AFTER more than two decades of support, Stanthorpe resident John Cobon was distressed to receive a letter saying Darling Downs public NDIS provider Community Options would be withdrawing the vital services that help him live an independent life.

Mr Cobon has been living with the help of Community Options for 24 years after a spinal cord injury left him in a wheelchair.

But Queensland Health's decision to remove the services provided to NDIS clients through Community Options has left Mr Cobon and many others worried and uncertain about where they will go.

"There are not any options out here for me, that's why these services were brought here in the first place,” he said.

"The NDIS has been paying for this service already and now they are deciding to close it down... I just cannot understand why.”

For decades, Community Options has provided a wide range of services to hundreds of people in the Southern Downs who live with a disability.

As part of the NDIS roll-out in 2017, Community Options became a registered NDIS provider, allowing NDIS participants to continue the strong, trusting relationships they had formed with Community Options staff over a long period of time.

Bur this will all be taken away as NDIS participants have been told to seek alternative arrangements through private NDIS providers.

Mr Cobon said there simply wasn't anyone there that could step in to do the job.

"They are probably thinking we can get our own people to do it, but there is not enough people in these regional areas to attract private providers to start up a business... it won't be economical for them to run it,” Mr Cobon said.

Without someone to help him manage the cleaning and upkeep of his house, Mr Cobon worries he will be forced to move out of the place he calls home.

Mr Cobon spent thousands of dollars renovating his home to accommodate his disability, but without the care of Community Options he could be forced to move.

"The services help me live in my home, without them I would have to live in a facility,” he said.

"It means that I wouldn't be able to live in these regional areas and I will have to go in to debt buying a place in a city area... a lot of people want to stay in their community that they know.”

Mr Cobon was also worried about losing a close relationship with Community Options staff.

"You have a constant person coming into your house and you develop a good working and social relationship with them,” he said.

A spokeswoman from Darling Downs Hospital and Health service said that Community Options would continue to provide aged care support and assist those who were ineligible for the NDIS.

But Mr Cobon struggles to fathom why NDIS participants have been singled out.

"The service will still be in this region but they are closing it to NDIS clients only,” he said.

"Any others that are receiving aged care will still get help.

"Why are they closing it to us and still keeping it open for others?”

But DDHHS CEO Peter Gillies said the decision would allow private NDIS providers to expand.

"It is an opportunity for new and existing providers to increase their activity,” Dr Gillies said.

"We see this as a great thing for the community, there are a lot of wonderful providers out there.”

Queensland Health said it would not withdraw support services for NDIS participants until appropriate alternative arrangements were in place for existing clients.

"No one will be left in the lurch,” Mr Gillies said.