DOCUMENT 8
Outlook
Provider Newsletter — June 2025
From: NDIS Provider Support <redacted: s22(1)(a)(ii) - irrelevant material>
Date: Wed 18/06/2025 4:21 PM
To: redacted: s22(1)(a)(ii) - irrelevant material
View this email in your browser
Wednesday, 18 June 2025
ndis | Latest news
Hello,
Welcome to the June 2025 edition of the NDIS provider newsletter.
This month’s newsletter covers:
- Annual Pricing Review (APR) 2024-25 and Independent Pricing Committee (IPC) Report Released — Key updates for providers
- 2025-26 NDIS Pricing Arrangement and Price Limits released — Key updates for providers
- New dedicated phone number for providers, plan managers and support coordinators
- New FAQs published on NDIS funding periods
- Changes to how providers login to NDIS portals
- my NDIS provider portal updates
- Claim processing times for providers
- Directly engaging your own staff guide updated
- Penalties paid for misleading advertising
- Latest school leaver provider quarterly report released
- CarerHelp: Resources to support you to care for someone at the end of life
- Provider events
Latest news
s22(1)(a)(ii) - irrelevant material
Page 23 of 108s22(1)(a)(ii) - irrelevant material
Page 24 of 108redacted: s22(1)(a)(ii) - irrelevant material
Provider Events
We’re hosting a series of virtual information sessions for providers on the following topics:
- Annual Pricing Review
- Please visit Latest events on the NDIS website for session dates, times and locations.
- Changing from PRODA to a combination of myID and RAM
- Please visit the Humanitix website for session dates and times.
DOCUMENT 9
ndis
Industry Chief Executive Forum
ndis.gov.au | 21 August 2025
S885 sss 25/26-0657
Agenda
FReagge Bb ait HB
Department of Health, Disability and Ageing: NDIS Rule update
Sarah
Future Navigator Service Design
Pricing
Plan for NDIS pricing improvements
The Agency delivered:
- Independent Pricing Committee report
- design and implementation of the SIL and Support Coordination Quality Supports pilots, and announcement that there would be a round 2 of the SIL Quality pilot
- Commenced work on Blended Payments trial
- Moved from a small number of data points to 10.5 million data points for therapy
2024-25
- Quality Supports Pilots
- Commence review of regional and remote pricing approaches review
- Commence work on non-SIL Disability Support Workers and related supports price differentiation
- Commence the Deep dive into therapy
- Develop a consultation strategy with participants and providers to be incorporated into the 3-year work plan for release later in the calendar year.
- Continue reviewing pricing in thin markets
- Strategy for earlier release of annual pricing determinations
- Deliver Blended payments initiative
2025-26
- Release the priorities for the 3-year work plan
- Early announcement of pricing adjustments
2026-27
Year three will focus on social and community participation, assisted daily living and plan management reforms.
There is a significant amount of related work occurring across the Department of Health and Aged Care and the Quality and Safeguards Commission and in conjunction with the NDIA including work on a market stewardship framework and regulatory requirements.
The pricing work will be rolled out in consultation with these other agencies.
ZOF20UG5 7
Change Management Discussion
M | |
Change Management Discussion
- Total funding amounts, funding component amounts and funding periods
- Claims and payments requirements
Meeting Close
Pene
National Disability Insurance Agency
ndis.gov.au
redacted: s22(1)(a)(ii) - irrelevant material@ndis.gov.au
Find us on Facebook/NDISAus
Follow us on Twitter @NDIS
For people with hearing or speech loss
TTY: redacted
Voice Relay: redacted
For people who need help with English
TIS: redacted
Funding Periods Snapshot
Assistive Technology
The contents of this document are OFFICIAL.
In most instances, delegates should apply 100% of Assistive Technology funds in the first Funding Period of a plan. However, delegates should consider if:
- there is a more appropriate Funding Period to apply funds in, based on the evidence provided and how the funding is being included in the plan (For Example: Via a Participant Budget Update case).
