Pricing and payment

The National Disability Insurance Scheme Act 2013 states that a funded support must represent “value for money” in that the costs of the support are reasonable, relative to both the benefits achieved and the cost of alternative support”.

Prices

Prices for supports included in participant plans are developed and published by the National Disability Insurance Agency (NDIA).

NDIA will update prices on at least an annual basis, effective 1 July each year, taking account of market trends, changes in costs and wage rates. Changes to prices will be published on this website. Each updated price list will include the date it was published to help providers ensure that they are using the most up-to-date version.

2017/2018 Price Guide for NDIS service providers – Beginning 1 July 2017

The NDIA has published its 2017/18 Price Guide, which will take effect on 1 July 2017.

The decisions in the 2017/18 Price Guide have been informed by data from the NDIS Actuary on forecasted demand for supports.

The new Price Guide incorporates a series of changes and additions designed to ensure stability for the NDIS through transition. The 2017/18 Price Guide will include several updates and additions to NDIS pricing arrangements:

  • Incorporating a 4.5% increase in prices applied for Personal Care and Community Participation in all jurisdictions. This means the base rate for these supports, delivered between Monday to Friday, increases from $42.79 to $44.72 in the Eastern States, with higher rates available for supports delivered out of hours and on the weekends, and higher rates also applicable for participants requiring high intensity supports.
  • A 1.94% increase in price levels for all other supports that are subject to growth in wage costs, to be applied nationally, except for Therapy supports, which remain unchanged.
  • Increased price loadings to apply for the delivery of supports to participants in remote and very remote parts of Australia (20% in remote areas and 25% in very remote areas), and;
  • The extension of the cancellation policy to allow providers to charge up to 2 participant cancellations for therapeutic supports per annum.

Improvements have also been made to the structure of the Price Guide, to provide more clarity for participants and providers on the disability supports that the NDIA funds in plans, how they are funded, and to continue to promote the proactive service design and flexible use of these funds by participants.

This approach to pricing and associated arrangements is designed to help providers to transition to the new, open market environment of the NDIS, maximising choice for participants and providing incentives for participants and providers to co-develop new, innovative services and products.

Providers are also encouraged to familiarise themselves with the emerging NDIS market by viewing recently released Market Position Statements for VIC, NSW and QLD as well as recently released Quarterly data on the performance of the NDIS.

Given the discussion in the 2017 Price Review; Participant and Provider workshops; and the Productivity Commission Report on NDIS Costs, the NDIA is immediately implementing an Independent Pricing Review that will be undertaken by McKinsey & Company.

Read David Bowen’s letter to Registered Providers announcing the outcome of the 2017 Price Review and implementation of the Independent Pricing Review.

CSV Files

Summary and context documents:

Other information

Please direct queries to your local NDIA Engagement team or the NDIA provider support team: MarketandSector@ndis.gov.au

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