hero-variant-sl
Illustration of a hand taking a reimbursement
Illustration of a hand taking a reimbursement

How to claim partial NDIS support units

Claiming partial NDIS support units

Under the NDIS, participants are charged for the actual support they receive. And so, as a service provider, you need to claim pro-rata for any supports priced per hour (or per unit).  This means, invoicing for the actual time spent delivering the service, not rounding up to the full hour.

This helps ensure participants are not overcharged and funds are used fairly and transparently — and applies whether you’re delivering

It can also apply to eligible cancellation fees, such as when a participant cancels at short notice or fails to show up for a scheduled support.

Examples for claiming partial NDIS support units

Let’s say a support item has a maximum hourly rate of $193.99 (as per the NDIS Price Guide). If you deliver only 30 minutes, you claim 0.5 of a unit, not the full hour.

Need help calculating partial?

The below examples are taken from the NDIS Price Guide (PAPL), and show how to claim when delivering partial support units.

Example 1

A provider agrees to deliver a support to a participant at an hourly rate of $100.

If the provider delivers support for 30 minutes, they can claim for a quantity of 0.5 units or 0.30 hours. This should be claimed at a unit price of $100, resulting in payment of $50.

Example 2

A provider agrees to deliver a support to a participant at an hourly rate of $190.

If the provider delivers 45 minutes, they can claim for a quantity of 0.75 units or 0.45 hours. This should be claimed at a unit price of $190, resulting in payment of $142.50.

Caps to travel time for Therapy supports

Under the new NDIS Pricing Arrangements and Price Limits (PAPL), travel claims for therapy supports have been reduced. As a provider delivering Therapy supports (such as physiotherapy, speech pathology, psychology, dietetics, podiatry), you can now only claim up to 50% (instead of 100%) of the therapy rate for travel time calculated on a pro-rata basis.

For example: If a therapy session is 30 minutes in length, the maximum travel time claimable is 15 minutes.

Plan Partners’ free tools

Plan Partners’ tools are designed to give participants, service providers and support coordinators quick and easy access to vital information — making it simpler to navigate the NDIS.

The Plan Partners Price Guide Navigator allows you to find line items and price limits from the NDIS Pricing Arrangements in one simple search.

The Plan Partners Budget Calculator helps you understand the cost of supports according to the NDIS Pricing Arrangements. Calculate costs for multiple supports across a range of time periods to help with support planning.