Here is an example of the first 18 months of a 5-year plan. This example includes $25,000.00 to fund a wheelchair in the first Funding Period of a new plan.
| Order | Month Range | Interval Length | Interval Amount |
|---|---|---|---|
| 1 | Month 1 to 3 | 3 Month | $25,000.00 |
| 2 | Month 4 to 6 | 3 Month | $0 |
| 3 | Month 7 to 9 | 3 Month | $0 |
| 4 | Month 10 to 12 | 3 Month | $0 |
| 5 | Month 13 to 15 | 3 Month | $0 |
| 6 | Month 16 to 18 | 3 Month | $0 |
Image caption: Table showing 18 months of 3-month intervals for Assistive Technology. Funding Period one includes all the funding for this support category.
Plan Delegates must use discretion in all circumstances when building plans.
Refer to the Knowledge Articles: Apply custom distribution of funds in a plan approval case and Apply custom distribution of funds in a budget update
Refer to training: eLearn / Video - Section (s33) Funding Periods in PACE - Applying s33 Provisions and Video Custom Distribution of Funds in the PA Case.
Funding Periods Snapshot
Therapy Supports
The contents of this document are OFFICIAL.
Funding for Therapy supports may include a combination of assessment and ongoing therapy. Assessment may be necessary to gather further evidence to make a decision about supports. For example, a Functional Capacity or Assistive Technology (AT) assessment.
Generally, funding for assessments is distributed to the first Funding Period and ongoing therapy funding is distributed evenly. To set this up use Custom Distribution.
Here is an example of the first 18-months of a 5-year plan using National pricing. (Check the NDIS Pricing Arrangement and Price Limits for Remote and Very Remote pricing.)
In this example the Delegate has funded $1500.00 for assessments and fortnightly physiotherapy.
| Order | Month Interval Range | Interval Length | Interval Amount |
|---|---|---|---|
| 1 | Months 1-3 | 3 Months | $2760.93 (This figure includes $1500.00 for assessments and $1260.93 for ongoing therapy.) |
| 2 | Months 4-6 | 3 Months | $1260.93 |
| 3 | Months 7-9 | 3 Months | $1260.93 |
| 4 | Months 10-12 | 3 Months | $1260.93 |
| 5 | Months 13-15 | 3 Months | $1260.93 |
| 6 | Months 15-18 | 3 Months | $1260.93 |
Image caption: Table showing 18 months of 3-month intervals for Therapy supports (including assessments).
Plan Delegates must use discretion in all circumstances when building plans.
Refer to the Knowledge Articles: Apply custom distribution of funds in a plan approval case and Apply custom distribution of funds in a budget update
Refer to training: Section (s33) Funding Periods in PACE - Applying s33 Provisions and Video: Custom distribution of funds in the PA case
Funding Periods Snapshot
Short Term Accommodation
The contents of this document are OFFICIAL.
In most instances, Short Term Accommodation (STA) is allocated to the first Funding Period for each year of a plan. This ensures the funding can be used flexibly because unspent funds will roll-over to the next Funding Period.
To set this up use Custom Distribution.
Here is an example of the first 18 months of a 5-year plan with three-month Funding Periods using National pricing (check the NDIS Pricing Arrangement and Price Limits for Remote and Very Remote pricing).
It shows 28 days of STA funded per annum at the ratio 1:4 including 20 x weekdays at $684.96 per day, 4 x Saturdays at $830.84 per day and 4 x Sundays at $1009.40 per day (total $21,060.16).
| Order | Month Range | Interval Length | Interval Amount |
|---|---|---|---|
| 1 | Month 1 to 3 | 3 Month | $21,060.16 |
| 2 | Month 4 to 6 | 3 Month | $0.00 |
| 3 | Month 7 to 9 | 3 Month | $0.00 |
| 4 | Month 10 to 12 | 3 Month | $0.00 |
| 5 | Month 13 to 15 | 3 Month | $21,060.16 |
| 6 | Month 16 to 18 | 3 Month | $0.00 |
Image caption: Table showing custom distribution of STA Funding in a 5-year plan.
Plan Delegates must use discretion in all circumstances when building plans.
Refer to the Knowledge Articles: Apply custom distribution of funds in a plan approval case and Apply custom distribution of funds in a budget update
Refer to training: eLearn Section (s33) Funding Periods in PACE - Applying s33 Provisions and Video Custom Distribution of Funds in the PA Case.