An important reminder to all Service Providers who offer group-based supports about an update to the pricing arrangements as of January 1st, 2024. The update is only for providers who deliver group-based social and community participation supports as core supports.  

What’s changed  

In the past, group-based supports/services could be billed as ratio pricing or divided pricing.  As of January 1, 2024, all group-based billing must be divided pricing and provided with three separate line items (direct support, non-face-to-face, and centre capital costs).    

Changes to your line items  

The updated list of line items for direct supports are below (you can only use these codes), for a full list of all line items (including non-face-to-face, and centre capital costs), please refer to the most recent NDIS Price Guide 

  

Direct supports  
Only the below line items can now be used for Direct support.  

04_102_0136_6_1  

Group Activities – Standard – Weekday Daytime  

04_102_0136_6_1_T  

Group Activities – Standard – Weekday Daytime – TTP  

04_103_0136_6_1  

Group Activities – Standard – Weekday Evening  

04_103_0136_6_1_T  

Group Activities – Standard – Weekday Evening – TTP  

04_104_0136_6_1  

Group Activities – Standard – Saturday  

04_104_0136_6_1_T  

Group Activities – Standard – Saturday – TTP  

04_105_0136_6_1  

Group Activities – Standard – Sunday  

04_105_0136_6_1_T  

Group Activities – Standard – Sunday – TTP  

04_106_0136_6_1  

Group Activities – Standard – Public Holiday  

04_106_0136_6_1_T  

Group Activities – Standard – Public Holiday – TTP  

04_600_0104_6_1  

Group Activities – High Intensity – Weekday Daytime  

04_600_0104_6_1_T  

Group Activities – High Intensity – Weekday Daytime – TTP  

04_601_0104_6_1  

Group Activities – High Intensity – Weekday Evening  

04_601_0104_6_1_T  

Group Activities – High Intensity – Weekday Evening – TTP  

04_602_0104_6_1  

Group Activities – High Intensity – Saturday  

04_602_0104_6_1_T  

Group Activities – High Intensity – Saturday – TTP  

04_603_0104_6_1  

Group Activities – High Intensity – Sunday  

04_603_0104_6_1_T  

Group Activities – High Intensity – Sunday – TTP  

04_604_0104_6_1  

Group Activities – High Intensity – Public Holiday  

04_604_0104_6_1_T  

Group Activities – High Intensity – Public Holiday – TTP  

What you need to do  

Step 1: Check the date you provided your group-based support (on your invoice).  

  • Invoices/services dated before 31/12/2023: Group-based supports/services provided before 31st December 2023 can still be billed as ratio pricing or divided pricing.  
  • Invoices/services dated after 31/12/2023: As of January 1, 2024, all group-based billing must be divided pricing and provided with three separate line items (direct support, non-face-to-face, and centre capital costs).  

Step 2: Submit your invoices with the applicable codes, including the updated line-item numbers to suit the updated group-based supports pricing arrangements in the price guide.  

Step 3: Remember that if you’re claiming non face to face and/or centre capital costs, they must be included separately!  
 
Read the full update from the NDIA here! 

 We’re with you every step of the way 

Our Provider Care Team is here to help, Monday to Friday between 9.30am – 5.00pm AEST via Live Chat, on 1800 549 670 (select option 4), or email us at [email protected].