With the NDIA having now released their new 2022-23 Price Guide, let’s look at the major changes and how it impacts you as a participant or service provider.

Therapies (other professionals) to remain

Good news, the NDIA reversed its initial decision to remove many therapies as funded supports. All therapies previously funded by the NDIS will continue to be funded and the price limits for therapies haven't changed. 

What does this mean for you?

Continue as usual.

Short notice cancellations now 7 days

Previously, cancellations for service appointments were considered “short notice” when participants gave less than two (and for some supports, five) full days’ notice to the provider. Good news for providers, this is extended to seven days from 1st July.

What does this mean for you?

Under the NDIS Cancellation Policy, providers can charge a cancellation fee and claim up to 100% of the agreed service cost.

If you’re a participant, you’ll want to give more than seven days’ notice when cancelling service appointments to avoid unnecessary fees being charged to your funds (especially for high cost supports such as Short Term Accommodation and Respite). You may also want to check any service agreements you currently have in place with your service providers.

Support work prices increase by 9%

Price limits for all NDIS supports delivered by disability support workers have been increased by nine per cent, including a two per cent temporary loading in 2022-23.

These include:

Assistance with self-care activities and establishment fees
Self and plan management capacity building
Assistance in SIL
Assistance to access community, social and recreational activities, including group supports and establishment fees
Supports in employment
Psychosocial Recovery Coaching
Tenancy support
Life transition planning
Individual skills development
Transition through school and to further education
Training for carers/parents

What does this mean for you?

It’s mostly good news for providers as it will relieve cost pressures introduced by changes to the SCHADS Award, minimum wage and superannuation guarantee and costs associated with NDIS registration and the pandemic.

Participants are unlikely to be impacted as all NDIS plan budgets will be automatically increased by the NDIA to account for price limit changes.

No more level 3 high intensity supports

Where the previous Price Guide included three levels of complexity for service prices, the 2022-23 Price Guide includes just two: the standard price and a single “high intensity” price.

What does this mean for you?

With the highest pricing tier now replaced with level two rates, there’s a risk the skill level of support workers could suffer (although the price increases mentioned above may alleviate some of the impact).

For participants, it’s mainly positive as the reduced pricing level may represent savings to budgets.

New line items for Improved Daily Living

New line items have been created under Improved Daily Living for specific allied health professionals.
There are no longer line items for capacity building in plan management under either the plan management or support coordination support categories.

What does this mean for you?

As a participant, probably not much as most of these allied health professionals would use ‘Other Therapy’ to invoice for services provided to you. You’re now being encouraged to access plan management or support coordination from your Core funding under the line item Capacity Building and Training in self-management and plan management.

No quote for meal prep and delivery

In the past, participants have needed to submit quotes for the preparation and delivery of meals (a process that can take weeks before getting funds approved). In March, the NDIA ended the requirement for quotes to fund these services.

What does this mean for you?

It’s great news for participants because it will speed up the process and allow you to access this support faster. To be eligible, the NDIA request that meal prep and delivery needs to be specified in your plan as a required support. If your current plan doesn’t include this in your goals, we encourage you to speak to your Planner or LAC to see if you can utilise these supports.

Changes to provider travel rules for Core supports

Providers delivering core supports can now charge for travel from the participant back to their usual place of work, so long as the worker is paid for this trip (or the worker is a sole trader). The maximum amount of travel time a provider can claim for is 30 minutes (60 minutes return trip), or 60 minutes for people in remote or very remote areas.

What does this mean for you?

While it’s good news for providers, participants will need to factor in any extra travel costs out of their Core support budgets.

New Bereavement Addendum

The new NDIS Bereavement Addendum allows registered plan managers to claim for continued plan management activities (such as processing of invoices) for a maximum of 90 days after a participant’s death at the specified weekly rate in their plan. SIL providers can claim a support for up to 4 weeks after a participant’s death.

What does this mean for you?

This is a positive outcome all round as it gives more control for providers and eases the impact to the participant’s family.  It’s a good idea to have a service agreement in place that details any intentions by the provider to claim for an unplanned exit, so everything is documented and clear to all.

TTP down to 3%

The Temporary Transformation Payment (TTP) is higher than the price limit for the equivalent non-TTP item. For 2022-23, the difference in price limits are reduced to 3%.

What does this mean for you?

As a provider, you must agree the price you will charge for a support with your participant (which can’t be greater than the relevant price limit).

TTP items can only be used by providers who are compliant with the TTP conditions set out in the NDIS Pricing Arrangements.

As a participant, you will now pay 3% less for providers that charge TTP.

You can check out the full NDIA Pricing Arrangements on the NDIS website