Understanding Impairment Notices in the NDIS
From January 1, 2025, individuals applying to join the NDIS will receive an access decision letter outlining the basis of their eligibility. This decision will clarify whether they qualify based on:
- Disability criteria
- Early intervention requirements
- Or a combination of both
⚠️ As of July 2025, we have not seen examples of Impairment Notices.
This letter will also include a list of impairment categories that apply to the participant.
Impairment Categories Explained
Under the updated framework, eligible impairments will be sorted into six distinct groups:
- Intellectual
- Cognitive
- Sensory
- Neurological
- Physical
- Psychosocial
An individual may be assessed as having impairments in one or more of these categories. For instance, someone could be recognised as having both intellectual and physical impairments depending on how their condition affects their day-to-day functioning.
How is Impairment Different from a Diagnosis?
Rather than focusing solely on a medical diagnosis, the new approach places emphasis on functional impairments that determine eligibility for the NDIS.
In other words, a diagnosis alone won’t grant access—eligibility will depend on how the impairment affects a person’s ability to function and participate.
Why Is the NDIS Moving to Impairment Notices?
This change comes from recommendations made in the NDIS Review. The aim is to give participants greater clarity around their eligibility—whether it’s through disability criteria or early intervention.
It also recognises that two people with the same diagnosis may have very different impairments and support needs.
✅ Important: The NDIS will only fund supports that directly relate to the impairments identified in a participant’s official Impairment Notice.
What happens if I don’t agree with my Impairment Notice
Impairment notices are reviewable decisions. Participants can seek a variation to add or remove impairments at any time after meeting access. If the NDIA refuses to vary a person’s Impairment Notice, they can ask for an internal review.
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