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Registration Groups finder (digit 6 to 9 of line item) 00_000_XXXX_0_0

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Price Guide Item Structure Explanation

First Two Characters (Support Category)

Support Category (First Two Characters)

Core

01 Assistance with Daily Life
02 Transport
03 Consumables
04 Assistance with Social, Economic and Community Participation

Capital

05 Assistive Technology
06 Home Modifications and Specialised Disability Accommodation (SDA)

Capacity Building

07 Support Coordination
08 Improved Living Arrangements
09 Increased Social and Community Participation
10 Finding and Keeping a Job
11 Improved Relationships
12 Improved Health and Wellbeing
13 Improved Learning
14 Improved Life Choices
15 Improved Daily Living Skills

Characters 6 to 9 (Registration Groups)

Registration Groups (6th to 9th)

Choice of 36 as of Sept 2023

General Registration Groups (6th to 9th)
0101	Accommodation / Tenancy Assistance
0102	Assistance to Access and Maintain Employment or Higher Education
0104	High Intensity Daily Personal Activities
0106	Assistance in Coordinating or Managing Life Stages, Transitions And Supports
0107	Daily Personal Activities
0108	Assistance with Travel/Transport Arrangements
0115	Assistance with Daily Life Tasks in a Group or Shared Living Arrangement
0116	Innovative Community Participation
0117	Development of Daily Living and Life Skills
0120	Household Tasks
0125	Participation in Community, Social and Civic Activities
0127	Management of Funding for Supports in Participants’ Plans
0129	Specialised Driver Training
0130	Assistance Animals
0131	Specialised Disability Accommodation
0133	Specialised Supported Employment
0136	Group and Centre Based Activities

Professional Registration Groups (6th to 9th)
0110	Specialist Positive Behaviour Support
0114	Community Nursing Care
0118	Early Intervention Supports for Early Childhood
0119	Specialised Hearing Services
0121	Interpreting and Translation
0126	Exercise Physiology and Personal Training
0128	Therapeutic Supports
0132	Specialised Support Coordination
0134	Hearing Services
0135	Customised Prosthetics

Home and Vehicle Modification Registration Groups (6th to 9th)
0109	Vehicle Modifications
0111	Home Modifications

Assistive Technology and Equipment Registration Groups (6th to 9th)
0103	Assistive Products for Personal Care and Safety
0105	Personal Mobility Equipment
0112	Assistive Equipment for Recreation
0113	Vision Equipment
0122	Hearing Equipment
0123	Assistive Products for Household Tasks
0124	Communication and Information Equipment

Characters 10 (Outcome Domain)

Outcome Domains (10th to 10th)

Choice of 8

1 : Daily Living	5: Work
2: Home	6: Social and Community Participation
3: Health and Wellbeing	7: Relationships
4: Lifelong Learning	8: Choice and Control

Characters 11 (Support Purposes)

Support Purpose (Last Digit)

Choice of 3

NDIS participant budgets are allocated to three separate support purposes:

1: CORE -

Supports that enable participants to complete activities of daily living. Participant budgets often have a lot of flexibility to choose specific supports with their core support budgets, but cannot reallocate this funding for other support purposes (i.e., capital or capacity building supports).

2. CAPITAL -

Investments, such as assistive technologies - equipment, home or vehicle modifications, or for Specialist Disability Accommodation (SDA). Participant budgets for this support purpose are restricted to specific items identified in the participant’s plan.

3. CAPACITY BUILDING -

Supports that enable a participant to build their independence and skills.

