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Learn about Service Bookings and how they are managed in Maica
The NDIS defines a Service Booking
as the following:
Service Bookings are used to set aside funding for an NDIS registered provider for a support they will deliver.
Essentially, it is an agreement between an NDIS participant and a registered service provider that allocates a specific portion of the participant's NDIS funding for certain services. Service bookings are used to reserve funding for services that the participant plans to receive under their NDIS plan.
If you're looking for detailed information about Service Bookings and their importance in the NDIS, refer to the Service Booking resources published by the NDIS here.
In the upcoming PACE system rollout from the NDIS, Service Bookings
are being phased out to offer participants greater flexibility with their NDIS funds. Hence, this section will only be relevant for your non-PACE Participants.
In Maica, you can find the following information and functionality on a Service Booking Record:
Budget Information (Funding Information)
Service Booking Period Information (Start Date & End Date)
Service Booking Progress Information (Period and Funding Utilisation )
NDIA Synchronisation Information (NDIS Reference & Last Sync Date)
Booking Items (where the actual details of the funded supports are defined)
When it comes to the Status
of a Service Booking
, we have used the same Service Booking Status
variables seen in PRODA and simply replicated them in Maica. This ensures familiar terminology and consistency across Service Booking
records in PRODA and Maica. Please refer to the table below to view the status values and their related API names.
In Process
INPR
Awaiting Participant Approval
APAP
Awaiting Provider Approval
APRO
Change Awaiting Participant
APAC
Change Awaiting Provider
APRC
Rejected
REJT
Approved
APPR
Completed
CMPD
Deleted
DELE
The Deleted
Status
does not actually delete the Service Booking
record from Maica. When an NDIS staff member deletes a Service Booking
in PRODA, it may be assigned this Status
value. This value cannot be set via the Maica functionality.
If you want to cancel (or stop) a Service Booking
, utilise the Manage Service Booking
Quick Action, specifically the Reduce stop Date option. To learn more about managing a Service Booking
, click here.
When generating Reports
for your Service Bookings
, Salesforce will refer to them by their API Name
rather than the Status
name.
In Maica, you can create Service Bookings
through the Create Service Booking
Quick Action located on the Funding Record
.
The Create Service Booking
Quick Action in Maica allows you to create Service Bookings for your Participants
that will Sync directly with the NDIS.
To learn more about the Create Service Booking
Quick Action, click here.
Learn about the Participant Profile and its components in Maica
In Maica, Participants
are managed as Salesforce Contact
Records.
If you are looking for an overview of how Contacts
work in Salesforce, Trailhead has a number of great learning resources, including hands-on challenges and modules.
Contact
records are the place where you capture and manage attributes and information of your Participants
, including:
Personal Information (i.e. Name)
Contact Information (i.e. Phone and Email)
Address Information
Demographic Information (i.e. Birthdate, Age, Primary Language)
NDIS Number (NDIS only)
Communication Preferences
The Participant Record includes handy Summary Components containing key information about the Participants Funding
and Service Bookings
. These components are:
Note, Service Booking
components are only for non-PACE NDIS Participants.
This component summarises crucial information from the Participant's Funding
right on the Contact record. This means you will not have to sift through associated documents to receive a quick, at-a-glance summary of the Participant's Funding
information. It is located on the right hand side of the record under the Funding Information
tab.
Similar to the Funding
component, this component summarises the key period and budget information for any active Service Booking
records associated with the Participant
. This will only be relevant for your non-PACE NDIS Participants.
This component is hidden if the Participant has no active record(s)
For more information on how Funding
is managed in Maica, please go here for NDIS Funding and here for Home Care Package funding.
The Participant Record also includes handy Related Lists containing key information about the Participants. The key lists are further detailed below:
The Connections List allows you to define relationships between Contacts. This could include both personal relationships as well as any other form of connection between people.
The easiest way to access Connections
is via the Participant Profile
under Related
.
Connections
can be found under Related
by default, however your team can change where this appears by customising your Salesforce Page Layouts.
Before detailing how Connections function in further detail, here are some things you should know about this feature:
Connections
are reciprocal. Meaning, Maica will create a corresponding Connection
for both Contacts.
You can create your own Connection
types beyond what Maica offers out of the box within the Connection Settings.
