Understanding NDIS price limits and compliance
Published at 15-07-2024 17:00:00
Understanding NDIS price limits and compliance
The NDIS ensures that participants receive value for their money by regulating the pricing for supports. It’s important for participants and providers to understand and adhere to these pricing arrangements to prevent overcharging and ensure compliance.
If you are using Plan Managements services, this is also very important as your Plan Manager is unable to process any invoices that are over the NDIS stated price limit.
If you haven’t already, feel free to have a read in our article about the updated New NDIS Pricing Arrangements and Price Limits.
What are NDIS price limits?
NDIS price limits set the maximum amounts that providers can charge for various supports. These limits are reviewed and updated annually to reflect the current market conditions and to ensure fairness.
Why are the price limits important?
Adhering to the NDIS price limit ensures that participants can maximise the use of their funding without overspending. It also ensures the invoicing to providers can be done smoothly, as well as maintains the integrity of the NDIS, preventing misuse of funds and making sure supports are affordable and accessible.
Applicability of price limits
Different supports can be subject to different price regulations:
Price controlled supports: These supports have set maximum prices that providers cannot exceed. Participants should ensure that invoices from providers do not exceed these limits.
Quotable supports: These supports require a quotation and must be specifically included in the participants plan.
Non-price controlled supports: Some supports are not subject to price control. These do not have set price limits but must be reasonable and necessary. Participants should negotiate fair prices with their providers.
Typically, support items with price limits have a single national price limit. However, in certain cases, the price limits may vary by region.
Price limits in different regions
Price limits can vary depending on the location where the service is provided. Higher limits can apply in remote and very remote areas to account for the additional costs associated with service delivery in these regions.
Below are some examples of NDIS price limits for some of the popular services across different states and remote services as per the 2024-2025 NDIS guide:
Psychology Services
NSW, VIC, QLD and ACT: $222.99 per hour
WA, SA, TAS and NT: $244.99 per hour
Remote: $341.91 per hour
Very remote: $366.33 per hour
Occupational Therapy
National: $193.99 per hour
Remote: $271.59 per hour
Very remote: $290.99 per hour
Speech Therapy
National: $193.99 per hour
Remote: $271.59 per hour
Very remote: $290.99 per hour
Mentoring and Peer Supports
National: $77 per hour
Remote: $107.80 per hour
Very remote: $115.50 per hour
Skills Development and Training Supports
National: $77 per hour
Remote: $107.80 per hour
Very remote: $115.50 per hour
Travel costs
Providers are also able to claim travel costs if the travel is directly related to delivering face-to-face support. This is as long as the travel time and non-labour costs (such as tolls and parking) are reasonable and have been agreed with by the participant.
Ensuring compliance
To ensure compliance and that your supports run smoothly, participants should:
- Always review the latest NDIS Pricing Arrangements and Price Limits
- Ensure all service agreements with providers include clear pricing and terms
- Verify that claims and invoices reflect the agreed rates and services delivered
- Communicate openly with providers about pricing and any additional costs
If you are signed on with a Plan Manager, like us here at Just Plan Managers, you can always reach out to clarify any costs and limits that you might feel a bit confused about. Your Plan Manager can provide guidance and ensure that you feel knowledgeable about your plan!
You can always read the NDIS Pricing Arrangements and Price Limits here on the official NDIS website.
Get in touch
If you have any questions, we’d love to help you out, call us on 1300 217 037 or email us at info@justplanmanagers.com.au and our friendly team will get back to you in no time.