Line Item Explanation

Therefore:

The Code 01_013_0107_1_1

01 = Assistance with Daily Life
013 = XXX
0107 = Daily Personal Activities
1= Daily Living
1 = Core

Support Category (First Two Characters)

Core

01 Assistance with Daily Life
02 Transport
03 Consumables
04 Assistance with Social, Economic and Community Participation

Capital

05 Assistive Technology
06 Home Modifications and Specialised Disability Accommodation (SDA)

Capacity Building

07 Support Coordination
08 Improved Living Arrangements
09 Increased Social and Community Participation
10 Finding and Keeping a Job
11 Improved Relationships
12 Improved Health and Wellbeing
13 Improved Learning
14 Improved Life Choices
15 Improved Daily Living Skills

Sequence (3th to 5th)

No Lookup or Choice

Registration Groups (6th to 9th)

Choice of 36 as of Sept 2023

General Registration Groups (6th to 9th)
0101	Accommodation / Tenancy Assistance
0102	Assistance to Access and Maintain Employment or Higher Education
0104	High Intensity Daily Personal Activities
0106	Assistance in Coordinating or Managing Life Stages, Transitions And Supports
0107	Daily Personal Activities
0108	Assistance with Travel/Transport Arrangements
0115	Assistance with Daily Life Tasks in a Group or Shared Living Arrangement
0116	Innovative Community Participation
0117	Development of Daily Living and Life Skills
0120	Household Tasks
0125	Participation in Community, Social and Civic Activities
0127	Management of Funding for Supports in Participants’ Plans
0129	Specialised Driver Training
0130	Assistance Animals
0131	Specialised Disability Accommodation
0133	Specialised Supported Employment
0136	Group and Centre Based Activities

Professional Registration Groups (6th to 9th)
0110	Specialist Positive Behaviour Support
0114	Community Nursing Care
0118	Early Intervention Supports for Early Childhood
0119	Specialised Hearing Services
0121	Interpreting and Translation
0126	Exercise Physiology and Personal Training
0128	Therapeutic Supports
0132	Specialised Support Coordination
0134	Hearing Services
0135	Customised Prosthetics

Home and Vehicle Modification Registration Groups (6th to 9th)
0109	Vehicle Modifications
0111	Home Modifications

Assistive Technology and Equipment Registration Groups (6th to 9th)
0103	Assistive Products for Personal Care and Safety
0105	Personal Mobility Equipment
0112	Assistive Equipment for Recreation
0113	Vision Equipment
0122	Hearing Equipment
0123	Assistive Products for Household Tasks
0124	Communication and Information Equipment

Outcome Domains (10th to 10th)

Choice of 8

1 : Daily Living	5: Work
2: Home	6: Social and Community Participation
3: Health and Wellbeing	7: Relationships
4: Lifelong Learning	8: Choice and Control

Support Purpose (Last Digit)

Choice of 3

NDIS participant budgets are allocated to three separate support purposes:

1: CORE -

2. CAPITAL -

3. CAPACITY BUILDING -

Supports that enable a participant to build their independence and skills.

Price Guide Excerpts and Instructions

From 2023/24

Non Face to Face Supports

Non Face to Face Support Provision

Providers can only claim from a participant’s plan for the Non-Face-to-Face delivery of a support item if all of the following conditions are met:

The NDIS Pricing Arrangements and Price Limits indicates that providers can claim for Non-Face-to-Face Support Provision in respect of that support item; and
The proposed charges for the activities comply with the NDIS Pricing Arrangements and Price Limits and with the Service Agreement with the participant; and
The activities are part of delivering a specific disability support item to that participant or in the case of group-based supports, are required to enable the group support to be delivered (rather than a general activity such as enrolment, administration or staff rostering); and
The provider explains the activities to the participant, including why they represent the best use of the participant’s funds (that is, the provider explains the value of these activities to the participant); and
The provider has the agreement of the participant in advance (that is, the service agreement between the participant and provider specifies that Non-Face-to-Face supports can be claimed).

For example, the Assistance with Self Care support items are described as covering activities “Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible”. Therefore, time spent on Non-Face-to-Face activities that assist the participant – for example, writing reports for co-workers and other providers about the client’s progress with skill development – could be claimed against this support item.

The costs of training and up-skilling staff, and of supervision, are included in the base price limits for supports and are not considered billable Non-Face-to-Face supports. However, research undertaken by a capacity-building provider specifically linked to the needs of a participant and to the achievement of the participant’s goals may be billable as a Non-Face-to-Face support with the participant’s prior agreement.

Service agreements with each client can ‘pre-authorise’ these activities, but providers should only claim a support item from a participant’s plan if they have completed activities that are part of the support for that participant. Charging a fee that is not linked to completed activities is not permitted.

