NDIS Medium Term Accommodation · Sydney NSW

NDIS Medium Term Accommodation in Sydney, the honest version

MTA is the support families discover too late. It funds up to 90 days of housing while your long-term home is being prepared — but it only pays for the roof, it requires a confirmed destination, and the clock starts whether or not anyone has a plan. This page covers how it actually works, why hospital discharges hinge on it, and what to do when day 90 is approaching and the permanent home still isn't ready.

  • Registered NDIS provider
  • MTA, SIL and SDA under one roof
  • Hospital discharge experience
  • Sydney-wide coverage
The basics

What Medium Term Accommodation actually is

MTA is NDIS funding for a temporary place to live — generally up to 90 days — when you can't yet move into your long-term home.

The NDIA's own description is refreshingly plain: you might be eligible if you're waiting on a vacancy in specialist disability accommodation that isn't ready for another month, or you need somewhere to stay while home modifications are completed, or you need to move out of hospital sooner while your long-term home is arranged.

That word "long-term" is doing serious work. MTA is a bridge, and a bridge needs two ends. It exists to carry someone from an untenable present to a confirmed future — not to house someone indefinitely while a search continues. Requests that describe a general intention to find housing are considerably harder to win than requests that name a specific dwelling with a specific date.

It's also worth being clear about what MTA is not. It isn't crisis or emergency housing. It isn't a substitute for Supported Independent Living. It isn't respite — that's a different support with different rules. And it generally isn't a recurring thing: the NDIA treats MTA as a one-off, because the whole logic assumes you move into your permanent home at the end of it.

MTA is a bridge. Before you ask for one, you need to be able to point at the other side.

Common MTA situations

  • An SDA dwelling has been offered but isn't ready for six weeks
  • Approved home modifications make your bathroom unusable during works
  • A hospital discharge is ready but home isn't safe to return to
  • A SIL vacancy has been confirmed with a future start date
  • Disability supports need to be recruited and trained before a move
  • A family care arrangement has ended and permanent housing is in progress

What MTA is not

  • Emergency or crisis accommodation
  • A long-term housing solution
  • A replacement for SIL or SDA
  • Respite (that's Short Term Respite, formerly STA)
  • Funding for support workers, meals or utilities
The detail that catches everyone

MTA pays for the roof, not the support

If you take one thing from this page, take this: MTA funds accommodation costs only. The NDIS Pricing Arrangements are explicit — the support component of care must be claimed separately.

This surprises almost every family, and it causes real problems when it's discovered late. A participant leaves hospital with MTA approved, arrives at a property, and only then does someone ask who is going to help them shower tomorrow morning. The accommodation was funded. Nobody funded the person.

So an MTA arrangement is always at least two funding streams working together:

Element Funded by Notes
The accommodationMTA (Core budget)The daily accommodation cost, as set out in the NDIS Pricing Arrangements. Often a stated support, meaning it's ring-fenced and can't be redirected.
Personal care and daily supportAssistance with Daily Life, or existing SIL fundingMust be organised separately and must actually be in place before the move. This is the step that gets missed.
Meals and groceriesYouOrdinary living costs remain yours, as they would anywhere.
Utilities and internetYouDepending on the arrangement, these may be included in the accommodation cost — confirm in writing.
Transport and community accessCore budget (separate categories)Not covered by MTA. Plan for it, particularly if the temporary home is further from your usual services.
Therapy and equipmentCapacity Building / CapitalContinues as normal, though equipment delivery to a temporary address needs coordinating.

The practical instruction: when you request MTA, request the support alongside it in the same conversation. Ask your support coordinator explicitly, "what's funding the daily support during the MTA period, and is it enough?" If your plan already includes SIL funding, it may carry across. If it doesn't, someone needs to establish it — and establishing support funding takes longer than booking a room.

Eligibility

Who qualifies for MTA

The NDIA assesses each request individually against reasonable and necessary criteria, but the pattern of successful requests is consistent. Broadly, you need three things: your current accommodation isn't suitable or available, you have no other reasonable housing option, and there's a clear, evidenced plan for where you're going next.

Waiting for SDA

You hold SDA funding and a dwelling has been identified, but it's under construction, being refurbished, or has a future vacancy date. One of the most common and most clear-cut MTA cases.

Home modifications underway

Approved modifications — a bathroom, a ramp, door widening — make your home temporarily unusable. The works have a start and end date, which makes the bridge easy to define.

Hospital discharge

You're medically ready to leave but home isn't safe or suitable, and your long-term arrangement is being finalised. Covered in detail below, because timing here is everything.

SIL starting soon

A supported home has been confirmed with a start date, but the room isn't free yet or staff are still being recruited and trained for your specific needs.

Care arrangement ended

A family carer can no longer provide support — through illness, death or changed circumstances — and permanent housing is in progress but not ready.

