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What conditions qualify for NDIS disability conditions without an evaluation

Intellectual Disability (ID)

Diagnosed and assessed as moderate, severe, or profound according to current DSM criteria (e.g., IQ score below 55 or severe lack of adaptive functioning).


Diagnosed by a specialized multidisciplinary team, pediatrician, psychiatrist, or clinical psychologist experienced in evaluating pervasive developmental disorders and assessed as severity level 2 (requiring substantial support) or level 3 (requiring very substantial support) using current Diagnostic and Statistical Manual of Mental Disorders (DSM-V) diagnostic criteria.

Cerebral Palsy (CP).

Diagnosed and assessed as severe (e.g. assessed as Grade 3,4 or 5 on the Gross Motor Function Classification System (GMFCS))

Congenital Genetic Disorders

yndrome Angel Syndrome

o Coffin-Lowry syndrome in males Kohler’s II syndrome

o Cornelia de Lange syndrome Hirsute Developmental Disorder syndrome in males

o Cri du Chat syndrome Cat-call syndrome

o Edwards syndrome (Trisomy 18 -full form) Edwards syndrome (Trisomy 18)

o Epidermolysis Bullosa Epidermolysis Bullosa (severe):

§ YR

§ Autosomal recessive dystrophicepidermolysis bullosa

§ Hallopeau-Siemens type

§ Herlitz Junctional EpidermolysisDystrophica

o Lesch-Nyhan syndrome Lesch-Nyhan syndrome

o Leigh syndrome Leigh syndrome

o Leukodystrophies White matter lesions of the brain

§ Alexander disease (infantile and neonatal forms)

§ Canavan disease

§ Krabbe disease (globoid cell leukodystrophy)- Infantile form

§ Pelizaeus-Merzbacher Disease (Connatal form)

o Lysosomal storage disordersresulting in severe intellectual and physical impairments

§ Gaucher disease Types 2 and 3

§ Niemann-Pick disease (Types A and C)

§ Pompe disease

§ Sandhoff disease (infantile form)

§ Schindler disease (Type 1)

§ Tay-Sachs disease (infantileform)

o Mucopolysaccharidoses Mucopolysaccharidoses.

§ MPS 1-H (Hurler syndrome)

§ MPS III (San Fillipo syndrome)

o Osteogenesis Imperfecta Osteogenesis imperfecta (severe)

§ Type II: Type II- More than two fractures per year, resulting in deformities that severely limit the ability to perform activities of daily living

o Patau syndrome

o Rett syndrome

o Spinal Muscular Atrophies of the following types.

§ Werdnig-Hoffmann disease (SMAType 1- Infantile form)

§ Dubowitz disease (SMA Type II -Intermediate form)

§ X-linked spinal muscular atrophy

Spinal cord injury (Spinalcord Injury) or brain injury (Brain Injury)

Hemiplegia resulting in paraplegia, quadriplegia, or severe or complete loss of strength and motion of a limb

Permanent Blindness in Both Eyes

Diagnosed and evaluated by an ophthalmologist, the report of a general optometrist is not sufficient to meet the requirements of the NDIS.

Permanent Bilateral Hearing Loss (PBL)

Hearing loss in the better ear > 90 dB (at pure tone averages of 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz).

Deafblindness (Deafblindness)

Permanent impairment of visual function and hearing as recognized by an ophthalmologist and audiologist assessment.

