On this page:
- Pricing updates – effective 1 July 2021
- NDIS Pricing Arrangements and Price Limits 2021-22 - new price limits
- NDIS Pricing Arrangements and Price Limits 2021-22 - clarifications
- Pricing arrangements for supported independent living (SIL)
- Next annual pricing review
- Understanding pricing updates - for participants
Pricing updates – effective 1 July 2021
Updated pricing documents can be downloaded from the Pricing arrangements page.
NDIS Pricing Arrangements and Price Limits 2021-22 - new price limits
Disability Support Worker Cost Model – effective 1 July 2021
The 2021-22 price limits for supports delivered by disability support workers in line with the NDIS Disability Support Worker Cost Model have been updated to allow for:
- the increase in the super guarantee percentage from 9.5% to 10%
- the Fair Work Commission 2.5% increase in the minimum wage.
SDA indexation of price limits - effective 1 July 2021
The price limits for specialist disability accommodation (SDA) have been increased by 1.1%.
The refurbishment thresholds, which determine if an existing SDA dwelling can be treated as a new dwelling, have also been increased by 1.1%.
SDA price limits have been updated to reflect movement in the Consumer Price Index .
Temporary transformation payments - effective 1 July 2021
The Temporary Transformation Payment (TTP) loading has been reduced by 1.5%, from 6% to 4.5%, as planned.
Group-based supports – effective 1 July 2021
In response to sector feedback and the impact of COVID-19, the transitional pricing arrangements for group-based supports have been extended until 30 June 2022.
Extending the transition for a further 12 months allows providers more time to adopt a program of supports approach and agree the new arrangements with participants. This helps reduce the administrative burden of the new pricing arrangements.
NDIS Pricing Arrangements and Price Limits 2021-22 - clarifications
We have clarified the following in the NDIS Pricing Arrangements and Price Limits (previously the NDIS Price Guide):
- claiming for more than one worker or therapist
- provider prepayments
- Australian Business Numbers (ABN) a requirement for all plan-managed payment requests
- calculating claims for support items with a ‘notional’ price limit.
Providers should not tell participants that their prices are set by the NDIA. Prices are negotiated and agreed by providers and participants. Registered providers cannot set prices higher than the price limits in the NDIS Pricing Arrangements and Price Limits
Claiming for more than one worker or therapist
If a participant needs assistance from more than 1 worker or therapist at the same time, providers can claim for everyone’s time. For example:
- ‘Shadow shifts’ to allow new workers to be introduced to a participant who has complex individual support needs.
- Supervision of, or specific training for, therapy assistants by the supervising therapist as part of the handover of the support delivery.
- A case conference between therapists about the specific support needs of a participant.
Providers can now claim prepayments for some supports without written approval from the NDIA. Prepayments are subject to the conditions listed in NDIS Pricing Arrangements and Price Limits.
Australian Business Numbers (ABN) and plan-managed payment requests
Plan managers must include the ABN of service providers when making payment requests for plan-managed services and supports.
Claiming for support items with no price limit
Where a support item does not have a price limit, providers can calculate claims using the ‘notional’ unit price listed in the NDIS Support Catalogue and the NDIS Assistive Technology, Home Modifications and Consumables Code Guide (Code Guide).
To enable consistent claiming across a number of supports, where a support has a notional unit price, it is now set at $1.
The Support Catalogue and the Code Guide now include the notional $1 unit price for the following supports:
- Provider travel – non-labour costs
- Activity based transport
- AT repairs and maintenance
- AT rental (including deactivated supports)
- Low cost AT
- AT delivery (including deactivated supports)
- Assistance with daily life tasks in residential aged care
- Incontinence alarms.
Examples of how to calculate a claim using the notional unit price are included in the NDIS Pricing Arrangements and Price Limits.
Pricing arrangements for supported independent living (SIL)
In 2020-21 we conducted a review of SIL pricing arrangements. The Report of the Review of Pricing Arrangements for Supported Independent Living recommended that the price limits for SIL supports should continue to be aligned with the price limits for other Assistance with Daily Life supports.
Further analysis of SIL costs will be undertaken as part of the next Annual Pricing Review.
- Report of the Review of Pricing Arrangements for Supported Independent Living July 2021 (DOCX 1MB)
- Report of the Review of Pricing Arrangements for Supported Independent Living July 2021 (PDF 1.2MB)
Next annual pricing review
In 2020 we decided to undertake all future annual pricing reviews in the first half of each financial year to better align pricing reviews with provider business and budget cycles.
The next Annual Pricing Review is scheduled from August to December 2021, with changes to come into effect 1 July 2022.
Providers, please direct queries to your local NDIA Provider Engagement team or email [email protected].
Understanding pricing updates - for participants
Understanding pricing updates explains the key changes in the NDIS Pricing Arrangements and Price Limits 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.