The NDIA is responsible for setting price limits for many of the NDIS supports that your providers deliver.
Pricing arrangements are the rules around when and how a provider can claim for NDIS supports from your NDIS plan.
How you claim for your NDIS 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 NDIS supports 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 information and track your funding component and total budget amounts.
The my NDIS app can be used by participants with an approved plan, not just participants with a plan in our new computer system.
How to make a claim in the my NDIS portal and my NDIS app
Use the my NDIS portal and my NDIS app to make claims against your NDIS self-managed funds.
Once you have logged in, select ‘Make a claim’ from the top menu or quick links on your home page.
On the payee details screen, enter the details of the provider for the purchase of the product or service.
You have three options:
- You can choose a new payee.
- You can select a saved payee.
- You can also choose a favourite claim you've saved previously.
Option 1: To claim with a new payee, start with their name and ABN.
If you have their Australian Business Number (ABN), enter it here.
The ABN is usually found on the receipt or invoice. You can search for the ABN by using the ABN lookup tool external website.
If you can’t provide an ABN, you need to tell us why. Choose a reason for not providing an ABN from the drop-down menu:
- The ABN was not provided in an accessible way
- I bought this item or NDIS support overseas
- I bought this item or NDIS support online
- I directly engage my own staff
- The business did not provide an ABN .
Please choose the option that is the best match for your situation.
Option 2: You can select a payee from the saved list
Option 3: You select ‘Favourites’ from the menu and find the favourite claim
Once you have selected one of the above three options, continue by entering more information for your claim.
First, choose the date of the support.
If the support ran over multiple days, enter these by typing them in, or using the calendar.
Select the support category from the dropdown box.
Once selected, you will see the available balance for the support category you have chosen.
Enter the amount of the claim, and you can see the remaining balance.
Next, add or update the description of the claim.
You may have to upload a receipt or invoice to support your claim. You can attach up to five receipts or invoices for each claim.
Next, choose whether to save the claim as a favourite.
Once you have entered and checked all the claim details, select, ‘Declare and submit’.
Finally, read the declaration prior to checking the checkbox.
Then, click ‘Submit’.
You can then see the claim receipt, which you can print if you wish. You will also see the updated balance of the support category.
For more information, visit the NDIS website or phone 1800 800 110.
You may be prompted to provide evidence to support your claim.
In some instances, you may also be asked to complete a manual self-management claim form.
If you do not provide evidence when prompted, you won’t be able to submit your claim.
What type of evidence is acceptable?
Evidence can include:
- a receipt or tax invoice from the provider or third party.
- a bank statement or a payroll record for any worker employed.
- a bank statement showing the purchase/transaction.
When submitting evidence, please do not include the Tax File Number (TFN).
Self-managed participants can:
- upload evidence from a computer file or a photo.
- claim multiple NDIS supports from one provider if they are in the same support category.
- use the same invoice more than once for several claims. If your invoice includes more than one support category but it is from the same business, then you can use it again for multiple claims.
Self-managed participants cannot:
- claim for more than one NDIS support category in any one claim.
- claim from more than one provider in any one claim.