The test most failed requests miss

Ask yourself: can I name where this person will be living on day 91, and can I evidence it? An SDA offer letter. A signed tenancy. A builder's completion date. A SIL service agreement with a commencement date. A hospital discharge plan naming the destination.

If the honest answer is "we're not sure yet", MTA is the wrong request — and pursuing it anyway usually costs weeks you can't spare. In that situation the more productive move is to escalate the housing search itself, with your support coordinator, while exploring whether Short Term Respite can cover an immediate gap.

The most common Sydney scenario

MTA and hospital discharge

A significant share of MTA requests in Sydney begin in a hospital ward, and the pattern is depressingly consistent.

Someone has a stroke, a spinal injury, a serious fall, or a deterioration in an existing condition. Acute treatment finishes. The medical team declares them ready for discharge. And then everything stops — because the home they left is up a flight of stairs, or has a bathroom they can no longer use, or has no one in it able to provide the support they now need.

What follows is a stalemate that helps nobody. The person stays in an acute bed they no longer clinically need, losing independence and confidence by the week. The hospital carries a bed it can't release. The family scrambles. And at some point in week five or six, somebody finally mentions MTA — which, had it been raised in week one, might have had the person home already.

NDIS guidance explicitly notes that MTA can help a participant leave hospital sooner while their long-term home is being arranged. It's one of the support's core purposes. But it isn't automatic, and hospital discharge planners are not always fluent in NDIS housing pathways.

So the single most useful thing in this entire page is this: the week a discharge date is first mentioned, ask three questions. Where is this person going? Is that place ready? If not, has anyone requested MTA and the support funding to go with it?

Sydney's major hospitals — Westmead, Liverpool, Royal Prince Alfred, Royal North Shore, St George, Concord, Prince of Wales, Campbelltown — all have social work and discharge planning teams who can work with your support coordinator. Bring them in early and give them something concrete to work with.

Hospital discharge checklist

  • Ask for a discharge planning meeting with the social worker, and bring your support coordinator
  • Confirm in writing why the current home is unsuitable — an OT assessment carries most weight
  • Identify the long-term destination and get evidence of it
  • Request MTA and the daily support funding in the same request
  • Ask the NDIA about urgent or priority processing where a hospital bed is involved
  • Arrange equipment delivery to the temporary address, not just the permanent one
  • Confirm who is medically responsible after discharge — GP, community nursing, specialist follow-up

Every item here has delayed a discharge we've been involved in. None of them are hard if they're started early.

Don't waste it

Using the 90 days properly

The NDIA expects you to be actively working toward a long-term housing outcome during an MTA period. That isn't just a compliance expectation — it's practical advice, because 90 days evaporates faster than anyone expects.

Here's a working timeline for an MTA placement that ends well.

Days 1–7

Settle, and confirm the destination in writing

Get the person comfortable, make sure support is actually turning up as planned, and obtain written confirmation of the long-term home — dates, contacts, what still needs to happen. Chase this in week one, not week eight.

Days 7–21

Map every dependency

List everything that must happen before the move: building works, equipment delivery, plan variations, SIL roster approval, staff recruitment and training, housemate meet-and-greets. Assign an owner and a date to each. This list is the difference between a smooth transition and a scramble.

Days 21–45

Do the slow things now

Plan variations, roster of care approvals and assistive technology quotes all have lead times measured in weeks. Start them immediately, not when the building is finished. Meanwhile, keep therapy and community connections going — an MTA period shouldn't mean life pauses.

Days 45–70

Test the transition

Visit the permanent home. Meet future housemates and staff. Where the destination is a shared home, do a trial stay if practical. This is also the point to raise the alarm if anything is slipping — early warning gives you options.

Days 70–90

Move, or request an extension with evidence

Either you're moving, or you're not — and if you're not, the extension request needs to go in now with documentation of the delay and the revised date. Requests submitted at day 88 rarely land well.

The awkward question

What happens if 90 days isn't enough

Sometimes the building runs over. The SDA vacancy falls through. A plan variation takes twelve weeks instead of four. It happens, and it's worth knowing where you stand.

Extensions are possible but not guaranteed. The NDIA may extend MTA funding where there's evidence the delay is genuine, the long-term housing outcome is still confirmed, and reasonable steps are being taken. What it won't do is roll MTA over indefinitely as a substitute for permanent housing — that's outside what the support is for.

To give an extension request the best chance:

  • Evidence the delay from its source. A builder's revised completion letter, an SDA provider's written notice, correspondence showing a plan variation in progress. Your own account of the delay carries far less weight than documentation from whoever caused it.
  • Show the destination is still real. Confirmation that the dwelling or placement remains held for you, with a revised date.
  • Show you've been active. The dependency list from your first three weeks, with what's been completed, demonstrates reasonable steps better than any assurance.
  • Submit early. Around day 70, not day 88. Decisions take time and nobody benefits from a cliff edge.

