NDSS Subsidy Announcement

From 1 March, 2020, FreeStyle Libre will be listed on the National Diabetes Services Scheme (NDSS), becoming subsidised for eligible Australians living with Type 1 diabetes.  Please follow our simple, step-by-step guide to help determine if you may be eligible for a NDSS subsidy and information on how to access the subsidy.


Eligibility Criteria

Children and young people aged under 21 years with type 1 diabetes

To be eligible for access to NDSS subsidy under this eligibility group, a child or young person must meet the criteria in one of the following categories:

Category A – for children 10 years or younger

Children 10 years of age and younger with type 1 diabetes will be eligible for NDSS subsidy if they meet ALL of the following criteria:

  • the child is expected to benefit clinically from the use of FreeStyle Libre/CGM; and
  • the family/carer has the willingness and capability to use FreeStyle Libre/CGM; and
  • the family/carer has the commitment to actively participate in a diabetes management plan that incorporates FreeStyle Libre/CGM.

NOTE: A child who has been accessing FreeStyle Libre/CGM products through the initiative will continue to have subsidised access after they turn 11. They will not need to be re-assessed under Category B.

Category B – for children and young people aged 11 to less than 21 years

Children and young people with type 1 diabetes aged from 11 years to less than 21 years will be eligible for NDSS subsidy if they meet ALL of the following criteria:

  • the person is expected to benefit clinically from the use of FreeStyle Libre/CGM; and
  • the person or family/carer has the willingness and capability to use FreeStyle Libre/CGM; and
  • the person or family/carer has the commitment to actively participate in a diabetes management plan which incorporates FreeStyle Libre/CGM.

AND they meet ONE OR MORE of the following criteria:

  • frequent significant hypoglycaemia—more than one episode a year of significant hypoglycaemia requiring external, third-party assistance; and/or
  • impaired awareness of hypoglycaemia; and/or
  • inability to recognise, or communicate about, symptoms of hypoglycaemia; and/or
  • significant fear of hypoglycaemia for the child/young person or a family member/carer, which is seriously affecting the health and wellbeing of the child or young person or contributing to hyperglycaemia as a reaction to this fear.

Find the Eligibility Assessment Form for type 1 diabetes; age under 21 years here.

People with type 1 diabetes aged 21 years and older who have valid concessional status

To be eligible for access to NDSS subsidy under this eligibility group, the person must have type 1 diabetes, aged 21 years or older and meet ALL of the following criteria:

  • the person is expected to benefit clinically from the use of FreeStyle Libre/CGM; and
  • the person or family/carer has the willingness and capability to use FreeStyle Libre/CGM; and
  • the person or family/carer has the commitment to actively participate in a diabetes management plan which incorporates FreeStyle Libre/CGM.

In addition, the person must have valid concession status. 

Concessional Status

The required concessional status for this eligibility group is consistent with existing NDSS concessional arrangements but excludes the Safety Net Concession Card (SNCC) and the Safety Net Entitlement Card (SNEC) categories. People with the following valid concessional types will be eligible for the initiative (if they also meet the other eligibility criteria):

  • Commonwealth Seniors Health Card (as issued by DHS* or DVA**)
  • Commonwealth Pensioner Concession Card (as issued by DHS or DVA)
  • Commonwealth Health Care Card (as issued by DHS or DVA)
  • DVA Gold Card
  • DVA White Card
  • Identifies as Aboriginal and/or Torres Strait Islander person

Find the Eligibility Assessment Form for type 1, age 21 years and older with valid concessional status here.

*DHS Department of Human Services, now known as Services Australia

**DVA Department of Veterans’ Affairs

Women with type 1 diabetes who are actively planning pregnancy, pregnant, or immediately post-pregnancy 

To be eligible for access to NDSS subsidy under this eligibility group, the person must meet ALL of the following criteria:

  • the person is expected to benefit clinically from the use of FreeStyle Libre/CGM; and
  • the person or family/carer has the willingness and capability to use FreeStyle Libre/CGM; and
  • the person or family/carer has the commitment to actively participate in a diabetes management plan which incorporates FreeStyle Libre/CGM.

