Our new computer system doesn’t change the way providers make claims. Providers should continue to use the myplace provider portal for all claims.
Providers should also continue to use the support item descriptions or numbers they already use. These can be found in the support catalogue.
Our new computer system and improved processes do not change the NDIS pricing arrangements and price limits.
To make sure our language is consistent across NDIS plans and portals, the name of the support catalogue item in the plan will be the same name in the participant and provider portals.
More plan flexibility for participants
In our new computer system, funding in NDIS plans will be built at the support category level. There will be no line items built into plans.
Participants will still have stated and flexible supports, but these will be at the support category level. Because budgets will be listed at the support category level, and as a whole dollar figure rather than as line-by-line costs, participants will have more flexibility over how they use their total budget.
For example, assistive technology will continue to be a stated support, but listed as an overall budget category, giving participants flexibility on how they spend their funding on assistive technology, repairs and maintenance. When claiming assistive technology payments, providers should refer to the support items catalogue and use the most appropriate line item for the support they have delivered.
Where budgets are listed as flexible, there is flexibility within and across the flexible support categories, in line with how the plan is managed. Where budgets are listed as stated, there is only flexibility within the support category. You can find further information in the product catalogue settings below.
NDIS plans developed in our new computer system won’t have service bookings. Instead, participants can tell us who their my providers are for their plan. No service bookings mean less administration for providers and more choice and control for participants, as their funding is not pre-allocated to future supports.
We will continue to have over 850+ support items and these will not change.
We are moving from 3 to 4 support types. Support types now include:
- Capacity building
We will move from 15 to 21 support categories.
We have split some of the existing categories to make the new categories easier to understand. Providers with consent to view a participant’s plan will notice budgets are displayed at the support category level.
The 6 new support categories are stated supports, and include:
Home and Living
Assistive Technology Repairs and Rental
Specialist Disability Accommodation (SDA)
|Specialist Disability Young People Living in Residential Aged Care (YPIRAC) - Cross Billing
Assistive Technology Repairs and Rental
We have introduced a new support category for assistive technology repairs, rental and maintenance. This new category may include funds for:
- Minor repairs and maintenance (up to $1,500).
- Major repairs (a quote may be required).
- Short term or major rental
- Minor or longer equipment trials
Providers may still need to provide quotes to inform decisions about including high-cost assistive technology items in plans.
Specialist disability accommodation, home and living supports and behaviour supports
All participants with specialist disability accommodation, home and living supports and behaviour supports need to have their my providers recorded at a support category level in their NDIS plan, or their claims will automatically be rejected.
We have included Transport Recurring as a new support category for participants who receive transport funding. Participants who are not eligible for transport funding will have a zero-dollar amount against this support category in their plan.
The transport funding levels will be the same as they were before, with eligible participants receiving this funding pro rata in their bank account on a fortnightly basis.
For some participants, the day they receive their transport funding may change. This is because their recurring transport payments will be established on the day of the week the participant’s plan is approved.
Young People in Residential Aged Care (YPIRAC) - Cross Billing
The new Young People in Residential Aged Care (YPIRAC) - Cross Billing support category has been added so that funding can be allocated in plans for payments for residential aged care subsidies and supplements. Providers are not able to claim against this category.
PACE support categories are detailed in the NDIS Support Catalogue 2023-24.