And if an extension is declined while the permanent home genuinely isn't ready, don't sit with it — talk to your support coordinator about every remaining option, including Short Term Respite for an immediate gap, alternative interim arrangements, and review pathways. The worst outcome is silence until the last day.

Which support do you need?

MTA vs STA vs SIL vs SDA

These four get confused constantly, and asking for the wrong one costs time that people in transitional situations rarely have.

MTASTA / Short Term RespiteSILSDA
PurposeBridge to a confirmed long-term homeA short break for participant and carersOngoing support in a permanent homeThe specialist dwelling itself
DurationUp to 90 daysGenerally 28 days a year, max 14 at a timeOngoingOngoing
Covers accommodation?Yes — accommodation onlyYes, bundled with supportNo — support onlyYes — the building only
Covers support?No — claimed separatelyYes, up to 24 hours a dayYes, under a roster of careNo — usually paired with SIL
BudgetCoreCoreCore (usually stated)Capital
Key requirementA confirmed destinationDisability-related need for a breakSubstantial daily support needsExtreme functional impairment

A sequence we see often: Short Term Respite weekends while a family tests the water, then MTA after an unexpected hospital admission, then a permanent SIL home — sometimes in an SDA dwelling — once the right vacancy appears. Because we deliver all of these, families don't re-tell their story to three organisations during the worst fortnight of their year.

Getting it approved

How to request MTA funding

MTA isn't automatically in anyone's plan. Somebody has to request it, with evidence, and the quality of that request determines both whether it's approved and how fast.

1

Establish the destination first

Before anything else, get written evidence of where the person is going: an SDA offer, a SIL agreement with a start date, a builder's timeline, a signed tenancy. Without this, an MTA request is very difficult to sustain.

2

Document why the current situation can't continue

An occupational therapist's assessment of why the existing home is unsuitable carries the most weight. Hospital discharge summaries, a carer's medical evidence, or a notice ending a tenancy all serve the same purpose: showing this isn't a preference, it's a necessity.

3

Request the support funding in the same breath

Because MTA is accommodation-only, your request needs to address who funds daily support during the period. If you have SIL funding, confirm it carries across. If you don't, this needs establishing now — support funding takes longer to arrange than a room.

4

Submit through your support coordinator or NDIA contact

Set out the gap, the evidence, the destination, the expected dates and the support arrangements. Be specific about timeframes — "approximately 10 weeks, with the dwelling due for completion on 14 March" beats "a few months".

5

Flag urgency where a hospital bed is involved

Where someone is occupying an acute bed they don't clinically need, say so explicitly and ask about priority processing. Hospital social workers can often support this, and NSW health services generally have a strong interest in helping it move.

6

Line up the provider before approval lands

Approval without an available property helps nobody. Talk to MTA providers while the request is in progress so that a placement can start the week funding comes through, not a month later.

Due diligence

Choosing an MTA provider in Sydney

MTA is temporary, which leads some families to think the provider matters less. The opposite is true: this is often a person's most unstable period, immediately after a hospital stay or a housing breakdown, and a poor placement can derail the permanent move it was meant to enable.

Ask exactly what's in the accommodation cost. Utilities, internet, furnishings, linen? And what isn't? Because MTA is roof-only, the boundaries need to be explicit and written down.

Ask who is providing the daily support. Some MTA providers supply accommodation only and expect you to bring your own support arrangements. Others, like us, can deliver both. Neither is wrong — but you must know which you're getting, and you must know before moving day.

Check accessibility properly. A temporary home still needs to work. Step-free entry, bathroom access, equipment clearance, hoist provision if required. Ask for photographs and measurements, and have an OT review them if the needs are complex.

Ask about clinical capability. PEG feeding, seizure management, wound care, complex manual handling. Post-hospital participants often have needs that are newer and more medical than a standard placement anticipates.

Ask what happens if the 90 days run out. A provider who has navigated extensions and knows what evidence the NDIA wants is worth a great deal at day 70.

Verify registration. Check the provider on the NDIS Provider Register and search the NDIS Quality and Safeguards Commission's published compliance actions. Ours is 4050164422.

Questions before you commit

  • What exactly does the daily accommodation cost include?
  • Do you provide support, or accommodation only?
  • Can you meet these specific clinical needs?
  • Is the property accessible for this equipment?
  • How do you coordinate with the permanent housing provider?
  • What's your experience with MTA extensions?
  • What happens if my move-in date shifts?
  • Who do I contact after hours?

Get the first two answered in writing. They cause the most disputes.

Coverage

MTA across Sydney

We deliver Medium Term Accommodation across Greater Sydney alongside Short Term Respite, SIL and SDA. Because MTA nearly always sits on a fixed timeline, we treat these enquiries as time-critical — if a discharge date or a housing delay is known, call us that week rather than waiting for funding to be confirmed.

