Healthcare
NDIS ILO, Explained: What Individualised Living Options Pay For (and What They Never Do)
- ILO is a support model, not a house. It funds the support that makes a home work; it does not pay for the home itself.
- It runs in two stages. First you explore and design how you want to live, and that stage is funded on its own. Then the arrangement is set up.
- It suits adults who need support at home, formal or informal, for at least six hours a day: 18 or over, or 17 and planning ahead.
- One question sorts ILO from SIL: is the support built around a place you live, or around who you live with?
- One thing to keep: ILO funds support, and it never pays rent, a mortgage, food or power.
If you have read about individualised living options and come away unsure what the NDIS actually pays for, you are in good company. ILO is one of the least understood parts of the scheme, and the name does not help: it sounds like housing, and it is not. ILO is a way of funding the support around how you live, and once that lands, everything else about it starts to make sense.
Is ILO the option you are looking at?
Seven questions, no wrong answers. Answer for the situation as it is today, not as you hope it will be next year.
If this helper has not loaded: ILO funds the support, and it never covers rent or a mortgage, food or power, home modifications, or activities outside the home such as work, study or sport. Ask your my NDIS contact or planner about a Stage 1 ILO exploration, or ask for an occupational therapy home and living assessment.
Where would you like to live?
ILO is a support model, not a house
This is the mix-up worth clearing first, because it shapes everything that follows. ILO does not buy a home, and it does not pay a landlord. It funds the support that makes the life you want possible: support to decide where and how you live, support to set up and manage your own home, personal care, help to build everyday skills, and practical help with things like cooking, cleaning and laundry.
The scheme’s own phrase is a model of support, and that phrase is doing real work. A model is a shape, not a building. You might live on your own, in a shared home, or in a host’s home. What ILO funds is the support you need in that life, arranged around you and alongside the support that already exists: family, friends, and the community around you. It sits among your other supports rather than replacing them, and it is designed to change as your life changes.
There is one more layer to know about, because it prevents quiet disappointment later. A model of support is designed, written down and approved, and it can be reshaped through the plan processes when your circumstances change. What it cannot become is housing. The exclusions do not bend because a case is strong, and it is kinder to know that at the start.
It is worth saying plainly what this means, because there is a gap between how ILO is talked about and how it works. When people describe being “in an ILO” and it turns out to be an informal arrangement with family or friends, that is usually what has happened: the support is real, but the funded model was never designed and approved as an ILO. That is not a failure on anyone’s part. It is just a different arrangement from the one the scheme funds, and knowing the difference matters before a planning conversation.
What ILO never pays for
The exclusion list is short, and knowing it early saves a lot of heartache. ILO does not pay for activities outside the home, such as work, study or sport. It does not pay for home modifications. It does not pay for where you live, for non-NDIS supports, or for rent and mortgage repayments. And it does not cover everyday living costs such as food and power.
Read that list together and the honest shape appears: ILO does not solve housing. If your plan is waiting on a place to live, that is a conversation on a different track, and it is better to know that before a service proposal is written than after. The exclusions belong to the scheme rather than to any provider, so the list should be the same whoever you ask, and it is fair to test that with a direct question. Where ILO helps is with the support around you once you are somewhere you want to be, and how that funding sits inside your plan budget is worth understanding early. The site’s how the NDIS funds support: core, capacity building and capital explained walks through how the parts of a plan fit together.
Stage 1: exploring and designing it
Stage 1 is the part people rush past, and it is where an ILO is built. This stage gives you funded time to work through the questions that matter: where you want to live, what support you need to live that way, and who provides it. You do not have to arrive with answers. The stage exists so you can find them, and there is no exam at the end of it. There is a document, and the point of the funded hours is that you get to shape it before anyone delivers anything.
The funding is based on how much support you need, and the stage usually runs somewhere between 30 and 100 hours. That time is spent working through the design with a registered NDIS provider that delivers individualised living options, and the people who know you well can be part of it too.
Stage 1 ends with a service proposal: a written description of the arrangement you want, shaped to fit the budget that is available. This is the document the scheme assesses. It describes who would provide what, and how an ordinary week would run. If something in it does not sound like your life, this is the moment to say so, while it is still a proposal and not an arrangement.
Stage 2: setting it up, and the three parts of the package
Once the plan is in place, stage 2 is about making it real, and the package has three parts to understand.
Primary supports are the people who live with you and provide the main support at home. They are not related to you, and they come in two shapes: a host arrangement, where you live in someone’s home, or a housemate arrangement, where you share a home and the support is part of the arrangement.
