Internal review (review of a reviewable decision)

Asking the NDIA to reconsider a decision you disagree with — the first step to appeal.

What it means

An internal review, formally called a 'review of a reviewable decision', is your right to ask the National Disability Insurance Agency (NDIA) to look again at a decision you disagree with. This could be a decision about whether you can access the NDIS, what supports are in your plan, or how much funding you receive.

When you request an internal review, a different NDIA delegate, someone who was not involved in making the original decision, reconsiders it from scratch. They can confirm the original decision, change part of it, or overturn it completely. Internal review is the first formal step you take if you are unhappy with an NDIA decision, and it must happen before you can seek an external review.

In practice

You generally have three months from the date you receive the decision to ask for an internal review. You can request one in writing, by phone, in person at an office, or by email, and it is a good idea to clearly explain which decision you disagree with and why.

It helps to include any extra information or evidence that supports your case, such as reports from your treating professionals or a letter describing how a support meets your needs. You do not have to go through this alone. A free, independent advocate can help you understand the decision, gather evidence and put your request together. If the internal review does not resolve things, the next step is an external review through the tribunal.

A real example

For example, Priya received her plan and found that funding for the support coordination she relied on had been reduced. She contacted the NDIA within the three-month window to request an internal review, and included a letter from her occupational therapist explaining why the support was important. A different delegate reviewed her case and restored part of the funding.

Internal review (review of a reviewable decision) — FAQs

How long do I have to ask for an internal review?
You generally have three months from the date you receive the decision to request an internal review. It is best to act as soon as you can so you do not miss this window. If you are close to the deadline, contact the NDIA promptly and let them know you intend to seek a review while you gather any supporting information.
Who reviews my decision?
A different NDIA delegate reviews it, someone who was not involved in the original decision. They look at your case fresh and consider any new information you provide. They can confirm the original decision, change part of it, or overturn it entirely. This independence within the NDIA is designed to give your matter a genuine second look.
What decisions can I have reviewed?
You can ask for an internal review of many NDIA decisions, including whether you meet the access requirements, what supports are funded in your plan, and how much funding you receive. If you are unsure whether a particular decision can be reviewed, contact the NDIA or ask a free advocate, who can help you understand your options.
Do I need a lawyer or to pay for help?
No. You do not need a lawyer for an internal review. Free, independent advocates are available to help you understand the decision, gather evidence and prepare your request. Using an advocate does not cost you anything and can make the process feel less overwhelming, especially if you find paperwork or explaining your situation difficult.
What happens if I disagree with the internal review outcome?
If you are still unhappy after the internal review, you can seek an external review through the independent tribunal. The internal review must be completed first, as it is the required step before an external review. Free support is available to help you take this next step, so you are not expected to manage it on your own.

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