Pricing arrangements

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NDIS Pricing Arrangements and Price Limits

NDIS Pricing Arrangements and Price Limits (previously the NDIS Price Guide) assist participants and disability support providers in understanding how price controls for supports and services work in the NDIS.

Price regulation is in place to ensure that participants receive value for money in the supports that they receive.

The Support Catalogue lists all available supports providers can use when lodging a payment request.

It also provides information on the current (and previous) price limits for each support item and indicates which claim types (travel, non-face-to-face, etc.) apply for each price-limited support item.

Price limits are the maximum prices that registered providers can charge NDIS participants for specific supports.

Participants and providers can negotiate lower prices. The rules outlined in the NDIS Pricing Arrangements and Price Limits must be followed when supports are delivered to NDIA-managed or plan-managed participants.

The NDIA regularly updates pricing arrangements.

NDIS Pricing Arrangements and Price Limits 2024-25 (PDF 1.3MB) - effective 1 October 2024  

NDIS Pricing Arrangements and Price Limits 2024-25 (DOCX 381KB) - effective 1 October 2024    

NDIS Support Catalogue 2024-25 (XLSX 547KB) - effective 1 October 2024 

Addenda

Bereavement Addendum 

The NDIS Bereavement Addendum lists support items that providers can claim after an NDIS participant has died.

The NDIS Bereavement Addendum is not a standalone document and must be read in conjunction with NDIS Pricing Arrangements and Price Limits. 

COVID Addendum 

The COVID Addendum contains temporary measures introduced in direct response to the coronavirus pandemic and the regions and dates the measures are applicable. 

The COVID Addendum is not a standalone document and must be read in conjunction with NDIS Pricing Arrangements and Price Limits.

Group and Centre Based Social and Community Participation Supports – Pricing Transition

The transitional pricing arrangements for group and centre based social and community participation supports end on 31 December 2023.

The new pricing arrangements must be used from 1 January 2024

A range of resources are available to support transition. 

  • You can download guidance for providers who deliver group and centre based social and community participation supports. You can also find more information and answers to frequently asked questions in our video presentation series published here.
  • The pricing changes may require some participants to enter new service agreements or update their schedule of supports. To help explain the changes to participants, you can download a participant guide or easy read participant guide.  
  • Plan managers can download the plan manager fact sheet to help understand the pricing change from an invoicing and claiming perspective. 

Resources

Assistive Technology, Home Modifications and Consumables Code Guide

The Assistive Technology, Home Modifications and Consumables Code Guide lists the most commonly used supports.

It is not a comprehensive list of all supports that may be provided as reasonable and necessary under the NDIS. 

The following Code Guide will come into effect from 1 July 2024:

Pricing Arrangements for Specialist Disability Accommodation

Pricing Arrangements for Specialist Disability Accommodation (previously the Price Guide for Specialist Disability Accommodation) is a summary of prices that apply to Specialist Disability Accommodation (SDA) under the NDIS.

Pricing arrangements for SDA can be found on the SDA pricing and payments page.

Disability Support Worker Cost Model

The cost model estimates the cost of delivering a billable hour of support taking into account all of the costs associated with every billable hour.

The NDIS Disability Support Worker Cost Model has been updated to better reflect the cost structures of efficient providers in the sector.

This model is the basis of the price limits set by the NDIA for supports delivered by disability support workers.

Pricing updates

The NDIA regularly reviews and makes changes to pricing arrangements to ensure our approach:

  • better meet the needs of participants, their families, carers and providers
  • remains affordable and in place for future generations of Australians.

The NDIA is appointing an independent expert to review the NDIA pricing of music and art therapy compared with other allied health therapies.

Find more information on the Making pricing decisions page.

Learn about recent pricing updates.
 

This page current as of
13 December 2024
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