Increased price limits for NDIS service providers

The Morrison Government has today announced an increase to price limits for National Disability Insurance Scheme (NDIS) services.

Minister for the National Disability Insurance Scheme, Stuart Robert, said the significant price increases will positively impact all Scheme participants and providers, building on the Government’s commitment to taking a considered and methodical approach to reforming service delivery to better support all Australians.

‘From 1 July 2019, providers will see increases to remote and very remote plan funding and price limit loadings; changes to billing for travel, cancellations and non-face-to-face services; and a temporary loading for attendant care and community participation supports—including group based supports—to assist organisations transitioning to the NDIS,’ Minister Robert said.

‘The increases are part of the Independent Price Review—with its 25 recommendations having been progressively implemented since July 2018 with the aim of transitioning the NDIS market to cope with significant demand growth, improving efficiency and quality of care and reaching the longer-term goal of price deregulation.’

Price limit increases and changes to take effect nationally from 1 July 2019 include:

  • a remote loading of 40 per cent (increased from 20 per cent) and a very remote loading of 50 per cent (increased from 25 per cent) on price limits
  • provider travel claiming has increased from the current cap of 20 minutes to 30 minutes within city areas, and from 45 minutes up to 60 minutes in regional areas
  • a Temporary Transformation Payment of 7.5 per cent in the first year for attendant care and community participation supports for providers who comply with certain conditions
  • two levels for therapy assistant supports
  • an hourly rate for non-face-to-face care activities conducted on behalf of the participant.

Support coordinators will also be able to claim the increased travel time, as well as claim for non-face-to-face coordination activities.

These price increases are in addition to the base rate increases announced for therapy, attendant care and community participation in March 2019, representing the final outcomes of the 2019-20 Annual Price Review.

Price indexation in line with ABS Wage and Consumer Price Indexes and the decisions of the Fair Work Commission will also be applied to various other supports from 1 July 2019, including:

  • 4.5 per cent for supports listed under Assistance with Daily Activities and Social and Community Participation
  • 2.1 per cent for capacity building supports, including support coordination and therapy
  • 1.3 per cent for supports listed under Consumables, Assistive Technology and Home Modification and Specialised Disability Accommodation.

Funding in participant plans will be automatically adjusted from 1 July 2019 to reflect the changes to indexation and the price limits for therapy, attendant care and community participation.

As part of its role as market steward, the NDIA consults widely with participants, providers and the sector to inform and implement the annual review, updating prices to reflect factors like market trends and costs in wages.

Following the 2019-20 Annual Price Review, the NDIA will review the terms of reference and membership of the Pricing Reference Group to increase the number of independent experts and to develop and publish a forward work and stakeholder engagement plan to further increase transparency of pricing decisions in upcoming Annual Price Reviews.

For more information on the changes and the Independent Price Review, please visit https://www.ndis.gov.au/providers/price-guides-and-information