Disclosure Log
Annual Pricing Review 2023–24
Matters for Discussion
Chair: David Gifford, Scheme Actuary
Disclosure Log
FOR OFFICIAL USE ONLY
Pricing Arrangement Reference Group - September 27th [year not specified]
- Disability Support Worker related supports: The NDIS Disability Support Worker Cost Model determines price limits. Minimum wage decisions are considered; impact on Aged Care award monitored due to a potential workforce supply effect following its increase (by how much? Not clear).
- Therapy: Half active Scheme participants access therapy; since no recent increases in prices over four APR cycles, a gap between NDIA pricing caps has narrowed compared against other government schemes/private billing rates.
- Plan management: Participation with plan managers significantly increased recently, but there have been no recent price cap adjustments since three prior APR rounds.
- Support coordination level two/level three support coordinators haven’t received any price cap raises within past three APR periods. A recommendation from last year’s APR suggested developing an STC cost model for this area.
- Cancellation policy: Policies affect flexibility when arranging services at appropriate times and locations. It was recommended that further consultation be conducted regarding appropriateness of current seven-day cancellation period policies as per the previous year’s report. The National Disability Insurance Agency is advised by the sector about these matters regularly through feedback mechanisms provided internally during consultations.
4.3 In addition to topics outlined under 4.2., standalone issues raised based upon internal consultations include- * Provider travel: The ability allows providers claiming labour costs (salary) & non-labour expenses like fuel or parking if cancelled; however given a typical one-week notice requirement coupled alongside opportunities available elsewhere due high service demand levels - it should only apply where absolutely necessary according to industry input gathered via such forums; it also suggests visiting multiple participants in same location on single day can help reduce impact/costs associated therewith economically. * Short Term Accommodation including respite care: Some concerns exist around misuse of STA funds towards holidays, Airbnb etc.; some believe current pricing limits are too generous while others suggest they may have been used improperly.
Proposed Approach for 2023-24 Annual Pricing Review Consultation Period
5.1 It’s proposed this review will extend beyond usual timeframe with more comprehensive engagement expected from mid-November [year not specified] till early February next year, involving two concurrent phases:-
- A consultation paper encouraging written submissions from public stakeholders involved directly/indirectly within NDIS ecosystem.
- National workshops involving key groups mentioned above aiming at increasing diversity representation amongst indigenous and culturally diverse communities along regional remoteness spectrum thereby providing alternative avenue wherein feedback sharing becomes easier than traditional submission methods.
Disclosure Log
FOR OFFICIAL USE ONLY
Pricing Arrangement Reference Group | September, Friday (date)
The 2022–23 APR consultation paper received responses from participants/nominees/families.
To further encourage participation in future consultations for this year’s review,
it is proposed that a separate document be prepared to gather perspectives directly related to their experiences with pricing arrangements.
Disclosure Log
Terms Of Reference
Overview
The supply of disability goods and services in Australia has undergone significant reform since the creation of the National Disability Insurance Scheme (NDIS), commencing from July 07/2013.
- The NDIS website provides further information about markets for disability goods & services administered through NDIA. The NDIA utilizes market mechanisms where possible: to deliver level(s) of supply demand participant meet& service mix required delivery also known as efficient prices at clearing these are produced meeting needs participants’ However, in non-existent or underdeveloped reliance on deregulated may not meet demand adequate supply, deliver supports produce efficient price mechanism. as a role to create an efficient sustainable marketplace competitive range suppliers who able structural changes created consumer-driven As steward responsibility for: empower people supported by exercise choice control maintain expanding high-quality driving efficiency innovation transition over longer term more outcomes-based approach. caps some providers can charge apply other controls including billing rules These set out in the NDIS Pricing Arrangements Price Limits associated documents available online via NDIS website. presently in place ensure value money care In short medium term require because markets for disability goods service fully developed. Longer-term goal remove regulatory mechanisms from markets support. necessary monitor review its framework settings determine whether still appropriate APRs important part monitoring and process.
Disclosure Log
MR25/01967 FOI 24/25-2242
DISCLOSURE LOG - Terms of Reference: The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability
Scope of the Annual Pricing Review
Section headings:
- The National Disability Insurance Scheme Review
- The NDIS Review is expected to provide a final report to the Disability Reform Ministers’ Meeting by October 2023. The report will make findings and recommendations which may require revisions to the APR ToR for both the NDIS review’s terms or reference as well as those related to violence against disabled individuals.
MR25/01967 FOI 24/25-2242
DISCLOSURE LOG
2023-24 Annual Pricing Review – Terms of Reference
(c) facilitate the development of a nationally consistent approach to the access to, and the planning and funding of, supports for people with disability;
(d) promote the provision of high quality and innovative supports that enable people with disability to maximise independent lifestyles and full inclusion in the community;
(e) adopt an insurance based approach, informed by actuarial analysis, to the provision and funding of supports for people with disability; and
(f) be financially sustainable.
Process and timing
- The APR will commence in November 2023 and deliver updates and recommendations to the NDIA’s Board, for implementation from 1 July 2024.
Key Dates
| Date | Activity |
|---|---|
| 13 November 2023 | Release of Terms of Reference and Consultation Paper |
| Sunday 4 February 2024 | Closing date for submissions to the APR public consultation |
| June 2024 | Announce results of the APR Release the NDIS Pricing Arrangements and Price Limits for 2023-24 Release the final price limits (after the Fair Work Commission’s Annual Minimum Wage Decision expected in early to mid June 2024) |
| 1 July 2024 | Implementation of new pricing arrangements |
Further information
- Further information on the Review is found on the NDIS website on the Annual Pricing Review page.
ndis.gov.au | 3 Page 856 of 1049