Amputation or congenital absence of limbs

Conditions that primarily result in intellectual/learning disabilities

o Aicardi-Goutières syndrome intellectual disability

o Pervasive developmental disordersnot meeting severity criteria in List A. Pervasive developmental disorders that do not meet severity criteria in List A

o Asperger syndrome

o Atypical autismAtypical autistic disorder

o Childhood autism

Permanent damage due to chromosomal abnormalities, including: o Aicardi-Goutières syndrome

o Aicardi-Goutières syndrome

o CHARGE syndrome

Cockayne syndrome type I and II / Cerebro-Ocerebro-Facial-Skeletal (COFS) syndrome / Pena Shokeir syndrome type II / Weber-Cockayne syndrome / Neill-Dingwall syndrome)

Cohen syndrome

Dandy-Walker syndrome

DiGeorge syndrome/22q11.2 deletion syndrome/cardiovascular facies syndrome/Shprintzen syndrome/Conotruncalanomaly facies syndrome

Down syndrome

Fragile X syndrome

Kabuki syndrome

Menkes disease

Prader-Willi syndrome

Seckel syndrome/Microcephaly dwarfism/Harper syndrome/Virchow-Seckel dwarfism

o Smith-Lemley-Optiz Syndrome

o Smith-Magenis syndrome

o Spinal muscular atrophy types III and IV

o Sturge-Weber syndrome

o Trisomy 9

o Nodular sclerosis

o Turner syndrome

o Williams syndrome

o Wolf-Hirschhorn syndrome

Conditions that primarily cause nerve damage

Alzheimer’s disease Alzheimer’s dementia

Creutzfeldt-Jakob disease

AIDS Dementia AIDS Dementia

Huntington’s disease

Multi-infarct dementia

Parkinson’s disease

Post-polio syndrome

Vascular dementia

Systemic atrophy primarily affecting the central nervous system

o Alberlipoproteinemia

o Adult-onset spinal muscular atrophy/late-onset SMA type III)

o Fazio-Lund’s disease/progressive bulbar palsy in childhood

o Friedreich’s ataxia

o Hereditary spastic paraplegia / ascending hereditary spastic paralysis with infantile onset / L1 syndrome / spastic paraplegia types 2 and 11 Huntington’s disease / Huntington’s chorea

Lou Gehrig’s syndrome/ataxia-telangiectasia

Motor neuron disease/motor neuron disease/Lou Gehrig’s disease/amyotrophic lateral sclerosis

o Primary lateral sclerosis

o Progressive medullary palsy

o Spinal muscular atrophy All types of spinal muscular atrophy

o Spinocerebellar ataxia – all types, including Machado-Joseph disease Ataxia of all types of spinocerebellum

Extrapyramidal and movement disorders

o Halvolden-Spartz syndrome/pantothenic acid kinase-associated neurodegeneration (PKAN)/neurodegeneration of brain iron accumulation 1 (NBIA 1).

o Parkinson’s disease

Shy-Drager Syndrome / Multiple System Atrophy / Striatonigral degeneration (MSA-P) / Sporadic microcephaly ( Sporadicolivopontocerebellar atrophy) (MSA-C)

Steele-Richardson-Olszewskisyndrome / Progressive Supranuclear Ophthalmoparesis

Stiff-persons syndrome / Stiff-personsyndrome Stiffness syndrome

Other degenerative neurological disorders

Alzheimer’s disease Alzheimer’s disease

Alzheimer’s disease/gray matter degeneration/Alzheimer’s syndrome/progressive sclerosing poliomyelitis/progressive asymptomatic poliomyelitis

Lewy body dementia Lewy body dementia

Pick’s disease

Demyelinating central nervous system disease o Adrenoleukodystrophy

Multiple sclerosis o Schilder’s disease /Diffusemyelinoclastic sclerosis – non-remitting

Episodic and paroxysmal diseases

o Brain stem stroke syndrome Brain stem stroke syndrome

o Cerebellar stroke syndrome

o Motor and sensory lacunar syndrome

o Lennox syndrome/Lennox-Gastaut syndrome

o West’s syndrome

Polyneurologic and Peripheral Nervous System Disorders

Adult Reverson’s disease

Charcot-Marie-Toothdisease/Hereditary motor and sensory neuropathy/ peroneal muscular atrophy

Dejerine-Sottas disease/Dejerine-Sottas syndrome/Dejerine-Sottas neuropathy/Progressive hypertrophic interstitial polyneuropathy/oncotic vesicular neuropathy in children

