Shocking exposé reveals how disability provider bilked $1 million in NDIS claims

The National Disability Insurance Scheme (NDIS) is a much-needed lifeline for many across the country who live with disabilities. It’s a system designed to support the vulnerable, providing them with the care and assistance they rightfully deserve.

Unfortunately, a recent report has revealed that the system has been allegedly victimised by fraudulent claims and infiltrated by a devious disability provider.



In a startling revelation, the provider was apprehended for allegedly amassing a staggering $1 million through fraudulent NDIS billings in a month.

The accused party is suspected of being a part of an expansive criminal network, leveraging unscrupulous tactics and manipulating the system to lodge false claims through actual NDIS beneficiaries.


Screenshot 2023-08-22 125310.png
A provider has been accused of lodging false claims through legitimate NDIS participants. Image source: Shutterstock



Recent investigations into the occurrences unravelled the provider's alleged misuse of a staggering 50 unique Australian Business Numbers (ABN) for false service charges.

A notebook, privately maintained by the provider, was discovered, detailing the fraudulent claims amounting to an alarming $940,632 in 30 days.

A single transaction recorded within even trumped a bulky $496,000.



Responding to the revelation, Disability Services Minister Bill Shorten expressed immense disappointment and assured the joint task force of NDIS and National Disability Insurance Agency (NDIA), aptly referred to as the Fraud Fusion Taskforce, would likely lead to the permanent banishment of several providers caught in fraudulent practices.

In his statement to the press, Shorten highlighted the true purpose of the NDIS, stating, 'This scheme is not about creating NDIS millionaires or giving crooks a fast buck.'

Fraudulent practices within the NDIS arena are not new. Over the past few years, several instances have come to light:
  • A female provider from the Northern Territory casually overlooked her non-registered status and was subsequently barred permanently from the scheme following her conviction on charges of gross indecency and assault.
  • Similarly, a South Australian man faced a two-year ban from the NDIS for falsely posing as a mental health worker despite his notorious criminal past laden with dishonesty, trespassing, and unlicensed firearm charges.
  • In New South Wales, a woman employed by an unlicensed provider was banned for five years for sexual misconduct.
  • A 2023 NDIS investigation revealed that private buyers were charged $1,300 less for a wheelchair than those on the scheme, and a shower chair cost NDIS buyers nearly $1,000 more.
Spearheaded in November 2022, the Fraud Fusion Taskforce has plunged into more than 100 suspected fraud cases involving upwards of $1 billion in NDIS funds.



By January 31, the investigations had risen exponentially to 184 from just 28 in September 2021.

Around 20 NDIS providers are facing court proceedings for alleged fraud, which amounts to $18.5 million.

To weed out illegitimate practices from the NDIS, Shorten appointed Michael Phelan as the interim NDIS Quality and Safeguards Commissioner.

A former Australian Federal Police deputy commissioner and Australian Criminal Intelligence Commission ex-chief, Phelan is well-positioned to turn the tide against fraudsters and criminal syndicates victimising the NDIS.

Drawing attention to the gravity of the situation, Phelan commented, 'Every single dollar we can save through money that's not being defrauded, or rorted, or over-serviced, gets back to the participants who need the money most.'



Phelan posits that fraud could account for nearly 20 per cent of the $42 billion scheme, totalling over $8 billion each year.

‘The levels [of fraud] that we saw were astronomical,’ he shared. ‘The thing about criminals and organised criminals is that they always try and stay a step ahead. So the idea for us is to try and target-harden the system.’

Under Shorten’s leadership and with Phelan's expertise, the NDIS aims to maintain a sustainable trajectory, capping expenditure growth from an annual 14.4 per cent to 8 per cent.

To this end, the NDIS Quality and Safeguards Commission has already imposed 128 fraud-related compliance actions against fraudulent providers and individuals, including 61 banning orders, 20 suspensions of registration, and 21 revocations of registration.

Similarly, the concerted efforts of Services Australia under the Fraud Fusion Taskforce have culminated in 90 active investigations, with an estimated total value of $15.2 million.



The elaborate nature of this fraudulent practice raises several pivotal questions concerning the existing loopholes in the system. How does such fraud occur, and most importantly, how can it be prevented?

Understanding how this behaviour destroys the effectiveness and purpose of the NDIS can aid in deterring potential schemers and ensuring the rightful claimants continue to receive needed assistance.

