Understanding the Price Guide 

The NDIA released an NDIS Price Guide and Support Catalogue 2020‒21 that is in effect from 1 July 2020.

This information explains some of the pricing changes that will happen from July 2020  and how those changes might affect you, your family and your carers.

It’s important to understand all of the prices you might be charged by your providers, so you can be confident you are receiving value for money from your plan budget.

You should be aware of your rights and you must have the opportunity to discuss any changes to prices you pay providers.

Below, we have explained what each change means and how it may affect you.

Update for participants impacted by COVID-19 in New South Wales, Victoria and restricted areas in Queensland only

What has changed?

We have made some temporary changes to help you meet current public health guidelines in NSW, Victoria and restricted areas of Queensland.

These arrangements are in place in NSW and Victoria from 29 July to 30 September 2020, and in restricted areas of Queensland from 22 August to 30 September 2020. We may make changes in the future. 

Face masks and personal protective equipment 

What has changed?

From 29 July 2020 providers in NSW and Victoria, and from 22 August 2020 providers in restricted areas of Queensland may be able to charge you for face masks and other personal protective equipment (PPE).

This is to help keep you and your disability support workers safe, while you are receiving face-to-face supports to assist you with daily living.

How does it affect me?

Providers may contact you to discuss pricing arrangements and update service bookings.

If your NDIS funds are low, you can call us on 1800 800 110. Special teams of planners in the NDIA are available to discuss your situation and undertake a plan review if needed.

Cleaning services in NSW, Victoria and restricted areas of Queensland

What has changed?

From 29 July 2020 in NSW and Victoria and from 22 August 2020 in restricted areas of Queensland, if you have a support worker attend your home who later tests positive to coronavirus (COVID-19), you can pay for a one-off professional deep clean of your house through your NDIS funds.

How does it affect me?

If this happens, your providers may contact you to organise a one-off professional deep clean of your house using NDIS funds. 

If you need more assistance or your NDIS funds are low, you can call us on 1800 800 110. Special teams of planners in the NDIA are available to discuss your situation and undertake a plan review if needed.

Participants living in Supported Independent Living (SIL) in NSW, Victoria and restricted areas of Queensland who are required to self-isolate or quarantine

What has changed?

From 29 July 2020 in NSW and Victoria and from 22 August 2020 in restricted areas of Queensland, you can receive a one-off professional deep clean of your house if you:

  • need to quarantine or self-isolate and
  • live in SIL.

You can access additional Assistance with Daily Living and Short Term Accommodation (if needed) from your NDIS funds. 

How does it affect me?

You should speak with your SIL provider about organising a one-off professional SIL deep clean.

You can also talk to your LAC or planner.

Pricing updates in response to coronavirus (COVID-19)

What has changed?

The NDIA has made some temporary changes to ensure supports can continue to be delivered to participants during this time, including:

  • low cost assistive technology (AT) arrangements because many face to face services are being suspended, and capacity building supports and interpreting services are now being delivered online
  • assistive technology (AT) rental ability to meet your immediate needs when leaving hospital
  • supported independent living (SIL) arrangements if you are diagnosed with coronavirus (COVID-19)
  • introducing three new support coordination items under Core Supports to support plan flexibility

The following changes ended 30 June 2020:

  • a temporary 10 per cent increase to the price limit of some Core and Capacity Building supports
  • changes to the cancellation rules.

How does it affect me?

Low cost assistive technology (AT)

You can use existing NDIS funds to buy low cost AT such as fitness equipment and smart devices, when:

  • you have discussed with your provider the most appropriate low cost AT to meet your needs;
  • the item will be used as part of your funded NDIS supports like a program, therapy or requirement (for example physiotherapy or Auslan interpreting provided via video conferencing);
  • the provider has confirmed in writing that the item is necessary for your supports and services during current physical distancing requirements;
  • you provide documents to the NDIS confirming items are necessary;
  • it is the lowest specification that will maintain funded supports;
  • you do not already have the item, another suitable item or access to the item;
  • the item has not been funded by another service system (such as education or employment); and
  • the item or circumstance is not excluded (such as devices for entertainment).

Participants should not spend more than $750 on a smart device. 

Assistive technology rental when leaving hospital

If you are leaving hospital, you can immediately access the assistive technology you need to be safe at home or your first destination.

This applies for up to six months until your short, medium and long term assistive technology and home modification needs can be assessed and you have an updated plan in place.

Supported independent living (SIL) items if you are diagnosed with coronavirus (COVID-19)

If you are funded for supported independent living (SIL) and have been diagnosed with coronavirus (COVID-19), providers can claim additional costs to manage your care and support when you:

  • continue to reside in the your normal SIL accommodation
  • are admitted to hospital
  • are relocated to alternative housing for isolation purposes or while transitioning into or out of hospital.

This support is available for all participants in Australia who have been diagnosed with coronavirus (COVID-19). This covers:

  • $300 for a one-off professional deep clean of your SIL residence
  • additional support of $1,200 a day, from the date your infection is confirmed until you are no longer infectious (usually up to 14 days). This is on top of the cost of your usual SIL supports and includes increased costs for staffing, equipment, laundering and more.