In addition, the person must meet the criteria in one of the following categories:

Catergory A - Pre-pregnancy

The person with type 1 diabetes is considered as actively planning pregnancy and should be having regular engagement with pre-conception care services such as an endocrinologist, diabetologist and/or specialist physician, ideally at least every 6-8 weeks and more frequently if there is sub-optimal glycaemic control. An authorised health professional may certify eligibility for an initial 6-month period on the basis of the person seeking active pre-pregnancy care and committing to regular engagement with the pre-conception care service provider.

If at the end of the initial 6-month period the pre-conception care is continuing, an authorised health professional may certify eligibility for a further 6-month period. A maximum of two, 6-month access periods (up to a maximum period of 12 months) may be authorised.

After an initial 12 months eligibility—supporting documentation is required for an extension of access. 

There may be exceptional circumstances for an extension of this timeframe that will be considered on a case-by-case basis, noting these will be:

  • considered by an appropriately constituted expert panel established by Diabetes Australia that will provide a recommendation to the Department of Health; and
  • the Department of Health will be the deciding body for all of these cases.

Any extension to the pre-pregnancy period will be considered on a case-by-case basis and require documented evidence of exceptional circumstances—such as that the person has been referred to fertility services for assessment. Your application for an extension of access to FreeStyle Libre/CGM products after the initial 12 months requires supporting documentation (on letterhead):

  • from both your diabetes health professional (authorised to certify FreeStyle Libre/CGM applications) and your fertility specialist, obstetrician / gynaecologist, confirming that you are continuing to plan pregnancy;
  • with your first name, last name and date of birth;
  • with the date you were referred to or first attended fertility specialist services;
  • including confirmation of your ongoing fertility assessment or management.

Your applications for an extension of access to FreeStyle Libre/CGM products for a further six-month period, are considered on a case-by-case basis. At the end of this six-month period, further six-month extensions may be granted subject to the same documentation being provided.

To learn more about submitting an application for an extension to access to FreeStyle Libre/CGM products, please contact the NDSS Helpline on 1300 136 588.

Category B – Pregnant/Post-Pregnancy

The person with type 1 diabetes has a confirmed pregnancy and is regularly engaging with a health professional such as an endocrinologist, diabetologist and/or specialist physician. An authorised health professional may certify eligibility that will continue until 3 months after the expected date of birth of the baby.

Find the Eligibility Assessment Form for type 1 diabetes; pregnancy planning, pregnancy or immediately post pregnancy here.

Children and young people under 21 years with conditions very similar to type 1 diabetes who require insulin.

To be eligible for NDSS under this eligibility group, the child or young person must have been diagnosed with one of the conditions listed in this table and meet the criteria in one of the following categories:

Category A – for children 10 years or younger

Children 10 years of age and younger who have been diagnosed with one of the conditions listed in this table will be eligible for NDSS subsidy if they meet ALL of the following criteria:

  • the child is expected to benefit clinically from the use of FreeStyle Libre/CGM; and
  • the family/carer has the willingness and capability to use FreeStyle Libre/CGM; and
  • the family/carer has the commitment to actively participate in a diabetes management plan that incorporates FreeStyle Libre/CGM.

NOTE: A child who has been accessing FreeStyle Libre/CGM products through the initiative will continue to have subsidised access after they turn 11. They will not need to be re-assessed under Category B.

Category B – for children and young people aged 11 to less than 21 years

Children and young people who have been diagnosed with one of the conditions listed in this table will be eligible for NDSS subsidy if they meet ALL of the following criteria:

  • the person is expected to benefit clinically from the use of FreeStyle Libre/CGM; and
  • the person or family/carer has the willingness and capability to use FreeStyle Libre/CGM; and
  • the person or family/carer has the commitment to actively participate in a diabetes management plan which incorporates FreeStyle Libre/CGM.

AND they meet ONE OR MORE of the following criteria:

  • frequent significant hypoglycaemia—more than one episode a year of significant hypoglycaemia requiring external, third-party assistance; and/or
  • impaired awareness of hypoglycaemia; and/or
  • inability to recognise, or communicate about, symptoms of hypoglycaemia; and/or
  • significant fear of hypoglycaemia for the child/young person or a family member/carer, which is seriously affecting the health and wellbeing of the child or young person or contributing to hyperglycaemia as a reaction to this fear.

Find the Eligibility Assessment Form for ‘other’ eligible conditions; age under 21 years here.

