Heads up, Plan Managers: this one’s going to land on your desk.
With the latest NDIS Pricing Arrangements in effect from 1 July 2025, Plan Managers will most likely be the first line of defence when unregistered providers submit invoices that don’t match the new caps. These changes, of course, apply to registered providers too, however the NDIA will have communicated these changes to them.
💡 Freebie alert… Download your guide to the key price changes, and a handy invoice checklist below.
Many of these providers won’t have seen the updates and may continue billing at outdated rates, or worse, unknowingly create non-compliant line items.
It’s going to be up to you (even though it shouldn’t have to be) to break the news, correct the invoices, and help them understand the changes for future invoices (without pulling your hair out in the process).
Here’s what to keep top of mind:
Same codes, new caps. No need for new line items, just updated unit rates.
Double-check travel. Travel time is now billable at 50% of the hourly cap (and limited to 30 mins in metro areas). Anything higher will not be compliant.
Watch for remote cost. Providers working in regional or remote areas may need to amend their service agreements to reflect reduced loading or flat national rates.
Keep records tidy. The NDIA is tightening up on conflict-of-interest management, so ensure all provider declarations are documented and linked to the participant’s plan.
It’s going to be a scramble as everyone adjusts - but we’ve put together this cheat sheet downloadable that you can auto-forward on to any service providers that may be affected.
This way, they’re aware of changes, they can modify their invoices, everyone is paid with minimal fuss and care continues.
We’re rolling with you.