Supplementary supports are the help around that, paid or unpaid: a support worker overnight, for example, or a family member staying over. The site’s NDIS sleepover shifts: what overnight support involves and what to ask first looks at what that kind of shift involves in practice. Supplementary supports are used flexibly, as the week requires, which is what makes an arrangement fit real life rather than a template.
Monitoring and adjustment is the third part, and it is the one to read closely. It sets out how often the arrangement is checked, how the checking happens, who is involved, and how problems get raised and resolved. Ask how often the arrangement will be reviewed, who does the reviewing, and how you raise a problem when something is not working. A good answer names a person and a rhythm. A vague one is worth a second question. Over time, this part is what keeps an arrangement honest, because lives change and support has to move with them. A plan implementation meeting usually marks the start, and it is your chance to walk through who does what.
ILO or SIL? The six-hour question
ILO and SIL are both home and living supports, and they are easy to mix up. The scheme’s own test for ILO includes needing support at home, formal or informal, for at least six hours each day. That is the marker to start from, and it is informative rather than a verdict: below it, the conversation probably sits somewhere else, and above it, ILO can still be the arrangement you choose.
The difference between the two is in the shape. SIL funds the support you need in the home where you live, often shared with other participants. ILO is built around who you live with, including a host or housemate arrangement, and it can change over time as your life does. The site’s SIL funding explained, and how to choose a provider sets out what SIL covers, which helps when the two are being weighed up. If you are still unsure where you fit, that is a fair place to be: the question is about how support is arranged, not about which word sounds better.
One piece of advice comes up again and again from families who have been through this: ask for an occupational therapy home and living assessment, and take it with you to the conversation. It gives the planner a professional picture of what you need, rather than a description worked out under pressure at the kitchen table.
The money edges families miss
Three money questions sit around ILO, and it is better to ask them early.
The first is the everyday one: rent, food and power are not in scope, so the household budget has to stand on its own. ILO adds support, not income.
The second is tax. ILO payments may be assessable for income tax, and the scheme’s own advice is to get independent financial advice about your situation. The Australian Taxation Office is the reference point to start from, and a financial adviser who understands the scheme is the second stop. It is a small step that people often leave until lodgement season, and it is easier to take before the arrangement starts than after it has been running for a year.
The third is the long view. The family home, inheritance and superannuation are legal and financial questions, not NDIS ones, and they belong with the right adviser early rather than after a service proposal has been written. A solicitor and a financial adviser each answer part of it, and neither conversation needs to wait for a plan review.
One more track runs alongside: public housing waitlists sit separately from the NDIS, and the two can be pursued at the same time. If housing is your main question, the NDIS is not the queue you are waiting in.
Who designs it, and the conflict to watch
There is a quiet conflict of interest in ILO, and it is worth understanding before you sign anything. When the same organisation designs your arrangement and would also deliver it, it has an interest in the design. That does not make the arrangement wrong, and plenty of participants work with one organisation quite happily. It does mean the questions matter more, not less.
Person-led is the phrase you will hear. What it means, plainly, is that the arrangement is built around your life rather than the provider’s rota: your home, your hours, your people. If you cannot tell from the description whose week it is built around, that is the question to ask.
Two questions do most of the work. Who is actually there on an ordinary day, and what happens when the arrangement needs to change? A provider that answers those plainly, without rushing you, is showing you how it would run the arrangement. If you would like help assessing the answers, the site’s NDIS support coordination: what it is and why you need it explains the role that can sit beside you in that conversation.
Then there is the checking. A provider’s registration, and the supports it is registered to deliver, can be checked directly before you sign, and it is reasonable to ask for that in writing. Registration is not a personality test, but it is the one part of the arrangement you can verify from the outside, and it costs nothing to look.
The question to take to your next planning conversation
If you remember one question from this article, make it this one: what does this arrangement look like on a Tuesday, and who is actually there? Tuesday is an ordinary day, and ordinary days are what ILO funds. If the answer is clear, the design is doing its job. If it is vague, that is a signal to pause before you agree to anything.
Three things are worth having ready for that conversation: an up-to-date assessment, the people who know you best, and a written picture of the life you want. The last one can be a page, a list, or a few sentences. It does not need to be formal. It needs to be yours.
It is okay to take this slowly. ILO is a bigger conversation than a service booking, and it is meant to be. You are allowed to ask questions until the answers make sense.
Sources consulted: NDIS individualised living options information; NDIS guide to providing individualised living options; Australian Taxation Office assessable income guidance.