When it comes to seeking assistance for disability services, it is crucial to utilise registered service providers and verify the credibility and legitimacy of all involved, ensuring that the scheme's funds are properly utilised for the betterment of those truly in need.
Key Takeaways
  • A disability provider has been caught allegedly billing $1 million in fraudulent NDIS claims in just a month.
  • The provider used coercive tactics and 50 separate ABNs to facilitate fake claims, with investigators uncovering a notebook detailing the fraudulent activities.
  • Disability Services Minister Bill Shorten and the NDIS-NDIA fraud taskforce are cracking down on fraud, potentially dozens of providers facing permanent bans from the scheme.
  • Michael Phelan, the interim NDIS Quality and Safeguards Commissioner, has been tasked with targeting fraudsters and criminal syndicates to protect the scheme's funds and ensure they reach those most in need.
What do you think of this story, members? Share your thoughts in the comments below.
 

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I have tried twice to apply for NDIS with out any luck. I have to use a walker and crutches to get around my house. The walker is for shopping and walking my dog each day at a very slow pace. I have oesto arthritis curvature of the spine my right foot is full of oseto arthritis my left knee. I have had a knee replacement of the right knee ten years ago. It was a successful operation but the recovery process was very traumatic the pain side didn't bother me there was other problems that are to long to go into. I said never again. I have a chronic lung condition due to scarring from many bouts of pneumonia so if course l have breathing issues. Also l have frybomialgia and the flare ups are agony. But in saying all this l am 61 years old. I still do all my house work with great difficulty everyday. I cannot look after my garden anymore. I need help to get dressed and undressed. I can no longer drive because l cannot climb into the driver's seat. And l cannot turn my head to do head checks. Also l have spinal steniouses.
Also l do suffer with depression and anxiety which l have since l was a teenager.
In saying all this. I am not disabled enough for NDIS.l have six steep steps at the front of my house which l would removed and replaced with a ramp.If my house could take a wheel chair l would be using one.
I say to myself there are other people who need help more than l do.
I did ask for some one to please come to my home and see me.
No. It's sad to think there are people who have no disability taking what they are not meant to have is very sad. I only hope Karma does not come back to them and they may need NDIS help one day because they have stolen from people who really need it they may be knocked back.
Kind regards Vicki
 
I have tried twice to apply for NDIS with out any luck. I have to use a walker and crutches to get around my house. The walker is for shopping and walking my dog each day at a very slow pace. I have oesto arthritis curvature of the spine my right foot is full of oseto arthritis my left knee. I have had a knee replacement of the right knee ten years ago. It was a successful operation but the recovery process was very traumatic the pain side didn't bother me there was other problems that are to long to go into. I said never again. I have a chronic lung condition due to scarring from many bouts of pneumonia so if course l have breathing issues. Also l have frybomialgia and the flare ups are agony. But in saying all this l am 61 years old. I still do all my house work with great difficulty everyday. I cannot look after my garden anymore. I need help to get dressed and undressed. I can no longer drive because l cannot climb into the driver's seat. And l cannot turn my head to do head checks. Also l have spinal steniouses.
Also l do suffer with depression and anxiety which l have since l was a teenager.
In saying all this. I am not disabled enough for NDIS.l have six steep steps at the front of my house which l would removed and replaced with a ramp.If my house could take a wheel chair l would be using one.
I say to myself there are other people who need help more than l do.
I did ask for some one to please come to my home and see me.
No. It's sad to think there are people who have no disability taking what they are not meant to have is very sad. I only hope Karma does not come back to them and they may need NDIS help one day because they have stolen from people who really need it they may be knocked back.
Kind regards Vicki
My brother has also tried to get NDIS his Doctors have tried he lost all connection from brain stem to legs the messages just don't get through Has been in wheel chair for many years consequently his weight ballooned now he has people to help him shower and they still wont give him NDIS support
 
I am ropeable over this. Why were proper checks and balances not put in place "before" the scheme even got off the ground. Blind Freddy (apologies to any blind Freddies out there) could see it was open to abuse. Overcharging is apparently rife through most of the system from stories I have personally heard.
 
The cut off age for NDIS is 55, some group/s are halfheartedly lobbying to to have the age increased. NDIS will not and does not have a "section" to cover ANY medical. However, for example, if one is wheelchair bound NDIS will cover a carer, cleaner, lawns mowed, etc.
 
I assume the fraudulant "providers" are all private enterprise. That's the price one pays for privatisation.

As for the NDIS not supporting those over 65? If that is for real the NDIS is a sick joke. Just what is this country of Australia that I live in? Waltzing Matilda; anyone got a spare jumbuck that I can steal?
 
How can someone fraudulently get a claim for $496,000 paid without it raising alarm bells? Smaller claims maybe, but such a large claim. I’m thinking the person who approved it was in on the fraud as well. Corruption runs deep in many government funded services and departments, from the politicians down. I doubt very much it will be stopped and certainly don’t expect any of the money to be recouped. It will be the genuine people putting in genuine claims who will now suffer as is usually the case in situations like this.
 
