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Pricing update for NDIS service providers who offer group-based supports

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.

Direct supports
Only the below line items can now be used for Direct support.
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).

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

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.