New NDIS Pricing Arrangements and Price Limits for 2024-25: What You Need to Know

Key Changes to NDIS Pricing

1. Provider Travel Costs

   • The provider travel guidance has been updated, with the reimbursement rate for travel costs increasing from $0.97 per kilometre to $0.99 per kilometre. This small bump helps cover the rising costs associated with travel for support services.

2. Behaviour Management Plans

   • There have been corrections and updates to the price limits for Behaviour Management Plans. These adjustments ensure that the pricing accurately reflects the services provided, promoting fair compensation for support providers.

Understanding the New Pricing Arrangements

The NDIS Pricing Arrangements and Price Limits document sets out the pricing structures and limits for various support services provided under the NDIS. This document is essential for both participants and providers to understand how price controls work within the NDIS, ensuring that participants receive value for money.

• Agency Managed Participants: Providers must be registered with the NDIS, declare relevant prices, and adhere to the prescribed price limits.
• Plan Managed Participants: Plan managers must ensure that prices charged do not exceed the set limits, regardless of whether the provider is registered or unregistered.
• Self-Managing Participants: These participants have more flexibility, as they can use registered or unregistered providers and are not subject to the same price limits.

Important Details for Providers

• Service Agreements: These agreements between participants and providers outline what supports will be delivered, prices, and other terms. They are crucial for setting clear expectations and resolving any issues that may arise.
• Claiming for Supports: Providers must claim payments for supports delivered accurately and adhere to the specific rules for each support item. Misrepresenting claims is a serious compliance issue.
• Non-Face-to-Face Supports: These can be claimed under certain conditions, such as writing reports related to a participant’s progress. However, administrative tasks like processing payment claims are not billable.

Provider Travel and Cancellations

• Provider Travel: Providers can claim travel costs for delivering face-to-face supports. The updated reimbursement rate is $0.99 per kilometre, and there are specific conditions for claiming these costs, including having prior agreement with the participant.
• Short Notice Cancellations: Providers can claim up to 100% of the agreed fee for cancellations made with less than two clear business days’ notice, given that they were unable to find alternative billable work for the relevant time.

These changes are designed to ensure fair compensation for providers while maintaining value for participants. For more detailed information, you can always refer to the full NDIS Pricing Arrangements and Price Limits document available on the NDIS website.

Stay informed and make sure your service agreements and claims align with these new updates to keep everything running smoothly!