Pricing update for NDIS service providers who offer group-based supports
In late 2023 there was an update to the pricing arrangements for group-based supports, effective 31 December. The update was solely for providers who deliver group-based social and community participation supports as core supports. Providers who deliver other types of group-based supports should not follow the information below.
What's changed
Previously, group-based supports/services could be billed as ratio pricing or divided pricing. As of January 1, 2024, all group-based billing must be divided pricing and provided with three separate line items (direct support, non-face-to-face, and centre capital costs).
Changes to your line items
When it comes to providing your invoices to Plan Partners, the line items required have changed.
The updated list of line items for direct supports are below (you can only use these codes), for a full list of all line items (including non-face-to-face, and centre capital costs), please refer to the most recent NDIS Price Guide.
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Direct supports | |
|
04_102_0136_6_1 |
Group Activities - Standard - Weekday Daytime |
|
04_102_0136_6_1_T |
Group Activities - Standard - Weekday Daytime - TTP |
|
04_103_0136_6_1 |
Group Activities - Standard - Weekday Evening |
|
04_103_0136_6_1_T |
Group Activities - Standard - Weekday Evening - TTP |
|
04_104_0136_6_1 |
Group Activities - Standard - Saturday |
|
04_104_0136_6_1_T |
Group Activities - Standard - Saturday - TTP |
|
04_105_0136_6_1 |
Group Activities - Standard - Sunday |
|
04_105_0136_6_1_T |
Group Activities - Standard - Sunday - TTP |
|
04_106_0136_6_1 |
Group Activities - Standard - Public Holiday |
|
04_106_0136_6_1_T |
Group Activities - Standard - Public Holiday - TTP |
|
04_600_0104_6_1 |
Group Activities - High Intensity - Weekday Daytime |
|
04_600_0104_6_1_T |
Group Activities - High Intensity - Weekday Daytime - TTP |
|
04_601_0104_6_1 |
Group Activities - High Intensity - Weekday Evening |
|
04_601_0104_6_1_T |
Group Activities - High Intensity - Weekday Evening - TTP |
|
04_602_0104_6_1 |
Group Activities - High Intensity - Saturday |
|
04_602_0104_6_1_T |
Group Activities - High Intensity - Saturday - TTP |
|
04_603_0104_6_1 |
Group Activities - High Intensity - Sunday |
|
04_603_0104_6_1_T |
Group Activities - High Intensity - Sunday - TTP |
|
04_604_0104_6_1 |
Group Activities - High Intensity - Public Holiday |
|
04_604_0104_6_1_T |
Group Activities - High Intensity - Public Holiday - TTP |
What you need to do
Step 1: Check the date you provided your group-based support (on your invoice).
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Invoices/services dated before 31/12/2023: Group-based supports/services provided before 31st December 2023 can still be billed as ratio pricing or divided pricing.
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Invoices/services dated after 31/12/2023: As of January 1, 2024, all group-based billing must be divided pricing and provided with three separate line items (direct support, non-face-to-face, and centre capital costs).
Step 2: Submit your invoices with the applicable codes, including the updated line-item numbers to suit the updated group-based supports pricing arrangements in the price guide.
Step 3: Remember that if you’re claiming non face to face and/or centre capital costs, they must be included separately!
Read the full update from the NDIA here!
We’re here to help
If you have any questions about invoicing your customers or your obligations as a service provider, our Knowledge Centre is filled with tips and guidance to bring clarity.
If Plan Partners are your customers’ plan manager or support coordinator, we can provide additional assistance with things like setting up service agreements or help with invoicing.