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NDIS Pricing Arrangements and Price Limits

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Knowledge is power.

In this article, we introduce you to the NDIS Pricing Arrangements and Price Limits (formerly known as the NDIS Price Guide).

What’s the NDIS Pricing Arrangements and Price Limits?

Released annually on 1 July, and updated regularly throughout the year, the NDIS Pricing Arrangements and Price Limits is a highly detailed price regulation document.

It was created to regulate prices in the National Disability Insurance Scheme (NDIS) to ensure participants receive value for money, and to assist both participants and providers to understand how price controls work.

If you open the NDIS Pricing Arrangements and Price Limits, you’ll notice it sets out:

  • the way the NDIS categorises supports – for example, with a support category number, sequence number, registration group, outcome domain and support purpose
  • support budgets and their purposes – for example, a ‘Core Supports’ budget is for supports that enable participants to complete activities of daily living
  • rules for claiming payments – for example, the conditions under which providers can claim for telehealth services

What about the NDIS Support Catalogue?

The NDIS Pricing Arrangements and Price Limits goes hand in hand with the NDIS Support Catalogue, which is another price regulation document.

The Support Catalogue lists all the supports recognised in the Scheme, sometimes called ‘support items’, and the maximum price providers can charge participants for those supports.

It’s important for participants to know the maximum price providers can charge through the NDIS so they can find competitive pricing, and it’s equally important providers are transparent about their fees.

When looking for providers, we recommend participants source a minimum of two quotes that lay out the cost of services (including additional costs like travel or transport), to enable them to make an informed choice about the providers they use.

The Support Catalogue also lists helpful things like:

  • support item numbers, sometimes called ‘codes’
  • the date a support was introduced – and if it’s ended
  • if a support needs a quote
  • which supports allow providers to claim their travel costs from a participant’s plan
  • when a provider can claim non-face-to-face costs for a support
  • when a provider is allowed to charge more for delivering a support in a remote or very remote area

If you’re a provider and you’d like to better understand the Support Catalogue, read our article here. It includes handy information about line items – the codes that identify which budget in a participant’s NDIS plan their supports should be paid from. The NDIS Pricing Arrangements and Price Limits document includes more than 800 codes, and whilst including a code on an invoice isn’t essential, it’s helpful for getting paid in a timely manner.

Why does the NDIS Pricing Arrangements and Price Limits change?

The National Disability Insurance Agency (NDIA) releases a new NDIS Pricing Arrangements and Price Limits document each year and makes regular updates as the need arises. It does this to better meets the needs of participants, their support networks, and providers, and to ensure the Scheme remains affordable and in place for future generations of Australians.

You can keep track of updates here.

We’re here to help

If you need help to understand the NDIS Pricing Arrangements and Price Limits and its impact on your supports and funding, you can email us at [email protected] or call us on 1800 861 272 from 8am-6pm (SA time), Monday to Friday.

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My Plan Manager acknowledges the objectives of the United Nations Convention on the Rights of Persons with Disabilities.

My Plan Manager acknowledges the Traditional Owners of Country throughout Australia, and their continuing connection to land, sea and community. We pay our respects to them and their cultures, and to Elders both past and present.
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