Now, please refer below to see what a typical Connection
record will look like in Maica.
In order to create a new Connection
, simply click the New
button and complete the following fields:
Contact: Maica auto-populates this field with the name of the Contact the Connection
record is connected to.
Related Contact: Specifies the Contact who's related to the person in the Contact field.
Type: Specifies how the Related Contact is connected to the Contact. In the below example, Andrew Milne is Luca Milne's parent.
Status: Specifies whether this is a current or former Connection
.
Once these fields have been populated, a few additional options are available for you to record, including:
Primary Contact: When this option is selected, Maica will display the Related Contact on the Participant
profile for ease of access to critical information. We have shown you a sample of this at the bottom of this article.
Next of Kin: Specifies that the Related Contact is the Next of Kin
for the Contact.
Description: A place to add additional information about the Connection
.
Statement Recipient: Specifies that the Related Contact is the recipient of the Statement.
Invoice Recipient: Specifies that the Related Contact is the recipient of the Invoice for self managed Service Agreements.
Once done, your Connection
record will be saved within the Profile of both Contacts
.
The Participant Resource
related list allows for the management of Resources being assigned to Participants. It is located under Client Care
tab.
The benefit of this list is to be able to see which Participants
are associated with which Resources
, as shown below. This is particularly useful if a Participant
is associated with multiple Resources
.
To link a Participant with a Resource, simply click New
, select the desired Resource
from the dropdown, nominate a Date Range, and Save
.
The Participant Resource
list is directly related to the Resources Participant
list on the Resource Profile. This means, if multiple Participants
are receiving care from a given Resource
, this will be reflect on the Resource Participants
list and display on the Resource Profile under the Profile Management tab. This list will be dynamically updated if an update occurs on the Resource
Profile.
Learn how Maica manages Funding from the NDIS
In Maica, Funding
for NDIS Participants
is managed through Quick Actions located on the Contact Record. These are further explained in more detail below.
However, before diving into the Quick Actions, please review the Key Terms that should be noted when using Maica's Funding
operations.
Maica uses a number of key terms which are important in helping you understand how the solution manages NDIS Participant Funding. In Maica, the term Funding is used to represent the term Plan
used by the NDIS. These terms are explained in the table below:
Funding Record
Represents the specific details of a Participants Plan from their associated Funding
body. For NDIS Participants, these are the specific details of a Participant's Plan retrieved from the NDIA.
Funding Item
The specific Budget Items or Funded Supports included in a Participant's Plan.
Funding Goal
Used to capture Goals defined as part of a Participant's Plan, i.e. Improving Daily Living Skills
Now, to begin managing your NDIS Participants Funding, you should use the Quick Actions on the Contact Record. Maica's Contact
Records have unique actions to help you manage crucial pieces of information for your NDIS Participants
. To learn more about the these actions, see below.
The Synchronise Participant Information
Quick Action in Maica allows you to connect with the PRODA/NDIS systems to retrieve key Participant
data such as Plan Records, Plan Budgets, Plan Goals, and Service Bookings from the NDIS which will be used to populate your Participants Funding Record
in Maica.
To learn more about the Synchronise Participant Information
Quick Action, click here.
The Create Service Booking
Quick Action in Maica allows you to create Service Bookings for your Participants
that will Sync directly with the NDIS. This Action sits within the Funding Record.
If your Participants
are PACE Participants
Service Bookings
will not be required and hence this Action will not be visible.
The Create Service Booking
Quick Action helps ensure that the allocated funds and service details are accurately reflected in both Maica and the NDIS system.
To learn more about the Create Service Booking
Quick Action, click here.
Learn about the Funding Record and what information it captures in Maica
In Maica, the Funding
record contains key information that will drive interactions with your Participants
, as well as serving as the foundation for some central Maica functions, such as Service Booking
creation.
A Funding
record is where you can find the following information and functionality:
Plan Budget Information
Plan Period Information (Start Date & End Date)
NDIA Synchronisation Information (NDIS Reference & Last Sync Date)
Plan Goals
Service Bookings
You can also create a Service Booking
in Maica and PRODA directly from the Funding
record. Click here to learn more about creating Service Bookings
.