Time spent on administration, such as the processing of NDIS payment claims for all clients, should not be claimed from a participant’s budget as a Non-Face-to-Face support. The NDIS price limits include an allowance for overheads, including the costs of administration tasks. Examples of administrative activities that are covered by the overhead component of the support price limits and that should not be billed as Non-Face-to-Face supports include, but are not limited to:

Pre-engagement visits;
Developing and agreeing Service Agreements;
Entering or amending participant details into system;
Making participant service time changes;
Staff / participant travel monitoring and adjustment;
Ongoing NDIS plan monitoring;
Completing a quoting tool;
Making service bookings; and
Making payment claims.

The fee charged for Non-Face-To-Face supports must be reflective of the needs of the participant in the context of the relevant support, and in agreement with the participant.

Claims for Non-Face-to-Face supports are made using the relevant support item, using the “Non-Face-to-Face” option in the myplace portal.

Provider Travel

Providers can only claim from a participant’s plan for travel costs in respect of the delivery of a support item if all of the following conditions are met:

The NDIS Pricing Arrangements and Price Limits indicates that providers can claim for Provider Travel in respect of that support item; and
The proposed charges for the activities comply with the NDIS Pricing Arrangements and Price Limits and
The activities are part of delivering a specific disability support item to that participant; and
The support is delivered directly (face-to-face) to the participant; and
The provider explains the activities to the participant, including why they represent the best use of the participant’s funds (that is, the provider explains the value of these activities to the participant); and
The provider has the agreement of the participant in advance (that is, the Agreement between the participant and provider should specify the travel costs that can be claimed); and
The provider is required to pay the worker delivering the support for the time they spent travelling as a result of the agreement under which the worker is employed; or the provider is a sole trader and is travelling from their usual place of work to or from the participant, or between participants.

Provider Travel – Labour Costs (Time)

Where a provider claims for travel time in respect of a support then the maximum amount of travel time that they can claim for the time spent travelling to each participant (for each eligible worker) is 30 minutes in MMM1-3 areas and 60 minutes in MMM4-5 areas. (Note the relevant MMM classification is the classification of the area where the participant is when the support is delivered.)

In addition to the above travel, providers delivering core and capacity-building supports are permitted to claim for provider travel in respect of a support item can also claim for the time spent travelling from the last participant to their usual place of work. Note, this travel is only claimable when the provider must pay their worker for the return travel time. The maximum amount of travel time that they can claim for the time spent on return travel (for each eligible worker) is 30 minutes in MMM1-3 areas and 60 minutes in MMM4-5 areas. (Note the relevant MMM classification is the classification of the area where the participant is when the support is delivered.)

Where a worker is travelling to provide services to more than one participant in a ‘region’, then it is reasonable for a provider to apportion all of the travel time (including the return journey where applicable) between the participants who received support from the worker. This apportionment should be agreed with each participant in advance as part of the service agreement.

Claims for travel in respect of a support must be made separately to the claim for the primary support (the support for which the travel is necessary) using the same line item as the primary support and the “Provider Travel” option in the myplace portal. When claiming for travel in respect of a support, a provider should use the same hourly rate as they have agreed with the participant for the primary support (or a lower hourly rate for the travel if that is what they have agreed with the participant) in calculating the claimable travel cost.

Provider Travel – Non-Labour Costs

If a provider incurs costs, in addition to the cost of a worker’s time, when travelling to deliver Face-to-Face supports to a participant (such as road tolls, parking fees and the running costs of the vehicle), they may negotiate with the participant for them to make a reasonable contribution towards these costs. The NDIA considers that the following would be reasonable contributions:

For a vehicle owned by the provider or the worker, up to $0.97 a kilometre; and
For other forms of transport or associated costs, such as road tolls, parking, public transport fares, up to the full amount.

Claims can only be made for the non-labour costs associated with provider travel in respect of a support where the rules governing provider travel allow a claim for provider travel time to be made.

