If your NDIS plan mentions complex assistive technology or you have been recommended to have assistive technology, you might be unsure what that phrase actually means. Assistive technology ranges from simple, everyday aids to highly customised equipment, and complex items sit at the specialised end. This article explains what assistive technology is, how the NDIS groups it, what makes an item complex, and how an occupational therapist helps you access the right support through a clear, evidence-based process.
TLDR
- Assistive technology is any device or system that helps you do a task more easily or safely.
- The NDIS groups assistive technology by cost and complexity, from basic to complex.
- Complex assistive technology is highly customised, higher-cost equipment that needs specialist setup and support.
- Examples include custom power wheelchairs with specialised seating, ceiling hoists and environmental control systems.
- An occupational therapist assesses your needs, trials options and prepares a detailed report.
- Every request must meet the NDIS reasonable and necessary criteria under the NDIS Act.
- Phase One Therapy supports adults across Brisbane with complex assistive technology assessments.
What assistive technology means
Assistive technology, often shortened to AT, is any device, piece of equipment or system that helps you do a task more easily or safely. The World Health Organisation describes it as anything that lets a person perform a task they otherwise could not, or complete it with greater ease and safety. Assistive technology is not always electronic. It can be as simple as a modified fork, or as involved as a custom-built wheelchair.
- Mobility and transfer aids such as wheelchairs, walkers and hoists
- Communication devices, including speech-generating technology
- Daily living aids like shower chairs and pressure-relief mattresses
- Environmental controls such as voice-activated or automated systems
How the NDIS groups AT
The NDIS groups assistive technology by both cost and complexity, because different equipment needs different levels of assessment. Lower-cost, low-risk items are simple to choose and use. Higher-cost, customised items need more evidence and specialist input. The table below gives a general overview of the levels.
| Level | Typical cost | What it usually involves |
| Basic | Under $1,500 | Simple, low-risk items you can buy with little setup |
| Standard | $1,500 to $15,000 | Common items that may need fitting or written evidence |
| Complex | Over $15,000 | Highly customised, higher-risk items needing a detailed report |
These figures are a guide only. NDIS categories, thresholds and evidence requirements can change over time, so it is worth checking current NDIS guidance or asking your therapist.
What makes AT complex
Complex assistive technology sits at the specialised end of the range. These items are highly customised or built for the individual, can carry higher risk if set up incorrectly, and often need training, ongoing support and maintenance. Because of this, complex items usually have to be named, or stated, in your plan, so the specific equipment is clearly identified. Phase One Therapy provides complex assistive technology support for adults with more involved needs, including complex seating.
- Custom power wheelchairs with complex seating and postural support
- Ceiling hoists and other fixed transfer systems
- Complex communication and environmental control systems
- Customised pressure care and positioning equipment
The role of your OT
For complex assistive technology, an occupational therapist usually leads the assessment. Occupational therapists look at how a device will support your daily activities, independence and safety across the home and community. They also consider your goals, your environment, and how the equipment fits with any other supports you use. This work is carried out by experienced occupational therapists who understand both the clinical and the practical sides of prescribing equipment.
What the assessment involves
The assessment is a structured process rather than a single appointment. It usually begins with a conversation about your daily challenges and goals, sometimes alongside a functional capacity assessment that shows how your disability affects everyday tasks. The occupational therapist then reviews your environment, arranges trials of suitable equipment, and gathers quotes where they are required. The steps below give a general picture.
- Discuss your needs, goals and daily challenges
- Review your home or usual environment
- Trial equipment options to check they suit you
- Gather quotes from suppliers where required
- Prepare a detailed report for the NDIS
Meeting reasonable and necessary
Every assistive technology request must meet the NDIS reasonable and necessary criteria, set out in Section 34 of the National Disability Insurance Scheme Act. In practice, this means showing that the equipment relates to your disability, supports your goals, and helps you take part in daily life. The occupational therapist’s report is where this evidence comes together. The main criteria are summarised below.
- It relates to your disability and its impact
- It helps you pursue your goals
- It supports participation at home, work or in the community
- It is effective, beneficial and represents value for money
- It is not the responsibility of another service or system
From approval to everyday use
Once the NDIS approves funding, the focus shifts to setting the equipment up well. Complex items are delivered, fitted and adjusted, and you receive training so you can use them safely and confidently. Your plan may also include maintenance, repairs or future reviews as your needs change. Phase One Therapy can provide appointments in your own home, which is often where complex equipment is used day to day.
Ready to explore your options?
Complex assistive technology can open up real independence, though the path to it is understandably detailed. Knowing the levels, the assessment process and the reasonable and necessary criteria makes it much easier to feel prepared and involved. Phase One Therapy provides occupational therapy for adults across Brisbane and surrounds, including complex assistive technology and complex seating. A conversation with an occupational therapist can help you work out the right next step for your goals.
This article is intended for general information purposes only and does not constitute medical or financial advice. NDIS categories, funding thresholds and requirements can change, so please check current NDIS guidance and consult a qualified health professional for advice tailored to your individual needs.