A very important point to note about Plan
records is that they are created and updated in PRODA only and not Maica. PRODA is the master of this information and Maica simply retrieves the most up-to-date Plan
information and create a Funding
record based on the retrieved information. What this means is that any updates to the Funding
record in Maica will not be reflected in PRODA. This applies to Plan Goal
records also. You cannot create a Funding
record for your Participants
in Maica without retrieving the information directly from PRODA first.
As mentioned above, Plan
records are created and updated in PRODA, Maica only retrieves the information and populates a Funding
record based on the retrieved information.
In order to retrieve the required information to populate Funding
records for your Participants, refer to Maica's Synchronise Participant Information
Quick Action tool.
A Funding
Record contains a number of components, these are explained in further detail below.
The Funding Item
represents the specific Plan Budget Items or Funded Supports included in a Participant's Plan
. Generally, these define what Support Category
and Support Item
(for a stated support) can be selected to form part of a Service Booking
.
If Funding Item
records exist in Maica, they will be used as an outline when a Service Booking
is being created. This essentially means that the Categories and Amounts from the Funding Item
will be used as the default Booking Items
in the Create Service Booking
Quick Action.
To learn more about that the Create Service Booking
Quick Action, click here.
Plan Budget
records can only be retrieved by Maica and used to generate Funding Item
records if your Organisation satisfies all of the required criteria set by the NDIS. Please contact the NDIA directly if you want more information regarding Plan Budget
access as Maica does not manage or enable this.
Funding Item
information will be accessible on the right hand side of your Funding
record interface, and will include Budget records and a summary component, as shown below.
If the Participant
has identified specific Plan Goals
in their planning conversations with the NDIS, these can be retrieved and made available in Maica as Funding Goals
.
In order to learn more about Participant Plan Goals
, click here.
In Maica, a Funding Goal
has a Master-Detail relationship with Funding
. This means that you cannot have a Funding Goal
without Funding
. Furthermore, if Funding
is deleted, all associated Funding Goal
records will also be deleted.
Additionally, due to the nature of how Plan Goal
records are stored and managed by the NDIS, Maica re-creates these records as part of each sync. This means that any changes, either new records or updates to existing records will be lost following a sync. Essentially Plan Goal
records, like Plans
, are managed by the NDIS and we do not recommend updating these records in Maica.
You may wish to create your own Participant Goals
seperate from Funding Goals
to manage the Goals you have set between your Organisation and the Participant.
As above, Funding Goal
information will be accessible on the right hand side of your Funding
record interface.
The Service Booking
related component provides a view of all your Participants Service Booking
records that have been created in Maica and PRODA that are related to the specific Funding
you are viewing.
The Funding
is the key component in creating a Service Booking
, as Maica cannot create a Service Booking
in PRODA without a reference to the Funding
.
Similar to the Funding
and Funding Goal
information, the NDIS provides a number of Service Booking
resources you can refer to for more information. Please click here to learn more.
Service Bookings
can be created in Maica directly from the Funding Record, to learn more about this process, click here.
As above, Service Booking
information will be accessible on the right hand side of your Funding
record interface.
The Budget Information section has a number of Roll-Up Summary fields that collect data from the corresponding Funding Item
record(s). For example, if there are five Funding Item
entries, each with an Approved Amount of $2000, the Fundings
record's Total Approved Value will be $10,000.
If there is no Funding Item
data, all Totals will be $0 with 0% Utilisation.
Total Approved
SUM total of the Approved Amount
Total Allocated
SUM total of the Allocated Amount
Total Remaining
SUM total of the Remaining Amount
Total Spent
SUM total of the Spent Amount
Utilisation
Formula that divides the Total Approved
by the Total Spent
to display a percentage indicating how much of the total Approved Plan Budget
has been spent.
The NDIA Synchronisation Information section contains information on to help identify your Participants Plan in PRODA as well as when it was last synchronised in Maica.
NDIS Reference
The unique identifier (or ID) assigned to the Plan in PRODA. This is not generated by Maica.
Last NDIS Sync
Represents the date and time the Plan
record was last synchronised or refreshed from PRODA.
If your Plan
expires and your new Plan
has not yet been finalised, the NDIS will automatically extend your current Plan
for up to another 12 months.
This means that your present financing will continue until your new Plan
is finalised, ensuring that you have no gaps in your money or support.
