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The Care Web

Disability & Mental Health Care Pty Ltd · ABN 19 658 578 575 · registered NDIS provider 4-LO5XNY0

SIL Service Agreement

A document of Disability and Mental Health Care Pty Ltd, the registered NDIS provider that runs The Care Web. Published for the people we support and the people who work with us.

Kind: form or template
Edition: v1
Source: SIL Service Agreement.docx
Audience: participants and staff

Parties to the Agreement

This Service Agreement is made between the participant (named, with their address and NDIS number) and Disability and Mental Health Care Pty Ltd (ABN 19658578575).

This Service Agreement commences on the agreed date and continues until either you or Disability and Mental Health Care Pty Ltd terminates it in accordance with the termination conditions set out below.

Purpose

The purpose of this agreement is to document the supports provided by Disability and Mental Health Care Pty Ltd under your NDIS plan.

This agreement is in the context of the NDIS, a scheme that aims to:

Definitions

Disability and Mental Health Care Pty Ltd, us or we means Disability and Mental Health Care Pty Ltd ABN 19658578575.

Participant or you means the NDIS participant as identified on page 1 of this Agreement.

NDIA means the National Disability Insurance Agency, which runs the NDIS.

NDIS means the National Disability Insurance Scheme as established by the NDIS Act.

Services means the services and support you agree for us to provide, and we agree to provide to you.

Board means the services that Disability and Mental Health Care Pty Ltd will provide, which include covering the cost of your food, utilities, and living expenses.

House Rules means the set of regulations related to maintaining peace, enjoyment, and order in the housing unit where you reside, provided we are delivering supported independent living services to you.

Supports and Services

Disability and Mental Health Care Pty Ltd will provide you with services and supports identified in your NDIS Plan. If your plan differs from the details recorded in the NDIS portal, Disability and Mental Health Care Pty Ltd will provide the Services to you according to the details in the NDIS portal.

Together with you and your representative, Disability and Mental Health Care Pty Ltd will determine the specific services we can offer to help you meet your objectives. This will be done through initial consultations, your Participant Intake Form, this Agreement, and the support planning process. The specifics of the services, appointment times, locations, and staff members involved will be agreed upon and set out in writing.

Your needs, goals, and preferences may change over time. In consultation with us, the services can be adapted and adjusted accordingly. Further details are in the attached Schedule of Supports.

You and your representative agree to the following:

Supported Independent Living Services

If the services we agree to provide include Supported Independent Living, please note that there may sometimes be a relationship between Disability and Mental Health Care Pty Ltd and your accommodation provider. We recommend that you feel comfortable with this relationship before signing this Agreement.

If no House Rules are in place at the time we agree to provide Supported Independent Living, Disability and Mental Health Care Pty Ltd will assist you (and other property occupants, if any) in creating and agreeing upon House Rules within the first 3 months. If House Rules already exist, you agree to abide by them.

If we have a relationship with the Accommodation Provider, we will manage any potential or actual conflict of interest by providing clear explanations, reassurances, and information on requesting changes in your accommodation provider.

Consent

Your informed consent is required for the Services provided by Disability and Mental Health Care Pty Ltd. You may withdraw your consent for any specific Service at any time, and the specific Service will cease immediately.

Our Responsibilities

Disability and Mental Health Care Pty Ltd agrees to:

In the event of any critical or reportable incidents, Disability and Mental Health Care Pty Ltd will respond according to the NDIS Practice Standards and the NDIS (Incident Management and Reportable Incident) Rules 2018. The following steps will occur in the event of any incident:

In the event of unexpected changes in service provision, such as a worker's unavailability due to sudden or planned leave, we will take certain steps to ensure continuity in your service:

For further information on our procedures for providing support in the event of an emergency or disaster please refer to our Business Continuity Plan and Emergency and Disaster Management Policy.