Pediatric Reverson’s disease

Other Neurological Diseases


Multiple system atrophy

Conditions that result in physical impairment

o Amputation

o Congenital absence of a limb or part of a limb

o Epidermolysis bullosa

o Ichthyosis

Juvenile arthritis/Stills disease (excluding monocyclic/self-limiting adult onset Stills disease)

o Rheumatoid arthritis

Muscle junction and muscle disorders

Andersen-Tavier syndrome/periodic paralysis/paralytic paralysis

o Becker muscular dystrophy

o Congenital muscular dystrophy

o Distal muscular dystrophy

Duchenne muscular dystrophy

Facioscapulohumeral muscular dystrophy

Limb girdle muscular dystrophy

Mitochondrial myopathy

Myotonic dystrophy/myasthenia gravis

Muscular dystrophy of the limb girdle

Myotubular myopathy

o Oculopharyngeal muscular dystrophy

o Congenital paratonic dystonia

o Thomsens disease/congenital dystonia/Becker dystonia)

Cerebral palsy and other paralytic syndromes that do not meet severity criteria

o Cerebral palsy Cerebral palsy

o Hemiplegia

o Hemiplegia

o Monoparesis

o Hemiplegia Paraplegia

o Quadriplegia Tetraplegia

o Tetraplegia Quadriplegia

Conditions that cause sensory and/or speech impairment

Choroidal and retinal disorders that do not meet the diagnostic criteria for permanent blindness: o Behr’s syndrome

o Behr’s syndrome

o Kearns-Sayer syndrome

o Optic nerve atrophy

o Retinitis pigmentosa Pigmentary retinitis

o Retinoschisis (degenerative and hereditary types/juvenile retinoschisis)

o Stargardt’s disease

o Usher syndrome

Diseases that cause hearing loss

Cortical deafness

o Pendred syndrome

Sensorineural hearing loss

o Stickler syndrome

o Usher syndrome

o Wartenberg syndrome

Conditions that lead to multiple types of damage

o Plasmapheresis

Addison-Shields disease/adrenoleukodystrophy


Arginosuccinic aciduria


Cerebral xanthomatosis/cerebral cholesterolosis

Congenital cytomegalovirus infection Congenital cytomegalovirus infection

Congenital iodine deficiency/cretinism Congenital iodine deficiency/cretinism

Congenital rubella syndrome Congenital rubella disease

Glycine encephalopathy/non-ketotic hyperglycemia

GM1 gangliosidosis

Glycinemia/non-ketotic hyperglycemia GM1 Gangliosidosis


Lowe’s syndrome/eye-brain-renal syndrome


Menke’s disease

Mucolipidosis II / I-cell disease

Mucolipidosis III / Pseudohypohidrosis

Mucolipidosis IV

Neurocytochromatosis (NCL) / Adult form (Cove’s or Parry’s disease) / Juvenile form (Batten’s disease) / Late infantile form (Jansky-Birschowsky’s disease)

o Niemann-Pick disease

o Pyruvate carboxylase deficiency

o Pyruvate dehydrogenase deficiency

o Sialic acid deficiency

Sulfite oxidase deficiency

Mucopolysaccharidoses listed below:

o Scheie syndrome /MPS 1-H

o Hurler-Scheie syndrome /MPS 1 H-S

o Hunter syndrome /MPS II

o Morquio syndrome /MPS IVA

o Maroteaux-Lamy syndrome /MPS VI

o Sly syndrome /MPS VII

Congenital Diseases – Cases in which the deformity cannot be corrected by surgery or other treatments and results in permanent damage of varying severity:

o Arnold-Chiari Types 2 and 3/Chiari malformation

o Microcephaly – a malformation of the microcephaly head.

o Fetal alcohol syndrome

o Fetal hydantoin syndrome Fetal acetylenic urea syndrome

o Spina bifida Spina bifida

o VATER syndrome /VACTERLassociation

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