This page explains some of the recent pricing changes and how those changes might affect you, your family and your carers.

It’s important to understand all of the prices you might be charged by your providers, so you can be confident you are receiving value for money from your plan budget.

Learn more about NDIS Pricing Arrangements and Price Limits and who needs to follow them.

You should be aware of your rights and you must have the opportunity to discuss any changes to prices you pay providers.

Below, we have explained what each change means and how it may affect you.

Adjusting your current funds

What has changed?

In the past, any funds in your plan at the end of the financial year – 30 June  –  were adjusted for new price limits. This year your plan will not be adjusted for pricing changes. 

How does it affect me?

If you usually spend all of the funds in your plan, and your plan end date is close, this might affect you. We have a process in place to monitor plan utilisation and identify participants who are likely to utilise their entire funded supports before their plan end date. We will ensure participants continue to receive supports without disruption. If you have any concerns about your plan funds, contact us for a plan review.

Increase in price limits for disability support workers

What has changed?

The minimum wage and the employer superannuation percentage increased on 1 July 2021.

How does it affect me?

These increases are factored into the new NDIS price limits for disability support workers, so your provider may want to talk to you about increasing the cost of some of your supports.

Increase in specialist disability accommodation price limits

What has changed?

The Consumer Price Index increased by 1.1% in March 2021. The NDIA is increasing SDA price limits and SDA refurbishment thresholds by 1.1%.

How does it affect me?

From 1 July 2021, if you have a plan review with a new service booking, your provider can start charging up to the new SDA price limits.

Claiming for more than one worker or therapist

What has changed?

We have added an explanation to the pricing arrangements to make it clear that your provider can claim for the time of more than one worker or therapist when delivering a support.

How does it affect me?

Sometimes you might be paying for 2 support workers for 1 type of support. For example, when several of your therapists have a discussion about your supports or your support worker is handing over to another worker. Before you are charged, your provider should explain what you are being charged for.

Prepayments

What has changed?

Providers can now claim prepayments for some supports without written approval from the NDIA.

How does it affect me?

If you have NDIA approval to purchase customised or high cost supports, your provider can ask you to pay a deposit or make a series of payments prior to the delivery of your support.

Support for providers helping participants in supported independent living (SIL) to access the COVID-19 vaccine 

What has changed?

We are now offering SIL providers who help you to get your COVID-19 vaccinations a one-off payment. This payment is for the administration costs of arranging your appointments and making sure you understand and consent to the vaccination.

How does it affect me?

If you want to get your COVID-19 vaccination, you should discuss your options with your provider. 

Your provider will claim the $150 directly from the NDIA, it does not come out of your plan. Other costs such as transport to your vaccination appointments and your support worker will be claimed from your plan.

PPE claiming for participants

What has changed?

If you have a reasonable and necessary need for PPE when your disability worker is supporting you, and you receive an average of at least one hour a day of face-to-face daily living support, you can use your NDIS funds to purchase PPE.

As a general guide, the weekly cost of PPE is not expected to exceed $50 per week.

You can also claim for PPE using the Disability-Related Health Consumables - Low Cost support line item: 03_040000919_0103_1_1

If you need to purchase face masks or PPE for other use, this is still an everyday expense, and cannot be met with NDIS funds.

Plan and self-managed participants can purchase PPE and record and claim their purchases in the usual way. 

NDIA-managed participants can purchase PPE through registered providers.

This is to help keep you and your disability support workers safe, while you are receiving face-to-face supports to assist you with daily living.

How does it affect me?

If you need PPE items like face masks, face shields and gloves you can use your Core supports budget to purchase these items. 

If your NDIS funds are low, you can call us on 1800 800 110. 

PPE claiming for providers

What has changed?

From 1 January 2022, the NDIA has applied a temporary increase in some NDIS price limits in recognition of the costs of support worker PPE to providers in the delivery of supports.

Between 1 January and 30 June 2022:

  • price limits for community participation supports and supports with activities of daily living, other than group core supports and supported independent living (SIL), will increase by 0.25% 
  • price limits for group core supports and SIL will increase by 0.4%.

We have provided a higher increase for group core supports and SIL supports to account for the greater need for PPE when delivering these supports. 

The increased price limits are a temporary measure. We continuously monitor public health orders and the need for this support.

How does it affect me?

From 1 January 2022, providers can no longer claim the cost of PPE for support workers from a participant's plan.

The NDIS COVID Addendum outlines the dates for these temporary supports.

Learn about other temporary COVID-19 supports available to you on the For participants - coronavirus (COVID-19) page.

Claiming the costs of rapid antigen tests in supported independent living 

What has changed? 

To ensure the ongoing safety and continuation of services to participants, we are offering support to supported independent living (SIL) participants and providers to access rapid antigen testing.

Between 23 December 2021 and 31 January 2022, eligible participants and providers can directly claim up to $12.50 per rapid antigen test (RAT).

RAT support can be claimed by:

  • SIL providers when a support worker is required to undergo COVID-19 testing to safely deliver supports to a participant, based on state and territory public health advice 
  • Participants in SIL when it is needed in order to safely live in their dwelling.

This temporary measure is available nationally until 31 January 2022, while longer term support arrangements are being considered, consistent with health orders and advice from the Australian Health Protection Principal Committee (AHPPC).

We will review this temporary measure on an ongoing basis to determine what changes are needed to safely deliver supports and services. 

We have published an updated COVID Addendum with the dates of these temporary arrangements. We will continue to monitor current arrangements and advise any future changes. 

How does it affect me?

Participants in supported independent living 

Participants in SIL can claim for a RAT when it is needed in order to safely live in their dwelling.

For example, a RAT may be required when the participant returns to a dwelling they share with others after being in the community.

The Low Cost Disability-Related Health Consumables line item in the core budget (support item 03_040000919_0103_1_1) can be used to claim for each RAT cost.

If a participant thinks their plan funds are too low to claim the RAT support, they can contact us by phone: 1800 800 110.

Supported independent living providers 

Eligible SIL providers can claim for a RAT when a support worker is required to undergo COVID-19 testing to deliver supports, based on state or territory public health recommendations or requirements.

A support worker may be required to undergo a RAT over several days. Providers can claim up to $12.50 for each test directly from the NDIS, provided it meets the eligibility criteria.

To claim the RAT support, providers must:

  • purchase and provide the test to workers between 23 December 2021 and 31 January 2022 
  • be registered in the group 0115 – Assistance with Daily Life Tasks in a Group or Shared Living Arrangement
  • be delivering a support in the Assistance in Shared Living Arrangements - Supported Independent Living support section of the Assistance with Daily Life support category 

Providers can only claim this payment when they are unable, because of a recommendation or requirement from a state or territory public health authority, to deliver a support to a participant without a support worker undergoing a RAT. 

Providers cannot claim for this support if there is an opportunity to roster other workers to deliver supports. 

Providers of Short Term Accommodation and Assistance (including the provision of respite care), Residential Care and Individualised Living Options are not eligible to claim for RATs under these arrangements at this time.

From 18 January 2022, providers can begin to directly claim for the RAT supports using the bulk payment request template in the myplace provider portal.

More detail about information needed for the bulk payment requests is on the payments and billing page of the NDIS website.

This page current as of
4 January 2022
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