NDIS Price Guide 2020-21
The NDIS Price Guide and Support Catalogue 2020‒21 reflects the Annual Price Review and indexed prices as a result of the Fair Work Commission Annual Wage Review 2019‒20.
- Price Guide 2020‒21 (DOCX 403KB) - effective from 25 October 2020
- Price Guide 2020‒21 (PDF 2MB) - effective from 25 October 2020
- Price Guide 2020-21 (DOCX 403KB) - effective from 1 December 2020
- Price Guide 2020-21 (PDF 2MB) - effective from 1 December 2020
- Price Guide Schedule of Addenda (DOCX 50KB)
- Price Guide Schedule of Addenda (PDF 296KB)
- Price Guide Addendum (DOCX 51KB)
- Price Guide Addendum (PDF 316KB)
- Support Catalogue 2020‒21 (CSV 152KB) - effective from 31 July 2020
- Support Catalogue 2020-21 (CSV 152KB) - effective from 1 December 2020
- Price Guide 2020‒21 for Specialist Disability Accommodation (SDA)
- Assistive Technology, Home Modifications and Consumables Code Guide.
Update to the NDIS Price Guide and Support Catalogue – November 2020
The NDIS Price Guide was updated on 17 November with the following:
A final adjustment of the Equal Remuneration Order (ERO)
Effective 1 December 2020, price limits of 369 support items will increase due to the final ERO adjustment. Price limits for impacted support items will increase by between 1.5% and 2.7%.
For a list of impacted support items, please refer to ‘Price limits determined by the Cost Model’, located in the Disability Support Worker Cost Model 2020-21.
Clarifying programs of support for Early Childhood Intervention (ECI) supports.
Providers of capacity building ECI supports can enter into an agreement with a participant for programs of support. Programs of support for ECI can include group and one-to-one supports for participants.
Clarifying claiming for telehealth
Telehealth services can be offered to participants who are not, or cannot be, in the same physical location as the provider. Providers must ensure the standard of care delivered through telehealth is equal to face-to-face care.
A new ‘Telehealth’ claim field has been added to the myplace provider portal for supports delivered via telehealth.
Increased price limits and new columns in the Support Catalogue
The Support Catalogue has been updated to reflect increased price limits of 369 support items as a result of the final ERO adjustment. There are also 5 new columns in the Support Catalogue to help providers identify if a support item is eligible for:
- non-face-to-face support provision
- provider travel
- short notice cancellation
- NDIA requested reports
- irregular Supported Independent Living (SIL) options.
Update to the NDIS Price Guide – October 2020
The NDIS Price Guide was updated on 22 October with the following:
A list of locations impacted by changes to geographic classifications is available on the Annual price review page.
Psychosocial recovery coaches – report writing
Psychosocial recovery coaches are able to claim for report writing under the applicable Psychosocial Recovery Coaching line items.
New ‘Irregular SIL Supports’ claim field for providers
A new claim field in the myplace provider portal for ‘Irregular SIL Supports.’ The new claim field should be used when a SIL support is provided in unexpected or unplanned circumstances.
Price Guide COVID-19 response summary
The following temporary measures apply by area and timeframe.
Please refer to the Coronavirus (COVID-19) Response section of the NDIS Price Guide 2020-21 and Price Guide Addendum for more information. An updated Addendum was published 19 November 2020.
Ongoing increased access to support coordination
Support items for support coordination have been temporarily duplicated in the Core Support Category – Assistance with Daily Life so participants can have greater access to support coordination services if needed.
The following measures are available nationally until 28 February 2021
Assistive technology (AT)
Two support items are available so participants discharged from hospital have immediate access to AT needed to be safe at home for 6 months until their longer term AT and home modification needs can be assessed and an amended plan is in place.
One support item is available so participants can use Capacity Building funds to access low cost AT items associated with the delivery of their supports and in consultation with their existing support providers.
Supported independent living (SIL) providers
Two support items - cleaning services and additional supports - are available for participants living in SIL arrangements who:
- have been diagnosed with COVID-19
- are required to self-isolate or quarantine
- are in isolation or quarantine while waiting for the results of a COVID-19 test or because of measures taken by government or medical authorities in response to the COVID-19 pandemic.
Participants can access a one-time deep clean cost when a support worker who has visited their home has received a positive COVID-19 diagnosis.
The following measures apply to restricted areas only, inclusive dates below:
- NSW and Victoria – 29 July 2020 to 28 February 2021
- South Australia - 19 November to 30 November 2020
- restricted areas in Queensland – from 22 August to 25 September 2020
- a list of restrictions by local government area/state and the date they are applicable appears in the NDIS Price Guide Addendum.
Low cost disability-related health consumables – personal protective equipment (PPE)
Participants who receive an average of at least one hour a day of face-to-face daily living supports can access up to $50 per week from their budget for PPE for their use when their support worker is supporting them.
PPE for support workers
Providers can claim PPE for support workers of up to $50 per worker, per participant, per day, or directly invoice the NDIA up to $1.70 per hour of support delivered, per participant, up to 24 hours per day.
Providers must be delivering essential daily life services to participants in one of these three support categories:
- 0104 High Intensity Daily Personal Activities
- 0107 Daily Personal Activities
- 0115 Assistance with Daily Life Tasks in a Group or Shared Living Arrangement.
Temporary changes to 30 June 2020
From 25 March 2020 to 30 June 2020, a 10 per cent temporary increase was applied to the price limits of 402 price controlled items in selected support categories.
These items were identified in the NDIS Support Catalogue 2019-20 with “Includes COVID Loading” in the description of the item.
From 25 March 2020 to 30 June 2020, the notice period for a short notice cancellation was temporarily increased.
How pricing works
The NDIA sets price limits for some supports to ensure they provide value for money for participants.
Changes to prices are updated to respond to market trends and changes in costs and are generally identified through an Annual Price Review, with any new prices outlined in an updated price guide, effective 1 July each year.
The Pricing Reference Group helps guide NDIS price regulation activities and decisions.
Refer to the Annual price review page for the latest updates.
Understanding the Price Guide - for participants
Understanding the Price Guide explains the key changes in the Price Guide and Support Catalogue and how they might affect participants, their families and carers.
It’s important for participants to understand all of the prices they might be charged, so they can be confident of receiving value for money from their plan budget.
- Pricing strategy (DOCX 89KB)
- Disability support worker cost model 2020-21 (DOCX 188KB)
- Disability support worker cost model 2020-21 (PDF 1.5MB)
Please direct queries to your local NDIA Provider Engagement team or email the NDIA.