If your current Plan
is less than a 12-month plan, your extended Plan
will be for the same time period; for example, a six-month Plan
will be automatically extended for six months.
Maica 'listens' for this event in PRODA and will extend the End Date
of the corresponding Funding Record
for you.
If the Plan
has been automatically extended as described above, the End Date
will be automatically extended for all active Service Booking Records
.
Again, in this instance, Maica will update all relevant Service Booking Records
.
Learn how to Synchronise Participant Information with the NDIS in Maica
Synchronise Participant Information
Quick Action?The Synchronise Participant Information
Quick Action in Maica allows you to connect with the PRODA/NDIS systems to retrieve key Participant
data such as Plan Records, Plan Budgets, Plan Goals, and Service Bookings from the PRODA.
Essentially, it will generate a Funding Record
for your Participant with the relevant and selected data directly from the NDIS/PRODA.
Synchronise Participant Information
Quick Action?The Synchronise Participant Information
Quick Action in Maica is located in the top right corner of your interface on the Participant
Record, as shown below.
The Quick Action will retrieve the following information from PRODA for your Participants:
Plan
and Plan Budgets
Plan Goals
as recorded on the Participant's Plan with the NDIS
Service Bookings
and Booking Items
Synchronise Participant Information
Quick Action?To begin Syncing Data for your Participant, simply click the Synchronise Participant Information
Quick Action to display the following pop-up:
Maica needs certain information about the Participant in order to retrieve the information from the NDIS systems, including Last Name
, Date of Birth
, and NDIS Number
. This needs to be populated in the Participant Record before the Sync can be successful.
Here, you can nominate which Data you wish to Sync with Maica, including:
Plan Budgets
: These are retrieved from the NDIS Plan the Participant has set up with the agency.
In order to retrieve Plan Budgets
you must first confirm that the Participant
has provided Consent to access the Data via the NDIS Participant Portal. Plan Budget data is not available to all Providers. Records will only be returned if you have the required consent in place according to the NDIS guidelines.
Plan Goals
: These are retrieved from the NDIS Goals the Participant has set up with the agency.
Syncing any Plan Goals
will remove all current Goals
and refresh them with the Data from the NDIS.
Service Bookings
: This will retrieve all associated (and available) Service Bookings for the Participant.
Once you have selected which Data you wish to Sync, click Confirm
and Maica will connect directly to the NDIS to retrieve the following information. Once done, you will see the following Summary screen.
At this stage, you can close the pop-up and your Data in Maica will updated accordingly.
Learn how to manage Service Bookings in Maica
In Maica, you can manage Service Bookings
through the Manage Service Booking
Quick Action located on the Service Booking Record
.
The Manage Service Booking
Quick Action in Maica allows you to manage previously created Service Bookings for your Participants
. It connects a variety of common PRODA operations directly into Maica, eliminating the need for you to handle updates twice and split your work between two applications.
Please follow the steps below to manage a Service Booking:
Manage Service Booking
Quick Action The first step in managing a Service Booking
is simply clicking the Manage Service Booking
Quick Action located on the Service Booking Record
, as shown below:
Once you clicked on the Quick Action above, you will be shown the Manage Service Booking
pop-up, as shown below:
Please note that if the Service Booking
Start Date
is before 1 Jul 2024 then the only available option will be Reduce End Date.
Here you will be asked to select which management action you wish to perform. Each action is explained further below:
If a Service Booking
has multiple Booking Item
records for a Flexible or Core Support Category
(01–04), Maica allows you to alter the Quantity
or Rate
to move funding across these Booking Item
records. You can do this if there is enough Total Remaining Budget for the parent Service Booking
.
In order to do this, simply update the Quantity
and/or Rate
using the input fields shown below.
Make sure to tick the box indicating that you discussed this update with the Participant before submitting it to the NDIS.
Once the update has been successfully completed, the Booking Item
records will be modified to reflect the budget reallocation.
Whilst Maica will not prevent you from exceeding the Remaining Amount, a warning will be displayed that the Service Booking Remaining Amount is being exceeded.
If circumstances change between you and one of your Participants, you can utilise Maica to cancel or end a Service Booking
.
