Fraud Assessments:

1. Situation: Participant requests ineligible item (e.g., iPad) but no purchase made
2. Action Required: Not fraud. Explain NDIS rules, decline request, and document in participant file.
3. Situation: Participant requests ineligible item and tries to pressure SC to approve or falsify justification
4. Action Required: Potential misconduct. Document request, refuse, and consider reporting to NDIA if you believe they will misuse funds.
5. Situation: Participant obtains ineligible item using NDIS funds knowingly
6. Action Required: Fraud. Report to NDIA Fraud Reporting Line (1800 650 717) or online form immediately.
7. Situation: Participant obtains ineligible item but did not know it was not allowed (genuine misunderstanding)
8. Action Required: Education required. Notify participant of rules, work with NDIA to correct claim. Document outcome.
9. Situation: Participant’s actions involve safety, abuse, neglect, or exploitation (even if not financial)
10. Action Required: Report to NDIS Quality and Safeguards Commission immediately.