Western Sydney

Parramatta, Westmead, Blacktown, Penrith and surrounds. The Westmead health precinct generates a high volume of discharge-related MTA requests, and proximity matters for ongoing specialist follow-up.

South West Sydney

Liverpool, Campbelltown, Bankstown, Fairfield and the Camden corridor. Liverpool Hospital is a major trauma centre, and Campbelltown's expanded capacity means more discharges needing transitional housing.

Inner and Eastern Sydney

Close to Royal Prince Alfred, Prince of Wales and Concord. Housing stock is older and accessibility varies considerably, so early assessment of any proposed property matters here.

Northern Sydney

Royal North Shore and the surrounding network. Lower overall supply of accessible transitional housing, so earlier notice makes a genuine difference.

St George and Sutherland

St George and Sutherland hospitals, with a mix of established housing and newer developments south of the river.

Regional NSW

We also support participants outside Greater Sydney. Regional transitional housing is thinner on the ground, which makes early planning and flexibility about location more important, not less.

ParramattaWestmeadBlacktownPenrithMount DruittLiverpoolCampbelltownBankstownFairfieldCamdenCamperdownRandwickSt LeonardsKogarahRydeHornsby

Facing a discharge date or a housing delay?

Tell us the timeline, the support needs and where the permanent home is up to. We'll tell you what's realistic, what to request, and what we have available — even if the funding isn't approved yet.

Call 1300 271 824
Straight answers

NDIS Medium Term Accommodation: frequently asked questions

Generally up to 90 days, or three months. Extensions can be requested where housing delays continue, but they aren't guaranteed and need evidence that the long-term home is still confirmed and that active steps are being taken. MTA is treated as a one-off support rather than something renewed indefinitely, because the whole design assumes you move into your permanent home at the end.

No — and this catches more families than anything else about MTA. The funding covers accommodation costs only. Personal care, daily living support, meals, groceries, transport and community access all come from other parts of your plan. When you request MTA, request the support alongside it in the same conversation, and confirm it's actually in place before moving day.

Core Supports. In older plans it sits under Assistance with Daily Life; in newer PACE plans it typically appears under the Home and Living core category. It's often a stated support, meaning the funding is ring-fenced for MTA specifically and can't be spent on anything else.

In practice, yes. MTA bridges a known gap rather than funding an open-ended search. The test we'd apply before submitting: can you name where this person will be living on day 91, and can you evidence it? An SDA offer, a SIL agreement with a start date, a builder's completion letter. If the answer is no, MTA is likely the wrong request and your energy is better spent escalating the housing search itself.

It's one of its main purposes, and NDIS guidance says so directly. The determining factor is almost always timing rather than eligibility. Raise MTA the week a discharge date is first mentioned — not after discharge planning has stalled for a month. Ask for a discharge planning meeting, bring your support coordinator, and make sure the request covers both accommodation and support.

Purpose, duration and what's funded. STA — now called Short Term Respite — is a short break, generally up to 28 days a year and 14 at a time, with accommodation and support bundled in an all-inclusive daily rate. MTA is transitional housing for up to 90 days that funds accommodation only. If you need a break, it's respite. If you need somewhere to live while your permanent home is prepared, it's MTA.

Speak to your support coordinator immediately rather than waiting for the MTA period to expire. The situation has changed materially, and the response may involve a new housing search with different urgency, a plan variation, a different support pathway, or an extension request while alternatives are found. What doesn't work is silence until the last week — options narrow sharply as the clock runs down.

Yes. Choice and control apply here as elsewhere. Where MTA has been arranged urgently, families sometimes feel a placement was decided for them — you're entitled to ask what other options exist, to see the property first, and to raise concerns. Practically, choice narrows with urgency and with complex accessibility needs, which is another argument for starting early.

Yes. Post-hospital participants often arrive with newer, more medical needs than a standard placement anticipates. Across our Sydney services we support PEG feeding, seizure management, wound and continence care, complex manual handling, and behaviours under registered behaviour support plans. Tell us the clinical detail at enquiry stage so we can confirm capability honestly rather than discovering a gap on arrival.

Often, yes. We deliver Supported Independent Living and Specialist Disability Accommodation across Sydney, so for many families the MTA period is spent preparing to move into one of our homes — which removes a great deal of coordination friction. That said, we'll happily provide MTA while you move into someone else's permanent placement, and we won't pressure you toward ours.

If the clock is already running, call us

MTA situations are almost always time-critical — a discharge date, a build delay, a care arrangement ending. The earlier we're involved, the more options exist. Tell us the timeline and we'll tell you what's realistic, including when the answer isn't us.

Call 1300 271 824

Or enquire online and we'll call you back within one business day.

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