In order to do this, you do not need to remove the Service Booking
; instead, reduce the End Date and enter a date between Today and the current Service Booking
End Date. This will automatically trigger a cancellation in PRODA.
When you reduce the end date or end a service booking, you should keep the following points in mind:
You cannot backdate a Service Booking's End Date to a date earlier than the date you are amending it.
PRODA (and thus Maica) does not have a distinct Cancelled Status value, hence there is nothing on the record in Maica to indicate that the End Date has been decreased and the Service Booking cancelled. As a result, we have included an Info Panel to the Quick Action to notify you that you will receive an error if you try to reduce the End Date again, as shown below.
Under the Reduce End Date action, you can also manage Retained or Accrual Booking Item
Amounts. Here, you have the option to add an accrual amount to ensure that sufficient funds are retained in the Service Booking
to cover pending Payment Requests
for services rendered.
Unspent funds are refunded to the available support category balance. This means that you can continue to claim for services provided (via Invoices
and Payment Requests
), but the Participant
can use the unspent funds in a new Service Booking
with a new Provider.
For more information regarding how to Cancel or End a Service Booking
correctly and what happens in PRODA, please refer to the NDIS reference linked here.
If one of your Participants has chosen the NDIA to pay their Providers, i.e. Agency Managed, then a Service Booking
is created by the NDIA to link the supports in their Plan
to their chosen Providers. As Maica is listening to the New Service Booking Provider
notification, this Agency Managed Service Booking
will appear in Maica with a Status of Awaiting Provider Approval
or Change Awaiting Provider
.
Given the Service Booking
is created by the NDIA (and not you), you must approve the Service Booking
before the Participant receives services. This ensures your Participant has funding allocated to pay your Invoices
.
Use the Manage Service Booking
Quick Action to Approve the Service Booking
and begin delivering services.
The Reject
option corresponds to the Approve
function, as stated above. If you do not agree or approve the Service Booking
created/updated by the NDIA, you can reject it using the Manage Service Booking Quick Action.
The Delete function provides the ability to update the Service Booking
Status
to Deleted
. This will not delete the Service Booking
record in Maica.
If you wish to End a Service Booking, you should do this by updating the End Date, as explained above. Service Bookings should not be deleted.
Because the NDIS is ultimately in charge of Service Booking
Data, it is crucial that the NDIS and Maica are coordinated and consistent, this where the Force Sync becomes helpful.
In the event you believe a Maica Service Booking
record has become misaligned with the PRODA version, use the Force Sync option to update the Service Booking
and associated Booking Item
records.
Essentially, all the data stored on these records will be updated and replaced with what is current in PRODA.
Please note: any manual data updates you have made to the Maica fields on the Service Booking
and Booking Item
records will be overwritten when the records by the force sync.
Any custom fields (i.e. created by you and not Maica during the sync process) will not be affected.
Learn how to create Service Bookings in Maica
In Maica, you can create Service Bookings
through the Create Service Booking
Quick Action located on the Funding Record
.
The Create Service Booking
Quick Action in Maica allows you to create Service Bookings for your Participants
that will Sync directly with the NDIS.
Please follow the steps below to create a Service Booking:
Create Service Booking
Quick Action The first step in creating a Service Booking
is simply clicking the Create Service Booking
Quick Action located on the Funding Record
, as shown below:
In the screenshot above you can see that PACE Plan
is not checked. If this was to be checked, the Create Service Booking
Quick Action would not be available.
Once you clicked on the Quick Action above, you will be shown the Create Service Booking
pop-up, as shown below:
Please confirm the details below to create a Service Booking and associated Service Items. Two types of Service Bookings can be created, depending on the Participant’s Plan, a Standard Booking or a Plan Managed Booking. A Standard Booking is available when the Participant’s funds are Agency Managed. A Plan Managed Booking is only available to Plan Managers.
In order to successfully create the Service Booking, please ensure:
The Service Booking is being created for Support(s) you are registered to Provide
There is sufficient Budget available in the Participant’s Plan
The Start and End Dates sit within the Start and End Dates of the Participant’s Plan
For Plan Managed Service Bookings, a Standard Service Booking under the CB Choice and Control Category must first exist between the Plan Manager and the Participant
If a Participant has a Stated Item, the Stated Item must be selected in the Support Item list below
Declare that this Service Booking has been discussed with and agreed by the Participant
Before populating your Booking Items, you should first set up your Service Booking
by selecting the Period
of the Service Booking
as well as the Type
.
