Price guides and pricing

NDIS Price Guide 2020-21 - effective 1 July 2020

Following the completion of the Annual Price Review to determine NDIS pricing arrangements for the 2020‒21 financial year, the NDIA has published a Price Guide and Support Catalogue on 2 June 2020 to come into effect 1 July 2020. 

These documents currently have unindexed price limits based on price limits for 2019–20, including the 10 per cent price limit increase in response to the COVID-19 pandemic, where applicable.

In mid-June, we will publish the updated price limits that apply from 1 July 2020, as these depend on the outcome of the Fair Work Commission decision on minimum wage rates.

Participant plan funds will be increased from 1 July 2020 in line with indexation.

The new look Price Guide aims to be clear and transparent about pricing arrangements and make it easier to find information for specific supports by including applicable line items and claiming rules within the one document.

In addition to the Price Guide updates outlined as part of the Annual Price Review announcement on 3 June 2020, the Price Guide 2020‒21 also incorporates pricing details to support other significant initiatives from 1 July including:

  • Psychosocial recovery coaches—to offer added support to participants with a psychosocial disability.
    • Six new line items introduced to support participants to achieve outcomes.
    • For more information visit the Psychosocial recovery page
  • Individualised Living Options—two new line items, to give people with disability access to alternative living arrangements within the Assistance with Daily Living Support Category:
    • Individualised Living Option – Exploration and Design
    • Individualised Living Option – Support Model
      • More information will be provided in July including the funding bands that will used when making this determination.
      • Providers interested in further information about ILO can email the NDIA ILO Project Team at ILO@ndis.gov.au.
  • Supported Independent Living (SIL)—set price limits for SIL supports will replace the current quoting and negotiation process.
    • The NDIA is conducting a review of SIL price controls and endorsed recommendations will be included in a Price Guide released later this year, until this review is complete the price limits for assistance with daily living will apply to SIL supports.
    • Existing plans containing agreed SIL quotes will continue until the end of their 12 month term, at which point the new SIL price limit will apply.
    • A new SIL Provider Pack will be available on the NDIS website before 1 July 2020.
  • Supports in Employment—to support increased employment opportunities for participants:
    • Five new line items introduced so eligible providers can claim for different times of day and days of week to deliver supports in employment.
    • Two new line items introduced to allow eligible providers to transport one or more participants to / from a community-based support and claim non-labour costs associated with provider travel
    • Amending the unit of measurement for ‘Employment related assessment and counselling’ support item from ‘each’ to ‘per hour’
    • Introducing new establishment fee rules for Supports in Employment
    • For more information visit the Supports in Employment page

Pricing updates in response to coronavirus (COVID-19)

To help providers to continue to deliver supports to participants through this time, the NDIA has introduced a number of temporary changes, including:

Low cost assistive technology (AT)

To assist participant access to supports and interpreting services which are now being delivered online, a temporary support item has been introduced so that participants can use capacity building funds to claim for low cost AT items to receive their funded supports and services.

This includes items such as fitness equipment and smart devices.

The cost of a smart device should not exceed $750.

A number of requirements need to be met before participants can use NDIS funds to buy low cost AT items including that purchases are in consultation with existing support providers—refer to the Price Guide for details.

This applies from 30 April 2020 until 30 September 2020, with a review before the end of June 2020.

Hospital discharge

From 30 April 2020, two temporary support items were added to support participants leaving hospital to continue to access the assistive technology (AT) they need to be safely go home from hospital. They can cover the AT rental for up to six months until their short, medium and long term AT and home modification needs can be assessed and an amended plan is in place.

This applies until 30 September 2020, with a review before the end of June 2020.

Supported independent living (SIL)

From 30 April 2020, two support items were temporarily introduced to manage the care and support of participants in supported independent living (SIL) who are diagnosed with coronavirus (COVID-19):

  • Cleaning services—$300 for a one-off professional deep cleaning of a residence of a participant newly diagnosed with coronavirus (COVID-19).
  • Additional supports—$1,200 can be claimed each day in addition to the usual SIL claim, to ensure participants get the support they need. This can be claimed from the date that the infection is confirmed until the participant is no longer infectious.

This applies until 30 September 2020, with a review before the end of June 2020.

Temporary increase in price limits

From 25 March 2020, a 10 per cent temporary increase was applied to the price limits of 402 price controlled items in selected support categories.

These items are identified in the NDIS Support Catalogue with “Includes COVID Loading” in the description of the item. This increase is until 30 September 2020, with a review before the end of June 2020. 

Cancellations

From 25 March 2020, the notice period for a short notice cancellation was also temporarily increased.

Please refer to the Cancellations policy in this document for more information.

This applies until 30 September 2020, with a review before the end of June 2020.

New line items for Support Coordination

From 25 March 2020, the support items for Support Coordination were temporarily duplicated into the Core Support Category – Assistance with Daily Life – so that participants can have greater access to support coordination services if they need them.

For more information, refer to the Price Guide and Support Catalogue and the coronavirus (COVID-19) FAQs for participants and providers.

NDIS Price Guide and Support Catalogue 2019-20 - effective 30 April 2020 to 30 June 2020

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. 

Providers can also read the NDIA's Market position statements and recently released quarterly data on the performance of the NDIS.

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.

Other information

Please direct queries to your local NDIA Provider Engagement team or email the NDIA.

This page current as of
5 June 2020