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Pricing Reference Group Minutes of the Meeting of 28 May 2019

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Disclosure Log

Pricing Reference Group Minutes - Meeting held: May 28th, 2019

Members Present:

  • Antonia [redacted]
  • Jim PSM Independent Member [redacted] pe
  • David Cullen
  • Graeme AM Independent Member [redacted]
  • Sarah [redacted]: personal privacy
  • Louise (proxy for Vicki Rundle) [redacted]: personal privacy proxy
  • Megan Vella Anthony Vella) [Apologies: Michael [redacted], Victor [redacted]] Secretariat: David Cullen

Disclosure Log

FOR OFFICIAL USE ONLY National Disability Insurance Agency – Pricing Reference Group Minutes of the Meeting of 28 May 2019

Item 2.2 - Outcomes from the Annual Review of Price Controls

  • The PRG ENDORSED amending geographic classification arrangments so that all towns currently classified as Outer Regional by NDIA are surrounded remote or very remote areas should bclassified as remotes for planning price control purposes.
  • The PRG ENDORSED NDIS engagement with WA participants and providers determine appropriateness shared management arrangement within NDS, develop mechanisms support delivery these arrangements.
  • The PRG NOTED examination implications WADomestic worker exception in Industrial Relations Act 1979(WA) deliver disability supports under NDIS annual review price controls.

Outcome Annual Review Price Contro**ls

  • The PRG ENDORD establishing working group providers to review eligibility criteria and implementation arrangements three levels High Intensity Attendant Care Community Participation support**s .
  • The PRG ENDORSE that price limits Community Centre Based supports should be modified ensure providers these suppor**ts also eligible Tempora*ry Transformation Payment (TTP).
  • The PRG ENDORSED billing rules cancellations provider travel non-face-to-fac e time should be modified clarificated. These include: a) Clarity on billing fnnon-face-to-time.*b) Providers biling for short notice cancillation sto a participant’s plan when the cancellation happens:– Without two clear business days’ notice fosuppport less than eight continuous hours worth $1,000; annd –Without five clear busineess days’ nnotice all other cases.c)The maximum amount of travel ttme provider can bill participant’s plannf in respect each suppor*has been increased from 20 minutes **30 minuutes for travell MMM Areas *and frrom45 minuttes to60 minutees MMMAreas.

Noted as Part Annual Price Review

(a)** Indexation arrangements capacity building supports therapy supportss.(b)**Price limits capacity builidng suppports other than thera*y supports including nursing noting these price limit has not reviewed since NDIS commencemnt(c)**price limtis theraphy assistants includiing whether different prce lmt might appropriate differen shifts(d)**Arrangements allow therapists and othre providers recover costs consumables provided participants part suppor(e)**Adequacy current establishment fee arranments.

DISCLOSURE LOG

FOR OFFICIAL USE ONLY National Disability Insurance Agency - Pricing Reference Group Minutes of the Meeting on May 28th, (f) The price limits and funding amounts for Plan Management have not been reviewed since the commencement.

Item 2: Updated ATHM Support Codes & Benchmark Pricing

  • Item
    • (f) The price limits and funding amounts for Plan Management were last revised when the National Disability Insurance Scheme began operating; these figures haven’t seen a review update yet due to their age being over two years old as per NDIS records.

Sub-item A:

  • Endorsing reclassification AT&HM supports using new codes described within NDIA’s support catalogue.
  • Noting proposed codes align with previous PRG decision dated April, 5/16/2019.

Sub-item B:

  • Approving methodology that sets benchmark prices based either upon median plus one standard deviation derived from market payment data or $100 unit rate where applicable (e.g., low-cost assistive technology budgets).
  • Agreeing annual reviews are necessary regarding this pricing mechanism at least once yearly by the PRG.

Sub-item C:

  • Mentioned beta testing is underway in collaboration between SDSA and PRG. This tool will be presented later during wider implementation discussions among stakeholders involved directly related to CHMs.
  • Agreed further evaluation of newly established benchmarks concerning number quotes required should occur before finalizing any decisions on them.

Disclosure Log

FOR OFFICIAL USE ONLY

National Disability Insurance Agency - Pricing Reference Group Minutes of the Meeting of 28 May 2019

Item 3.3 – Activity-based Transport:

  • The PRG noted: That providers incur costs when providing transportation for a participant.
  • The PRG endorsed: Further examination is required for Activity-based Transport.

Item 3.4 – Other Price Guide and Support Catalogue Changes:*

  • PRG agreed: To implement Therapy price limit changes, including those from ECEI supports reviewed in previous discussions on therapy pricing.*
  • PRG noted: Proposed changes regarding Supported Employment were previously approved at an earlier meeting but not implemented until July; revised policy to be presented later*
  • PRG agreed: Update wording related to Improved Daily Living Support Category (e.g., support item) with inclusion of “Recommendations” as per prior discussion*
  • PRG noted: Endorsement was given concerning Assistive Technology based upon decisions made during March’s meeting*
  • PRG noted: Line Item #14_032_0127_8_3 will no longer apply due to planning guidance since 2017*.

Disclosure Log

Pricing Reference Group Minutes of the Meeting of July 30th , 2019

Members present:

  • Liz [Chair] A/g Head Of MPSD]
  • Jim PSM Independent Member
  • David Cullen
  • Graeme AM independent member
  • James proxy For Michael Francis)
  • Sarah Louise proxy Vicki Rundle)

Apologies Victor A/G CRO

Melissa A/G CFO Secretariat:David Cullen Item 1 . Conflicts Interest: The PRG noted that Graeme was a member Board Life Without Barriers;A/Board Summer Foundation;a/Joblife Employment; a/Attitude Foundation and s47F - personal privacy, s22( )a(ii) irrelevant material. **Item Minutess meeting May 28 th., 2019 The PRG endorsed minutes previous meeting. **Item Governance Membership Consultation Arrangements:**The PRG discussed terms reference role decision making ability PRG.The roles functions existing members reduction National Disability Insurance Agency senior executive presence expansion to include more industry experts.The types consultation processes could be used sector involved ongoing basis price control matters considered by prg.PR meetings any consultative process should based forward work plan on NDIS Price controls intended presented greater detail next PRG meeting further discussion.SDA Limited Cost Assumption Review:The PRG noted issues raised stakeholders submissions review.

Disclosure Log

FOR OFFICIAL USE ONLY National Disability Insurance Agency - Pricing Reference Group Minutes of the Meeting of July 30, 2019

Item 2.3: Work Plan for Annual Review of Price Controls

  • The PRG noted that a forward work plan outlining details about future updates will be presented at their next meeting.

Item 2.4: Temporary Transformation Payment Implementation Benchmarking

Sub-item A:

The PRG agreed on arrangements previously discussed with them regarding TTP conditions as per May’s presentation date,

Sub-subitem B:

The PRG also addressed timelines related to benchmark requirements under these conditions starting January 1st, 2020.

Disclosure Log

FOR OFFICIAL USE ONLY

National Disability Insurance Agency - Pricing Reference Group Minutes of the Meeting on July 30th, 2019

  • Adjust support item description for one AT item. h) The PRG AGREED: Operational maintenance items do not need presentation but may report where deemed necessary.

Item 3.2 – Geographic Reclassification Some Isolated Outer Regional Areas

  • PRG noted: Geographical recategorization recommended from Western Australian Market Review will be implemented across isolated outer regional areas in Australia rather than just those within WA.
  • The PRG NOTED that MMM rating reclassification to MMM6 Remote applies.