High Intensity Supports
NDIS & Complex
Physical Support

Complex disability support refers to NDIS-funded SIL and daily personal care for participants whose needs go beyond what a standard support worker can safely manage. This includes participants with dual diagnosis, high-intensity medical needs (such as enteral feeding or tracheostomy care), severe behaviours of concern, and those requiring 24/7 active support with clinical oversight.

Under the NDIS, these supports may attract high-intensity pricing and require registered nurse oversight or sign-off on support worker competencies. At MMT Care, this is our core specialisation — not an add-on service.

Yes. Every complex disability placement at MMT Care includes a Registered Nurse at no additional cost to the participant or the NDIS plan. The RN develops and oversees the clinical care plan, trains and signs off support workers on high-intensity tasks, and provides ongoing clinical supervision throughout the placement.

There is no separate invoice and no additional NDIS line item — this is built into the SIL arrangement as standard practice.

High-Intensity Daily Personal Activities (HIDPA) are NDIS-funded supports for complex clinical care tasks that carry higher risk and require workers with specialist training or direct registered nurse oversight. Examples include complex bowel care, enteral (PEG/NG tube) feeding, tracheostomy and ventilator management, urinary catheter management, subcutaneous injections, and complex wound management.

HIDPA attracts a higher NDIS hourly rate (currently $75.98/hour weekday daytime under the 2025–26 price guide) because of the clinical skill, training, and supervision required. Read a full breakdown of HIDPA here.

Yes — dual diagnosis is a core specialisation at MMT Care. We support participants where a disability and mental health condition co-occur, including psychosocial disability alongside physical or intellectual disability. Our SIL environments are staffed and structured for this complexity, with behaviour support plans, mental health-informed care, and RN oversight built in from day one.

Many of the referrals we receive are participants that other providers have declined due to the complexity of their dual diagnosis presentation. We take on these cases regularly and with the clinical infrastructure to manage them safely.

Staffing ratios are determined through our Phase 1 clinical intake assessment, which maps the participant's behavioural, medical, and psychosocial profile in detail. The outcome directly informs the roster of care — from 1:1 active overnight support through to shared staffing models where appropriate.

The RN reviews and signs off the roster before placement begins. Ratios are monitored throughout the placement and adjusted as the participant's needs evolve, with coordinator sign-off on any changes that affect the NDIS plan budget.

MMT Care uses a three-phase clinical protocol. Phase 1 — Deep Assessment: a comprehensive clinical intake covering risks, behaviour profile, medical complexity, and support needs before any placement recommendation. Phase 2 — Environment Matching: strategic placement into a SIL environment with the right infrastructure, staffing ratio, and behavioural support structure. Phase 3 — Adaptive Refinement: continuous review and iteration of the care plan to build stability and reduce restrictive practices over time.

MMT Care operates complex disability SIL across Victoria (Melbourne), Queensland (Brisbane), and New South Wales (Sydney). Our multi-state network gives coordinators real options when local SIL vacancies are unavailable or unsuitable for a participant's level of need — particularly for high-intensity or dual diagnosis presentations that require specialist environments.

Submit a referral via our referral form or contact our clinical team directly. We need the participant's NDIS plan details, a summary of their support needs (behavioural, medical, and psychosocial), and any existing assessments, behaviour support plans, or clinical reports.

You don't need everything ready to start — submit what you have and our clinical team will follow up to gather anything outstanding. We'll work with you to complete our intake assessment as efficiently as the participant's situation allows.

Yes. MMT Care operates high intensity NDIS SIL homes across metropolitan Melbourne, including the inner-west and bayside suburbs — Altona, St Kilda, Bentleigh, Richmond, Wyndham Vale, and Point Cook. Our support teams are locally based, which means participants benefit from workers who know the community, local health services, and allied health providers in the area.

If you have a participant who needs high intensity daily personal activities (HIDPA) support or complex physical support within Melbourne, contact our team to discuss current vacancy availability.

High Intensity Daily Personal Activities (HIDPA) is an NDIS support category for tasks that carry a higher clinical risk and therefore require workers with specific training and competency verification — not just general disability support worker qualifications. Examples include complex bowel care, ventilator management, tracheostomy care, enteral feeding, and subcutaneous injections.

Standard SIL support covers everyday personal care, domestic tasks, and community access. HIDPA sits above this and requires documented evidence of worker training and ongoing clinical supervision. At MMT Care, our embedded Registered Nurse oversees HIDPA training, competency sign-off, and clinical protocols — which is why we can safely provide complex physical support where other providers cannot.