Three new support coordination items to support plan flexibility

Three new support coordination items were introduced under Core Supports, Assistance with Daily Life. The new item numbers allow you to use your funds more flexibly to access these supports from either your Core or Capacity Building budgets.

Temporary increase to price limits

The NDIA temporarily increased price limits by 10 per cent for some critical supports in recognition of additional costs to providers at this time. This temporary price increase applied to some supports delivered between 25 March and 30 June 2020. Participant plans were automatically extended to ensure you continue to have access to funding.

Cancellations

Between 25 March and 30 June 2020, participants were required to give 10 business days’ notice (up from two days) for a cancellation if they wanted to avoid paying the full fee for a cancelled service.

Impact on your plan

The NDIA has made changes to make sure you have the funding you need to meet essential needs during the coronavirus (COVID-19) pandemic. 

This includes taking a flexible approach to amending plans and, where necessary, shifting capacity building funding to core supports funding. 

If we have been unable to undertake a plan review, on the day your current plan ends, it will be automatically extended by 365 days to make sure you have the funding you need.

For supports not included in a plan, special teams of planners are available to help make urgent changes to plans. Participants can phone 1800 800 110 for urgent assistance. 

For more information on any of the above items, refer to the coronavirus (COVID-19) FAQs for participants.

Participant transport

What has changed?

From March 2020, you can use your plan’s support funding to pay registered providers transport costs when they are transporting you to and from a number of community activities funded in your NDIS plan including employment and higher education.

While these are not price controlled, the NDIS Price Guide outlines reasonable levels of costs that providers can claim for. These include: 

  • up to $0.85 a kilometre for a vehicle that is not modified for accessibility
  • up to $2.40 a kilometre for a vehicle that is modified for accessibility or a bus
  • other forms of transport or associated costs up to the full amount, such as road tolls, parking, public transport fares

This does not allow for payment of fines or other similar costs.

How does it affect me?

You can now use your budget flexibly to pay registered providers for their transport costs when they are transporting you to and from a number of community activities, and selected capacity building activities where they are funded in your plan.

Providers can claim these costs through the myplace provider portal.

This means you can continue to access your community-based supports, employment supports and higher education supports because registered providers can claim transport costs.

Your provider should discuss with you and explain any transport costs such as reasonable vehicle running costs or other associated costs before you are charged and before service bookings are updated.

If you have chosen to receive a periodic payment for transport, then that payment continues.

If you are concerned that you don’t have enough funds in your plan to cover transport costs, you may request a plan review. 

What exactly are (and are not) “NDIS funded community activities”? 

The Activity-based transport items listed in the NDIS Price Guide and Support Catalogue include the following community-based activities :

  • Assistance with social and community participation
  • Improved living arrangements
  • Increased social and community participation
  • Finding and keeping a job
  • Improved relationships
  • Improved learning.

Can I use the funds for transport to go to doctor appointments?

Generally the answer is no, as medical appointments are usually personal activities, rather than a funded support within an NDIS plan.

Can I use the funds to go and see my friends?

No, this change is for selected capacity building supports and activity-based transports. 

Is this only for people who have service providers? What if we don’t have a service provider but want to use some of our core funding for transport?

This enables registered providers to submit payment requests to cover the transport costs they incur as part of transporting participants to and from community-based activities and selected capacity building supports. Participants funded for transport as a Core support can use their funding flexibly to book a transport provider.

Can I use my core funding to pay the difference between the taxi fare and my vouchers? Is that allowed?

Participants funded for transport as a Core support can use their funding flexibly to book a transport provider. Participants receiving transport funding as a periodic payment can also use those funds to pay the difference. 

What happens if my provider charges more than 85 cents a kilometre? 

While these items are not price-controlled, the Price Guide outlines the reasonable level of these non-labour costs which participants and providers can use to discuss and agree on charges. Providers cannot charge more than participants have agreed to pay. Participants have choice and control over how they spend their NDIS funds and which providers they choose to deliver their services.

Who should I contact to discuss these changes?

If you have any questions about the pricing changes or specific policies you can: 

  • talk to your providers, and/or 
  • discuss your situation with LACs and Support Coordinators. They can help you shop for supports, check prices and meet your support needs within your budget.

You have choice and control over how you spend your NDIS funds and which providers you choose to deliver their services. It is up to you with the assistance of your family, carer or Support Coordinator to manage your supports within your allocated plan budget.

Remember, we want to ensure that quality supports and services are available to you and that those services meet your personal needs. 

Before a provider can charge you higher prices, they must first get your agreement before they can make a claim in the myplace portal.

If you think you can get a better service from your plan funds, you can discuss this with your provider or Support Coordinator, or you may even choose to find another provider instead.

If a provider wants to charge the TTP, they are required to publish their pricing information. This will promote greater transparency about the value for money for all NDIS participants.

This page current as of
27 August 2020
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