 


Products Included

FreeStyle Libre sensors are included under the NDSS subsidy, which enables scanning your glucose levels with a quick 1-second scan either through your compatible smartphone or a FreeStyle Libre reader.  Eligible NDSS registrants will be able to order and collect sensors through their local NDSS pharmacy.

To scan your sensor you need a device. The FreeStyle LibreLink app is available free to download for compatible Android and Apple (iOS) smartphones*. Eligible NDSS registrants are also able to access a complimentary FreeStyle Libre reader if required. Details on how to order the complimentary reader are given to eligible NDSS registrants once they are approved by the NDSS.

*The FreeStyle LibreLink app is only compatible with certain mobile devices and operating systems. Please check our compatibility guide for more information about device compatibility before using the app.


Process of accessing FreeStyle Libre through the NDSS subsidy (if you are eligible):

01

An authorised healthcare professional will assess your eligibility, complete and submit the NDSS form for NDSS approval.

Handy tip: you can print out a form and take it with you to your appointment with your healthcare professional. The NDSS subsidy forms are available on the NDSS website.

02

Once the NDSS confirms your eligibility, you will be directly informed by the NDSS.

Handy tip: If your healthcare professional has submitted your NDSS form and you have not received contact from the NDSS about your eligibility, please contact the NDSS on 1800 637 700 to check the status of your application

03

Once the NDSS confirms your eligibility, you will need a device to scan your sensor. Once approved as an eligible registrant, you will be given instructions on how to access a dedicated website in order to:

  • Download the free FreeStyle LibreLink app onto your smartphone to scan your sensor and/or;
  • Order a complimentary* FreeStyle Libre reader to scan your sensor
  • Access support and instructions on how to get started with FreeStyle Libre

*eligible NDSS registrants only

04

Once the NDSS confirms your eligibility, you will be able to contact your local NDSS pharmacy to order and collect your FreeStyle Libre sensors. The NDSS recommends ordering one month’s supply of sensors per order (2 FreeStyle Libre sensors). Discuss with your NDSS pharmacy if you need more.


Move from another subsidised CGM Device:

Eligible NDSS registrants are able to switch from another subsidised CGM device to FreeStyle Libre. Your healthcare professional will be able to submit a switch form on your behalf to the NDSS. You can find the switch (update access) form here to take to your appointment with your healthcare professional.


Existing Freestyle Libre Users

If you are eligible for the NDSS subsidy, your healthcare professional will be able to submit a CGM Eligibility Assessment form on your behalf to the NDSS. Once the NDSS confirms your eligibility, you can begin ordering and collecting your FreeStyle Libre sensors from your local NDSS pharmacy.


People with the following valid concessional types will be eligible for the initiative (if they also meet the other eligibility criteria):

  • Commonwealth Seniors Health Card (as issued by DHS* or DVA**)
  • Commonwealth Pensioner Concession Card (as issued by DHS or DVA)
  • Commonwealth Health Care Card (as issued by DHS or DVA)
  • DVA Gold Card
  • DVA White Card
  • Identifies as Aboriginal and/or Torres Strait Islander person

*DHS Department of Human Services, now known as Services Australia

**DVA Department of Veterans’ Affairs

Please refer to the NDSS website for full details on eligible concessional cards/eligibility criteria.

Once approval is granted from the NDSS, we suggest you get in touch with your preferred NDSS access point as soon as possible to discuss supply arrangements.
If the NDSS access point does not have FreeStyle Libre sensors in stock they will be able to order it, and have it delivered. Please consult with your local access point for more information.

After receiving NDSS approval for FreeStyle Libre, current access to blood glucose test strips will remain unchanged. If you are using the FreeStyle Libre reader to scan your sensor, you can also use FreeStyle Optium Blood Glucose Test Strips to measure your blood glucose and FreeStyle Optium Blood ß-Ketone Test Strips to measure your blood ketones using the reader.


COMMITTED TO GREATER ACCESS

We’re grateful to the wider diabetes community for their continued support and remain committed to working with the Federal Government towards greater access of FreeStyle Libre in Australia for all insulin-using people living with diabetes. You are our inspiration!

PURCHASE FREESTYLE LIBRE DIRECTLY

FreeStyle Libre continues to be available for purchase directly from our webshop. Please click here for more information.