Claims for the non-labour costs of provider travel in respect of a support must be made separately to the claim for the primary support (the support for which the travel is necessary) and for the travel time associated with the provider travel. The non-labour costs should be claimed against the relevant “Provider Travel – non-labour costs” support item as indicated in the NDIS Pricing Arrangements and Price Limits.

Short Notice Cancellations

Where a provider has a Short Notice Cancellation (or no show), they are able to claim 100% of the agreed fee associated with the activity from the participant’s plan, subject to the NDIS Pricing Arrangements and Price Limits and the terms of the service agreement with the participant.

A cancellation is a short notice cancellation if the participant:

Does not show up for a scheduled support within a reasonable time, or is not present at the agreed place and within a reasonable time when the provider is travelling to deliver the support; or
Has given less than seven (7) clear days’ notice for a support.

For supports delivered to a group of participants, if a participant cancels their attendance and if the provider is unable find another participant to attend the group session in their place then, if the other requirements for a short notice cancellation are met, the provider is permitted to bill the participant who has made the short notice cancellation at the previously agreed rate that they would have billed if the participant had attended the group. All other participants in the group should also be billed as though all participants had attended the group.

Providers can only claim from a participant’s plan for a Short Notice Cancellation of the delivery of a support item to the participant if all of the following conditions are met:

The NDIS Pricing Arrangements and Price Limits indicates that providers can claim for Short Notice Cancellations in respect of that support item; and
The proposed charges for the activities comply with the NDIS Pricing Arrangements and Price Limits; and
The provider has the agreement of the participant in advance (that is, the service agreement between the participant and provider should specify that Short Notice Cancellations can be claimed); and
The provider was not able to find alternative billable work for the relevant worker and are required to pay the worker for the time that would have been spent providing the support.

Claims for a short notice cancellation should be made using the same support item as would have been used if the support had been delivered, using the “Cancellation” option in the myplace portal.

There is no hard limit on the number of short notice cancellations (or no shows) for which a provider can claim in respect of a participant. However, providers have a duty of care to their participants and if a participant has an unusual number of cancellations, then the provider should seek to understand why they are occurring. The NDIA will monitor claims for cancellations and may contact providers who have a participant with an unusual number of cancellations.

Example – Short Notice Cancellation

A one-hour support is scheduled for 10 am on a Tuesday following a Public Holiday Monday.

The participant cancels the support after 10 am on the Thursday before the Public Holiday Monday and the provider is not able to find alternative billable work for the relevant worker and is required to pay the worker for the time that would have been spent providing the support.

If the Service Agreement between the participant and the provider has included cancellation arrangements then the provider can claim for this support. The claim should be made at the agreed rate for the service against the relevant support item using the drop-down field “Cancellation”.

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Registration Groups finder (digit 6 to 9 of line item) 00_000_XXXX_0_0

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Price Guide Item Structure Explanation

Support Category (First Two Characters)

Core

Capital

Capacity Building

Registration Groups (6th to 9th)

General Registration Groups (6th to 9th)

Professional Registration Groups (6th to 9th)

Home and Vehicle Modification Registration Groups (6th to 9th)

Assistive Technology and Equipment Registration Groups (6th to 9th)

Outcome Domains (10th to 10th)

Support Purpose (Last Digit)

1: CORE -

2. CAPITAL -

3. CAPACITY BUILDING -

How To Read

Line Item Explanation

Therefore:

The Code 01_013_0107_1_1

Support Category (First Two Characters)

Core

Capital

Capacity Building

Sequence (3th to 5th)

Registration Groups (6th to 9th)

General Registration Groups (6th to 9th)

Professional Registration Groups (6th to 9th)

Home and Vehicle Modification Registration Groups (6th to 9th)

Assistive Technology and Equipment Registration Groups (6th to 9th)

Outcome Domains (10th to 10th)

Support Purpose (Last Digit)

1: CORE -

2. CAPITAL -

3. CAPACITY BUILDING -

Price Guide Excerpts and Instructions From 2023/24

Non Face to Face Support Provision

Provider Travel

Provider Travel – Labour Costs (Time)

Provider Travel – Non-Labour Costs

Short Notice Cancellations

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Price Guide Excerpts and Instructions

From 2023/24