The 2018 / 2019 NDIS Price Guide

Important

Every year the NDIA updates their prices and publishes these in an NDIS Price Guide. The changes commence on 1 July every year.

Changes in the 2018 / 2019 Price Guide have included different rules around Cancellations and Travel charges.

A summary of the changes and what this means for you follows.

Cancellations

If a participant makes a short-notice cancellation, which is after 3:00pm the day before the service, the provider may charge up to 90% of the agreed price for the canceled appointment. A fee may be charged against a participant plan up to 12 times per year for personal care and community access supports. Beyond this threshold, the NDIA will require the provider to demonstrate they are taking steps to actively manage cancellations.

For other cancellations, where the participant has provided notice of cancellation prior to 3:00pm the day before the scheduled service, providers may not charge a cancellation fee.

Where participants make short-notice cancellations for therapy services, the therapist can charge a cancellation fee up to 90% of the agreed price for the canceled appointment. Within the period of any Service Booking between a provider and participant, the total of canceled appointments charged by the provider must not exceed six hours.

No fee is payable by the NDIA or the participant, for cancellation by a provider or due to the provider’s failure to deliver the agreed supports, unless previously agreed to and documented in the Service Agreement with the participant.

Source – excerpt from the NDIS Price Guide Victoria, New South Wales, Queensland, Tasmania Valid from: 1 July 2018

What does this mean for you?

It means you need to contact us before 3:00pm the day before your service if you need to cancel your service.

Otherwise, you will be charged 90% of the overall cost that would have been charged if you attended the service.  This applies up to 12 times per year for personal care and community access supports and up to 6 hours for therapy services within the period of any service booking.

Transport

Travel to provide personal care and community access

Providers may not claim travel costs for the time that a support worker spends traveling from home to the workplace (or first participant) and from the workplace (or last participant).

Where a support worker travels from one participant appointment to another, up to 20 minutes of time can be claimed against the next appointment at the hourly rate for the relevant support item.

Where a worker travels from one participant appointment to another in an MMM4 or MMM5 area, up to 45 minutes of time can be claimed against the next appointment at the hourly rate for the relevant support item.

Travel to provide therapy supports

Therapy providers may claim travel costs when traveling to and from appointments:

  • For travel to a first participant appointment each day, or for travel from one participant appointment to another, therapy providers can claim up to 20 minutes of time against the appointment they are traveling to, at the hourly rate for the relevant support item. If the appointment is in an MMM4 or MMM5 area, therapy providers can claim up to 45 minutes of travel time against the appointment they are traveling to, at the hourly rate for the relevant support item.
  • Therapy providers can also claim for return travel from the final appointment in a day.

Source – excerpt from the NDIS Price Guide Victoria, New South Wales, Queensland, Tasmania Valid from: 1 July 2018

What does this mean for you?

Due to the changes in some of the travel rules, this may mean changes if you have Travel listed within your Schedule of Supports. Please contact us if you have any questions regarding this if you feel this applies to you.

What to do if you require more information?

All changes can be found in the NDIS Price Guide which is on the NDIS website in the Provider section.

If you have any questions regarding the Price Guide, please contact the NDIA on 1800 800 110

If you would like any more information around your Schedule of Supports with Aspire, please contact our Customer Service Team, T 02 6058 4000, E customerservice@aspiress.com.au