Complex Home Modifications – the process.

The NDIS complex home modifications process guided by an Occupational Therapist (OT) typically involves the following steps:

Assessment: For all complex home modifications, an assessment from a home modification assessor is required. This is an occupational therapist who is qualified to recommend more detailed home modification supports. Yes we are qualified and certified in complex home modifications! The assessor needs to be independent from any builders asked to quote on the works. The NDIS may include some funding in your Capacity Building budget to explore what complex home modifications you need and to get an assessment.

Suitability and other options: The OT will also deem if complex home modifications are the most cost effective option. Sometimes similar results can be had with minor bathroom modifications e.g a shower screen removal, rubber ramps, a new basin etc. We also need to ensure that complex home modifications are needed for the client. Sometimes Assistive technology might do the job e.g a Shower Buddy system, commode, hoist system etc. In most cases a physical disability is needed – it’s quite rare for complex home modifications to be funded for someone with an Intellectual Disability or Autism for behavioural reasons. It’s also very tricky to get modifications funded for someone with Obesity. 

Quotes: The NDIS requires 2 itemised quotes for complex home modifications. These help ensure the home modification costs are competitive and value for money. Itemised quotes need to include the costs of each part of the modification, listed separately for each section of work. The NDIS will also accept a cost estimation done by a qualified building cost estimator or quantity surveyor.

Other Providers: You may need a building construction practitioner to ensure your recommended complex home modifications are possible in your home. They’ll also work out how the modifications can be done in the most effective way, and if you need any other building specialists. You might also need an independent building works project manager if your approved complex home modification is high risk.

Approval: The NDIS will review your evidence for your complex home modifications including your assessment, 2 quotes and other approval documents and reports. This will help them work out if your request meets the NDIS funding criteria. They will also work out if you need funding for other providers to help plan and implement your complex home modifications. This process can be lengthy – often up to or over 12 months!

Implementation: Once the modifications have been approved and funded, the OT will work with the builder to ensure the modifications are implemented correctly. The OT or home modification assessor should be independent from your builder.

Review: After the modifications are completed, the OT will review the modifications to ensure they meet the individual’s needs and are safe and functional.

Remember, the OT plays a crucial role in this process, from the initial assessment to the final review of the modifications. They ensure the modifications are suitable for the individual’s needs and meet the NDIS funding criteria.0aa2d853-dc50-498a-9627-c6614f430cb8[{“source”: “https://ourguidelines.ndis.gov.au/supports-you-can-access-menu/home-and-living-supports/home-modifications/how-can-you-get-home-modifications-your-plan/how-can-you-get-complex-home-modifications-your-plan”, “title”: “How can you get complex home modifications in your plan?”}]