Changes to the NDIS Price Guide
To help providers to continue to deliver supports to participants through this time, the NDIA is introducing a number of changes, including:
- A temporary 10% increase in the price limit of some Core and Capacity Building supports
- Changes to the cancellation rules
- Introducing 3 new support coordination items under Core Supports to support plan flexibility
- Supported independent living (SIL): cleaning and extra supports in the case of Coronavirus diagnosisL
- Low cost assistive technology (AT) line item for capacity building supports and interpreting services delivered by telehealth
NEW assistive technology (AT) rental line items to meet immediate safety needs when leaving hospital (Hospital discharge)
an advance payment to registered providers to increase the immediate availability of funds
a temporary 10 per cent increase to the price limit of some Core and Capacity Building supports
changes to the cancellation rules
three support coordination items under Core Supports to support plan flexibility.
1. Price Increases
The NDIA will temporarily increase price limits by 10% for the following critical supports, effective 25 March 2020:
- Assistance with Daily Life (not including Supported Independent Living)
- Assistance with Social and Community Participation
- Improved Health and Wellbeing (not including personal training)
- Improved Daily Living Skills
Note: The latest support catalogue (price list) identifies by the addition of “(Includes COVID Loading.)”
These changes will be in place for six months. The NDIA will review this change in 3 months to assess if the changes continue to be appropriate.
How do providers claims this 10% price increase?
The NDIA has automatically updated the line items to include the 10% increase.
Providers should continue to claim under the current line item.
The latest support catalogue identifies the line items that are subject to the 10% increase.
- review and abide by their current participant service agreements
- and should inform the participant before implementing any price increases
- update any service bookings created at a line item level, but service bookings created at the category level will not need to be updated.
Participant plans are being automatically extended to ensure they continue to have access to funding.
Supported Independent Living is excluded from the temporary increase in price limits as it is a quotable support. Prices paid for SIL can only be changed as part of a plan review.
Three support coordination items have been duplicated in the support catalogue under Core Supports, Assistance with Daily Life, effective 25 March 2020. (Refer further below). The 10 per cent increase in price limits is not applicable to support coordination items.
- The definition of short notice cancellation is now 10 business days (from 2 days) to avoid paying the full fee for a cancelled service. Refer to the NDIS Price Guide below for more information.
This definition will be reviewed on 25 June but may extend until 25 Sept.
- Providers will also be able to claim 100% of the support price when a participant cancels a service at short notice (up from 90 per cent).
- There is no limit on the number of cancellations that can be claimed BUT the NDIA expects providers to work with participants on minimising cancellations including through delivering services in innovative ways that meet the essential needs of the participant.
- Providers have a duty of care to their participants. If a participant has an unusual number of cancellations, then the provider should find out why.
- The NDIA will monitor claims for cancellations and may contact providers who have a participant with an unusual number of cancellations.
- IMPORTANT: Providers can only claim for a cancellation if they have not found 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.
3. New line items for Support Coordination
3 new support coordination items have been introduced to the support catalogue under Core Supports, Assistance with Daily Life, effective 25 March 2020:
01_790_0106_8_3 - Level 1: Support Connection
01_791_0106_8_3 - Level 2: Coordination Of Supports
01_793_0106_8_3 - Level 3: Specialist Support Coordination
The new line items duplicate items already claimable under Capacity Building Supports.
The new item numbers allow participants to use their funds more flexibly to access these supports from either their Core or Capacity Building budgets.
4. Supported independent living (SIL)
From 30 April 2020, two support items were temporarily introduced to manage the care and support of participants in supported independent living (SIL) who are diagnosed with coronavirus (COVID-19):
Cleaning services—$300 for a one-off professional deep cleaning of a residence of a participant newly diagnosed with coronavirus (COVID-19).
Additional supports—$1,200 can be claimed each day in addition to the usual SIL claim, to ensure participants get the support they need. This can be claimed from the date that the infection is confirmed until the participant is no longer infectious.
This applies until 30 September 2020, with a review before the end of June 2020.
5. Low cost assistive technology (AT)
To assist participant access to supports and interpreting services which are now being delivered online, a temporary support item has been introduced so that participants can use capacity building funds to claim for low cost AT items to receive their funded supports and services.
This includes items such as fitness equipment and smart devices.
The cost of a smart device should not exceed $750.
A number of requirements need to be met before participants can use NDIS funds to buy low cost AT items including.