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 |
|
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].