The National Disability Insurance Scheme (NDIS) funds reasonable and necessary supports for eligible people with disability. The National Disability Insurance Agency (NDIA) pays claims from participants and providers for NDIS supports. There has been parliamentary interest in NDIS fraud and non-compliance and its impact on the sustainability of the NDIS. 

This audit was undertaken to provide assurance on the effectiveness of the NDIA’s management of claimant compliance with NDIS claim requirements. The report makes four recommendations to the NDIA to establish a fit-for-purpose compliance framework and improve risk management, payment assurance testing and performance reporting.

Key findings

• In 2023–24, NDIS participant plan expenses totalled $41.85 billion, covering more than 661,000 participants.
• NDIA’s management of NDIS claim compliance is partly effective.
• The NDIA has partly effective frameworks and processes to manage claim compliance and is implementing a large program of work to remediate identified deficiencies.
• The NDIA has implemented partly effective arrangements to oversee, monitor and continuously improve claim compliance.