The NDIA is responsible for setting price limits for many of the supports that your providers deliver. 

Pricing arrangements are the rules around when and how a provider can claim for supports and services from your NDIS funds.

How you claim for your supports will depend on how your plan is managed.

This means if you are self-managed, NDIA-managed or plan managed you will claim for supports and services in a slightly different way.

If your plan is in the new computer system you can use the my NDIS participant portal or my NDIS app to view your plan and track your budget.

The my NDIS app can be used by participants with an approved plan, not just participants with a plan in our new computer system.

Participants who are self-managing part or all of their NDIS plan

You can use the my NDIS participant portal and app to make claims if you self-manage your plan, you self-manage parts of your plan and your plan is in our new computer system. 

If your plan is not in our new computer system, you should continue to use the current myplace portal. 

Making a claim

To make a claim from the my NDIS participant portal you will need to sign in through myGov.

When you sign into the my NDIS participant portal, you will be able to make a claim against your self-managed funds in your current plan. 

The way you make claims in the my NDIS participant portal or my NDIS app won’t change. You still need to provide the same information, like:

  • The date the service or support was delivered.
  • The provider’s details including their ABN, if you have this information.
  • The cost of the service or support.
  • The support category you are using to pay for the service or support.

You will be asked to enter the payee’s Australian Business Number (ABN). If you can't provide an ABN, select “No” to continue. 

You can search for the ABN by using the ABN lookup tool.

You can upload an invoice or receipt before or after submitting your claim.

You can save favourite claims to make claiming for regular supports even faster. When you save a favourite claim, the portal and app saves the:

  • payee's name
  • payee’s ABN (if available)
  • claim description
  • support category.

The timeframes for payment of claims don’t change with our new computer system. If all claim details are correct, payment will usually occur within 1 to 2 business days.

Learn more about making claims. Who claims and how claims are made depends on how your NDIS funding is managed.

Watch our video on how to claim in the my NDIS participant portal

You can watch the below video to learn how to claim in the my NDIS participant portal.

When claims are rejected

If a claim is rejected, you will see advice in your my NDIS participant portal and app to explain why. 

There are various reasons a claim is rejected, for example:

  • the claim is a double-up of another payment.
  • you don’t have a valid bank account recorded in our new computer system.

If there is more than one reason a claim is rejected, you will receive advice that your “claim can’t be processed”.

You can check our frequently asked questions to help you understand and fix the reasons why your claim has been rejected. 

You can also get in touch with our National Contact Centre by calling 1800 800 110 to understand and work through the reasons your claim has been rejected.

Participants with plan manager services

Your plan manager will continue to use the myplace provider portal for the services and supports they pay on your behalf. 

You can use the my NDIS participant portal or app to see your plan and track your budget.

Participants who are NDIA-managed

The NDIA will continue to use the myplace provider portal for the services and supports they pay on your behalf. 

You can use the my NDIS participant portal or app to see your plan and track your budget.

You will need to tell us who your my providers are for the NDIA-managed supports in your plan. 

When you record a my provider in your plan, you are letting us know they can make claims against your NDIS plan after they deliver a support to you. 

If we get a claim from a provider that isn’t recorded by you, we will send you or your nominee an SMS to check with you before the claim is paid.

If you disagree with the claim, you need to tell us within 6 days by calling the National Contact Centre on 1800 800 110.

Learn more about my providers, and what to do if you receive an SMS for a support you didn’t agree to.