I have tried twice to apply for NDIS with out any luck. I have to use a walker and crutches to get around my house. The walker is for shopping and walking my dog each day at a very slow pace. I have oesto arthritis curvature of the spine my right foot is full of oseto arthritis my left knee. I have had a knee replacement of the right knee ten years ago. It was a successful operation but the recovery process was very traumatic the pain side didn't bother me there was other problems that are to long to go into. I said never again. I have a chronic lung condition due to scarring from many bouts of pneumonia so if course l have breathing issues. Also l have frybomialgia and the flare ups are agony. But in saying all this l am 61 years old. I still do all my house work with great difficulty everyday. I cannot look after my garden anymore. I need help to get dressed and undressed. I can no longer drive because l cannot climb into the driver's seat. And l cannot turn my head to do head checks. Also l have spinal steniouses.
Also l do suffer with depression and anxiety which l have since l was a teenager.
In saying all this. I am not disabled enough for NDIS.l have six steep steps at the front of my house which l would removed and replaced with a ramp.If my house could take a wheel chair l would be using one.
I say to myself there are other people who need help more than l do.
I did ask for some one to please come to my home and see me.
No. It's sad to think there are people who have no disability taking what they are not meant to have is very sad. I only hope Karma does not come back to them and they may need NDIS help one day because they have stolen from people who really need it they may be knocked back.
Kind regards Vicki
GET YOUR gp ON TO THIS FOR YOU. HE JUST NEEDS TO WRITE letter.
 
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I assume the fraudulant "providers" are all private enterprise. That's the price one pays for privatisation.

As for the NDIS not supporting those over 65? If that is for real the NDIS is a sick joke. Just what is this country of Australia that I live in? Waltzing Matilda; anyone got a spare jumbuck that I can steal?
What about My Aged care for over 65
 
What about My Aged care for over 65
That's a rort as well. They list all the charges, making them seem OK then take $70 per hr for cleaning, but pay the cleaner $35-$40 per hr. Found an ad for one looking for staff quoting those pay rates and have first hand evidence of wharpt they take from the home care package. I would bet they all do the same thing, hidden profits we don't see.
 
I think NDIS needs a total overhaul , a lot of assist goes to the people who are so called under privileged. From a friend I heard as her daughter in law works for NDIS , that some young people get everything they want from NDIS like scooters , mobile phones and all the newest gadgets, but you have to be indigenous, that is a privilege. Friends of me have a son , nearly 40 yrs and born with cerebral palsy and is severely disabled. They could not get NDIS , as they have a few dollars in the bank and they are not indigenous , so they were on the end of the line . I can go on and on about this family , what they have gone through , it is absolutely appalling.
 
I assume the fraudulant "providers" are all private enterprise. That's the price one pays for privatisation.

As for the NDIS not supporting those over 65? If that is for real the NDIS is a sick joke. Just what is this country of Australia that I live in? Waltzing Matilda; anyone got a spare jumbuck that I can steal?
Remember when Kerry Anne Kennely's husband John had that tragic accident where he ended up a quadriplegic. They had to pay for everything privately (yes they could afford it but others cannot) and she has been championing for the age limit to be raised. John has now passed away as we all know .
 
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Remember when Kerry Anne Kennely's husband John had that tragic accident where he ended up a quadriplegic. They had to pay for everything privately (yes they could afford it but others cannot) and she has been championing for the age limit to be raised. John has now passed away as we all know .
Yes , I remember this shocking tragedy , what they have gone through .
Kerry Anne was fuming . And then later when she went back to work after he passed away , that she went back to work . Maybe she had to , care at home is very expensive if you have to pay it out of your own pocket . I think she was very brave and spoke up .
 
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Sorry the age is under 65 not 55.
If you are already in the system for NDIS before aged care pension age then that means you’re covered. You cannot be accepted if you apply after you qualify for a pension as that’s a different scheme. Well that’s how it worked two years ago when I worked in disability. Maybe things have changed. The poor lady who has not been accepted, in my opinion, has slipped through the cracks. I know many with lesser issues who are using NDIS. Like someone suggested, a good GP would probably be the best place to start and a decent case worker.
 
I worked in the government department prior to NDIS and some of the Not for Profit providers were ripping off the government then. Once we bought in a system to make them accountable for the money they were getting, the fraudulent behaviour slowed right down. A lot of people think it's alright to rip off the government, what they don't realise or think about is they are ripping off everyone that pays tax.
 

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