Responsibilities of the Participant

You and your Representatives agree to:

Fees for Services

Disability and Mental Health Care Pty Ltd will charge you for the Services. The prices for the specific services that we provide to you are set out in the NDIS Pricing Arrangements and Price Limits. The prices for all services are subject to modification in line with any changes to the NDIS Price Guide. Any adjustments in our charges will automatically correspond with the most recent NDIS Price Guide, reflecting the specific Services we provide to you.

Additional expenses (things that are not funded under your Plan) are your responsibility and to be paid by you.

Payments

Disability and Mental Health Care Pty Ltd will seek payment for their provision of SIL supports after the supports have been delivered.

Board payments

Should Disability and Mental Health Care Pty Ltd provide you with Board under this Agreement, the following terms regarding Board Payments will apply unless we have an alternative arrangement on how your Board Payment will be calculated:

You agree to contribute a percentage of the Commonwealth Mobility Allowance you receive towards your use of transport provided by Disability and Mental Health Care Pty Ltd. Your agreed percentage is 100%. If you're not eligible for the Commonwealth Mobility Allowance or it doesn't cover the costs of your transport usage, you agree to pay Disability and Mental Health Care Pty Ltd based on your usage.

Goods and Services Tax (GST)

For the purpose of GST legislation, the Parties confirm that:

Cancellation and No Show Policy

If a service is cancelled at short notice, or there is a no show, you agree that we may charge you 100% of the relevant amount that would otherwise be payable to us if you:

Disability and Mental Health Care Pty Ltd will only charge for a short notice cancellation (or no show) for support items where the price guide allows short notice cancellation claims, and when they cannot find other billable work for the relevant worker and must pay the worker for their time.

The NDIS monitors short notice cancellations and may contact Disability and Mental Health Care Pty Ltd about participants with a high number of cancellations. Disability and Mental Health Care Pty Ltd will work with you to minimise cancellations and make sure your plan is meeting your needs.

To cancel a support outside of office hours, please call 0488 114 368.

Terminating this Agreement

Should either party wish to end this Agreement, they must give twenty-eight (28) days' notice in writing or by phone (if written notice cannot be provided by the Participant or Representative). If either party seriously breaches this Agreement, the requirement of notice will be waived.

Disability and Mental Health Care Pty Ltd reserves the right to terminate this Service Agreement immediately under the following circumstances:

In instances where we are providing Supported Independent Living, termination may also occur if:

Complaints and Feedback

If the Participant wishes to give Disability and Mental Health Care Pty Ltd feedback or wishes to make a complaint in regard to the provision of supports, you can make a complaint:

We will resolve complaints promptly in accordance with our Feedback and Complaints Policy.

You can make a complaint to the NDIS Commission by phone on 1800 035 544 or TTY 133 677 (interpreters can be arranged), through the National Relay Service asking for 1800 035 544, or by visiting the NDIS Commission's complaints page and filling out a complaint contact form.

Agreement Signatures

The Agreement is executed with the date, signed for and on behalf of Disability and Mental Health Care Pty Ltd ABN 19658578575, by the Participant, and by the Representative, each with their printed name.

For internal use, a fully signed version of the Agreement should be provided to the Client; if this has not occurred, a record is made of the circumstances.

Annexure A: Schedule of Supports

One row per support: the support item, description of support, price per unit, number of units, how the support will be provided, start date, end date, total, and comments; with total budgets recorded as NDIA managed, plan managed and self-managed. Signed and dated by the Participant and on behalf of Disability and Mental Health Care Pty Ltd.

Annexure B: Change to Schedule of Supports

One row per change: the change number, type of change, the support it relates to, details of the change, the date effective, the change in budget, the total new budget, payment information, and comments. Each change is signed and dated by a Disability and Mental Health Care Pty Ltd representative and by the Participant or their Representative.

Version1

Disability & Mental Health Care Pty Ltd · ABN 19 658 578 575 · NDIS provider 4-LO5XNY0 · 0488 114 368 · hello@thecareweb.com.au
SIL Service Agreement. Published on The Care Web from the office’s document set; the office keeps it current.