For your Booking Period
, you can choose between Custom
Dates, or the entire Plan
Date.
For your Booking Type
, you can choose between Standard Booking
or Plan Managed
. Please refer to the information box above to understand the difference and which one will be relevant for your Service Booking
.
Once you have setup your Service Booking, it is time to add your Booking Items.
Booking Items
refer to the specific services or supports that are allocated under a Service Booking
.
To begin, simply click the + Add
button on the right hand side of the interface. This will create a Booking Item Line Item with the following fields ready to be populated:
Support Category
NDIS Support Categories
are the broad areas of funding under the National Disability Insurance Scheme (NDIS). Refer below for more information around available Support Categories to select for your Service Bookings
.
Support Item
NDIS Support Items
are the specific services or products that participants can access through their NDIS funding, based on their plan’s approved categories.
Quantity
This is a Maica concept that allows you to adjust the Quantity
of delivery for any specified Support Item
.
Rate
This is the price of 1 Quantity
unit of any Support Item
. This field is automatically populated based on the selected Price List
, but is adjustable if desired.
Price List
This field allows you to selected which Price List
you wish to associate with the selected Support Item
delivery.
If you have associated Funding Items
(Plan Budgets
) on your Participants Funding Record
, the Support Categories will be automatically populated with the available Support Categories
and Budget. If you attempt to Add additional Booking Items
, you will only be able to select from Support Categories
associated with the linked Funding Items
.
If you have no associated Funding Items
, you will be able to select from all Support Categories
.
Please note that if you do not have access to a Participants Plan Budgets
or you haven't synced them into Maica, you can still create a Service Booking
to submit to the NDIS, however the NDIS may return an error if there is insufficient or no funding associated to the selected Support Category
.
After you have added all of your Booking Items, you will need to confirm your Service Booking before it can be created and synced with the NDIS. To do so, Maica will present you with a summary and a toggle, as illustrated below:
Once the toggle is selected TRUE
, the Submit
button will appear and you will be able to confirm your Service Booking
.
After doing so, your Service Booking
Record will be synced with the NDIS, and if successful, created in Maica within the Funding Record
where you can manage and review your Service Booking
. To learn more about managing a Service Booking
, click here.
Learn how Maica manages Funding from the Home Care Packages
In Maica, Funding
for Aged Care Participants
with Home Care Package Funding is managed through a Quick Action located on the Participants Service Agreement. This Quick Action is the Manage Budget
tool and is further explained in more detail .
Essentially, within the Manage Budget
Quick Action you will manage all your Home Care Package Funding, however it is important to note that once a Budget has been created, Maica will generate a Funding Record
for your Participant with the relevant data.
This Funding Record
will sit on your Participants Contact Record, and whilst is not useful in managing your Participants Funding, it will provide a handy overview of the Budget information.
Within a Home Care Package
Funding Record you can find the following information and functionality:
Funding Budget Information
Funding Period Information (Start Date & End Date)
Funding Items
Funding Overviews & Charts
The key components of a Home Care Package Funding
Record are the Funding Items
, these are explained in further detail below.
The Funding Item
represents the specific Plan Budget Items or Components included in a Participant's Home Care Package
. Generally, these define what Support Purposes
have been selected to form part of a Home Care Package Budget
. For example, when Managing your Home Care Budget, if you have selected an Oxygen Supplement, as shown below.
This will then be created as a Funding Item
record in your Funding Record
, as per below:
The Participant Budget Information section has a number of Roll-Up Summary fields that collect data from the corresponding Funding Item
record(s). These fields are explained in further detail below:
Total Budget Income (Daily)
SUM total of the Subsidies
& Supplements
Total Client Contributions (Daily)
SUM total of the Client Contributions
Total Claimable Fees (Daily)
SUM total of the Claimable Fees
Total Billable Fees (Daily)
SUM total of the Billable Fees
Total Available Funding (Current Month)
Formula that first calculates the SUM of the Daily Budget Income
and Daily Client Contributions
, then subtracts the Daily Claimable Fees
and then multiplies the Total by the days in the current month.