There may be a limit on how much you or your providers can claim for different types of supports.
We set out these price limits in the NDIS Pricing Arrangements and Price Limits .
We update the Pricing Arrangements and Price Limits often to account for price changes, such as staff wage increases. We may change the amount of funding in your plan if the prices for your supports change.
The amount of funding you can claim depends on your plan management option. There are different ways to manage your funding . If your funding is:
- Agency-managed: NDIS registered providers can claim up to the maximum price in the Pricing Arrangements and Price Limits for each support.
- Plan-managed: Your plan manager can claim up to the maximum price in the Pricing Arrangements and Price Limits for each support.
- Self-managed: You can choose how much to pay for each support, as long as you don’t spend more than the total funding for the support in your plan. This means you can claim more than the NDIS Pricing Arrangements and Price Limits. You should use the Pricing Arrangements and Price Limits to ensure you’re getting the best value from your providers.
- Learn more about How to claim from my plan
If you have self-managed transport funding in your plan, we can often pay this as a fortnightly payment to your bank account. This means you don’t need to claim each time you use your transport supports.
You can always claim less than the prices in the Pricing Arrangements and Price Limits – it doesn’t matter how your funding is managed. For example, your provider may charge lower rates, which often means you can get more support from your funding.
If a support isn’t in the Pricing Arrangements and Price Limits, you’ll need to agree on a price with the provider.
Example 1
Omar self-manages his funding. His plan includes a support described as “$2,000 of therapy”. This is around 10 hours of therapy at the NDIS Pricing Arrangements and Price Limits rate. Omar finds a therapist who is very experienced with his complex disability support needs. The therapist’s rates are higher than the NDIS Pricing Arrangements and Price Limits.
Omar decides he wants to use this therapist, even though it means he only has funding for 8 hours at the therapist’s rate. Omar can do this because he self-manages his funding. Omar thinks he’ll get a much better service, even with fewer hours.
Example 2
Kristy’s plan includes a support described as “$12,000 for social and recreation support”. She’s currently using this funding for 4 hours of support per week to go to cricket matches on the weekend.
She finds a provider who charges less than the rates in the NDIS Pricing Arrangements and Price Limits, and decides to switch to the new provider.
After a couple of months, she’s now saved some extra funding by using this provider. As well as the 4 hours per week for cricket matches, she decides to use the extra funding to join her friends at the pub every few weeks.
When do you need an assessment or quote before buying supports?
Sometimes we decide you need a quote before you can claim the funding in your plan. This helps us ensure the support is value for money, which is one of the NDIS funding criteria.
If so, this will show in your plan as ‘quote-required’. You’ll need to give us at least one quote before we make the funding available in your plan.
We may do this for supports like:
For some supports, the funding is available but you need to get an assessment before you buy the support. We may do this for mid cost assistive technology, mid cost home modifications , or supports with more risk. We’ll let you know in your plan if you need to get an assessment before buying a support.
What if you self-manage your funding?
There are some things you need to do if you self-manage your funding. For example, you need to keep receipts for your purchases for 5 years. You’ll also need to be able to show how you’ve used your funding if we ask you.
Learn more about self-managing .