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.

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. 

There are two items in the current Addendum, one for plan managers and the other for supported independent living (SIL) providers to use in the event of a participant’s death.

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.

Home and Living Demonstration Projects Addendum

The Home and Living Demonstration Projects Addendum is an addendum for the new SIL support item to specifically support the implementation of the Home and living demonstration projects, for use by NDIS providers with a Memorandum of Understanding to deliver the Round 1 demonstration project.

Group-Based Social and Community Participation Supports – Guidance for Pricing Transition

The Transitional Arrangements for Community and Centre Based Group Activities will not be claimable for supports delivered from 1 January 2024. 

The NDIA developed the Group-Based Social and Community Participation Supports Guidance for Pricing Transition to help providers who deliver these supports move to the new pricing.

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 is in effect from 5 May 2023:

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.

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.

Learn about recent pricing updates.
 

This page current as of
16 May 2023
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