NDIS pricing arrangements & price guide compliance

Money & compliance

The NDIS Pricing Arrangements and Price Limits set the ceiling on what you can charge and the rules for how you claim it. Getting pricing, travel, cancellations and record-keeping right protects both your revenue and your standing if a claim is ever reviewed.

Maximum prices, with rules attached

The Pricing Arrangements set maximum prices — not fixed ones — for most supports, and they come with detailed rules for travel, cancellations and claiming. Because the price limits effectively set the market rate for many supports while the SCHADS Award sets your wage cost, the space between them is thin. Charging correctly and claiming cleanly is how you protect what margin there is.

A compliance checklist you can run

  • Charge at or below the current price limit for each support item
  • Agree the price with the participant in a written service agreement
  • Only claim travel and cancellations within the current rules
  • Use the correct support item and line for each claim
  • Keep a delivery record behind every claim — date, duration, worker, participant
  • Review your rate card and agreements each year when the limits update

Common pricing mistakes

  • • Relying on last year’s price limits after the annual update has changed them.
  • • Claiming travel or cancellations beyond what the current rules allow.
  • • No signed service agreement, or an agreement that does not match the claim.
  • • Using the wrong support item for the service actually delivered.
  • • Thin delivery records that would not hold up if a claim were queried.
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Frequently asked questions

How the price limits work and how to claim within them.

What are the NDIS Pricing Arrangements and Price Limits?

The NDIS Pricing Arrangements and Price Limits (previously called the NDIS Price Guide) is the document the NDIA publishes setting the maximum prices that can be charged for many supports, along with the rules for travel, cancellations, and how supports are claimed. It is normally updated at least once a year, with changes commonly taking effect from 1 July.

Are the price limits fixed prices?

No — they are maximums, not set prices. You can charge at or below the price limit and you should agree the price with the participant in the service agreement. For agency-managed and plan-managed supports you cannot claim above the limit. Some supports are quotable rather than capped.

Can I charge for travel and cancellations?

In many cases yes, but only within the specific rules in the Pricing Arrangements — there are limits on how much provider travel can be claimed and conditions for claiming a short-notice cancellation. The rules change from time to time, so always check the current version rather than relying on how it worked in a previous year.

What makes a claim audit-ready?

A claim you can stand behind: a signed service agreement, a record of the support actually delivered (date, duration, worker, participant), the correct support item and price at or under the limit, and consistent treatment of travel and cancellations. If a claim were ever queried, you want the paperwork to tell the same story as the claim.

How do I keep up when the price limits change?

Build a simple annual process: when the NDIA releases the updated Pricing Arrangements, review your rate card, update your service agreements and your software’s price items, and brief your team. Treat it as a scheduled event each year rather than a scramble, and get advice if a change materially affects your margins.

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