, as below, and
then select
Next.
Requested by: General Enquiry Only
Case Origin: Internal
Complete the
Enquiry Details as below, and then select
Next.
Date Received: <date on which you received the Notice / Orders >
Enquiry Type: Other
Category: General
Sub Category: Policy/Process Information
Complete the
Risk Matrix by selecting the most appropriate option, and
then select
Next.
Complete
Notes and Next Steps as below, and then select
Next.
Enquiry Notes: ART Application dismissed / withdrawn <select appropriate>
Enquiry Outcome: Keep enquiry open (do not re-assign)
Once you have reviewed the information you provided when creating the
enquiry, select
Submit. After selecting
Submit, an enquiry case will be
created. You will be redirected to the
Details tab of the case, where you will
be able to review and, if needed, update the information recorded, by
selecting the pencil icon next to the field you wish to update.
Update the case
Details as follows:
Subject: ART Application dismissed / withdrawn <select appropriate>
Status: Completed
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Description: ART Application dismissed / withdrawn <select appropriate>
Closure Reason: Completed - Resolved
Navigate to the
Documents tab of the enquiry case, and select
Link
Documents. Locate the ART Document(s) you uploaded in 3.3.3, above,
and select the checkbox which appears next to the Document(s). This will
link the ART Document(s) to the enquiry case in PACE.
Refer to the Standard Operating Procedure: Closing an ART Matter for
further procedural guidance
.
3.6 Access
Matters
This section is only to be completed where you are in receipt of ART Orders which
require that a
prospective participant be granted access to the NDIS, and
after
you have uploaded
copies of the ART Document(s) to PACE (3.3.3).
SEB (refer to section 3.6.2) is responsible for the intake and assessment of all
applications seeking access to the NDIS, and for determining whether a
prospective participant meets the eligibility criteria for access.
3.6.1 Create an Enquiry Case in PACE
This section is applicable to all access matters.
From the prospective participant’s record, navigate to the
Cases tab, and
select
New (on the left-hand side of the tab).
When prompted, select
Enquiry, and then select
Next.
Complete the
New Case: Enquiry window as below, and then select
Save.
Subject: ART Orders
Status: New
Prioritize: <select checkbox>
Enquiry Description:
<Participant Name> meets the access criteria under section 21 of the
NDIS Act, namely:
1. the age requirements in section 22
2. the “residence requirements” in section 23
3. <if applicable> the disability requirements in section 24 with
impairments in the following categories, attributable to the
<diagnosis/diagnoses> of <disability/disabilities>: <delete those that
don’t apply> intellectual, cognitive, neurological, sensory, physical,
impairments relating to a psychosocial disability
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4. <if applicable> the early intervention requirements in section 25 with
<developmental delay> <and> <impairments in the following
categories attributable to the <diagnosis/diagnoses> or
<disability/disabilities>: <delete those that don’t apply> intellectual,
cognitive, neurological, sensory, physical, impairments relating to a
psychosocial disability>
For completeness, please send me an email at <email address> once
implementation is complete.
Type: Access
Category: Access Request
Sub Category: Escalation Enquiry
Case Reassignment Reason: Referral to other business area
Internal Comments: <if required>
After selecting
Save, an enquiry case will be created. You will be redirected
to the
Details tab of the case, where you will be able to review and, if
needed, update the information you entered above, by selecting the pencil
icon next to the field you wish to update.
Navigate to the
Documents tab of the enquiry case, and select
Link
Documents. Locate the ART Document(s) you uploaded in 3.3.3, above,
and select the checkbox which appears next to the Document(s). This will
link the ART Document(s) to the enquiry case in PACE.
Proceed to 3.6.2, below.
3.6.2 Refer the PACE Enquiry Case to the Scheme Eligibility Branch (SEB)
To refer the enquiry to SEB, return to the
Details tab, and update the
Case
Owner to
National Eligibility Escalation Queue. To update a Case Owner,
select the icon that appears next to the
Case Owner field in the
Details tab
.
Refer to the Standard Operating Procedure: Closing an ART Matter for
further procedural guidance.
3.7 Planning
Matters
This section is only to be completed where you are required to
build a plan as part
of the progression or conclusion of the matter, and
after you have uploaded
copies of any ART Document(s) to LEX and CRM and/or PACE (3.3) (if applicable).
3.7.1 Refer the matter to TAPIB for Home and Living Supports
This section is only applicable to ART Orders which concern the provision of home
and living supports. For all other matters, proceed to 3.7.2.
The Home and Living Branch is responsible for reviewing support options for
participants in need of
supported living arrangements, such as Specialist
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Once the plan is approved, from the participant’s record, navigate to the
Cases tab, and select
New (on the left-hand side of the tab).
When
prompted, select
Plan Implementation, and then select
Next.
Complete the
New Case: Plan Implementation window as below, and then
select
Save. No other changes are necessary.
