Abstract: The imminent commencement of the National Disability Insurance Scheme (NDIS), initially within five trial sites, brings great hope and opportunity for people with a disability and their carers living in rural and remote Australia, and is highly welcomed. It also brings a concern about whether there can and will be an equitable allocation of resources to enable the Scheme to be rightly considered national in its reach to those people and communities. For most people living in rural and remote areas, the quality of one’s health is intrinsically related to many other determinants, such as whether someone has a disability, is aged, has employment, has satisfactory access to health, social, physical, educational and cultural pursuits. This project seeks to contribute to the development of the NDIS, particularly in its capacity to deliver for people and their carers living outside large urban settings. It has developed an increased awareness of the NDIS, and stimulated engagement by rural and remote people. In particular it has those people living with a disability, their carers, and service providers, to have their say in the development of this ‘once in a generation’ opportunity.