Reason for Case Creation: Outcome of an ART Decision
After selecting
Save, a plan implementation case will be created. You will be
redirected to the
Details tab of the case, where you will be able to review
and, if needed, update the information recorded, by selecting the pencil icon
next to the field you wish to update.
Complete Handover Notes
Navigate to the
Handover Notes tab of the plan implementation case.
Select all applicable options relating to the implementation of the plan, and
answer the relevant questions, when prompted.
Answer the final question under
Supporting Notes, ‘
Is there anything else
to let the plan implementer know about?’, as below, and then select
Save.
Plan has been approved by
<User ID> on
<date of plan approval>
Primary Disability:
<input> Streaming:
<input> Plan management:
<input> Support Coordination/Psychosocial Recovery Coach:
<Y/N>
The Plan has been approved for
<number> months, due to
unscheduled review conducted in accordance with ART Order
<20__/____> <complete ART reference number>.
S 103(2): <remove if not necessary>
NOTE: This ART Matter has been finalised. For information regarding
the supports included as per the ART Order, or implementation of the
plan, please contact Case Manager
<your name>. For any future
planning matters, please direct all correspondence to the Region.
S 85(1): <remove if not necessary> This decision was made pursuant to a remittal by the Administrative
Review Tribunal, pursuant to s 85(1) the Administrative Review
Tribunal Act 2024. Upon reconsideration, I have decided to vary the
statement of participant supports to provide continued access to
supports, while the matter remains in the Tribunal, by changing the
review date; and by providing for pro-rata funding of supports, as set
out in the revised plan. I note that the effect of the reconsideration is to
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vary the statement of participant supports that is under review by the
Tribunal, rather than make a new statement of participant supports.
S 48: <remove if not necessary> Upon reconsideration, I have decided to set aside the statement of
participant supports by way of a s 48 to provide continued access to
supports
<and/or> to provide new R&N supports
<remove if not
necessary>, whilst the matter remains in the Tribunal, by:
• changing the review date;
• providing supports pro-rata for
<number> months;
• providing
<new / additional> R&N funded supports of:
<list new or additional supports funded>. It has been
determined that these supports meet the R&N criteria based
on
<legal / TAPIB / H&L> advice, and objective oversight by
an
<EL1 / EL2>, External Reviews Branch.
Please contact Case Manager
<your name> for any information
regarding the supports included in this plan.
Log an Activity Note
Navigate to the
Activity tab of the implementation case (on the right-hand
side of the screen), and under the
Log Activity sub-tab, select
Create new...
Use the relevant drop-down menus to create a new activity note, as below,
and then select
Save.
Activity Type: Internal Note
Outcome: Not Applicable
Subject: Internal Communication
Comments: <copy the case handover notes, entered as per Complete
Handover Notes>
Upload a copy of the plan to the Implementation Case
Navigate to the
Documents tab of the implementation case, and select
Add
Documents. Complete the pop-up
Document Details window as below, and
then select
Next.
Document Category: Participant Communication
Document Subcategory: General Communication
Personal Identifiable Information: Yes
Description: Plan approved <date of plan approval> to implement
ART Orders
Select
Upload Files,
and using the file explorer pop-up window, locate a
copy of the relevant participant plan, and select
Open.
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Make sure that all documents are marked
Ready for Upload, and select
Save. If documents are not
ready for upload, or if you encounter an error in
uploading the document, select
Retry.
The document is now uploaded to PACE. You may now select
Close.
Proceed to 3.7.8, below.
3.7.8 Refer the PACE Plan Implementation Case
Plan implementation cases must be routed to either the
MyNDIS Pool
Queue (for participants with an Agency assigned My NDIS Contact) or to the
My NDIS Contact (for participants with a partner, CSN or YPIRAC staff
member assigned My NDIS Contact). For further information and guidance,
refer to the KA: Case Permissions and Routing – Plan Implementation Case.
To refer the plan implementation case, return to the
Details tab of the plan
implementation case, and update the
Case Owner. To update a Case
Owner, select the icon that appears next to the
Case Owner field in the
Details tab of the plan implementation case.
3.7.9 Create an Enquiry Case in PACE to have the Plan Implementation
Case prioritised by National Delivery
This section is only applicable where plan the implementation case created in 3.7.8
above, is to be routed to the MyNDIS Pool Queue.
The purpose of this section is to create an enquiry case in PACE, to ensure
that the plan implementation case is prioritised by the appropriate National
Delivery state-based implementation queue.
From the participant’s record, navigate to the
Cases tab, and select
New (on
the left-hand side of the tab).
When prompted, select
Enquiry, and then
select
Next.
Complete the
New Case: Enquiry window as below, and then select
Save.
Subject: ART Plan Approved<date of plan approval>
Type: Other
Category: General
Sub Category: Policy/Process Information
Internal Comments: <if required>
After selecting
Save, an enquiry case will be created. You will be redirected
to the
Details tab of the case, where you will be able to review and, if
needed, update the information recorded, by selecting the pencil icon next to
the field you wish to update.
Proceed to 3.7.10, below.
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4. Process Flowchart
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