Quick reference - Pricing arrangements effective 24 November 2025 (NDIS Pricing Arrangements and Price Limits 2025–26 v1.1). - Support Catalogue with item codes and price limits: NDIS Support Catalogue 2025–26 v1.1 (XLSX 549KB). - Main URLs: https://www.ndis.gov.au/providers/pricing-arrangements-and-price-limits and https://www.servicesaustralia.gov.au/ndis. - Three common plan types: NDIA‑managed, plan‑managed, self‑managed — billing rules differ. Here's how you can find NDIS item codes, understand price limits, check and charge 2026 rates, handle billing for travel and non-face-to-face items, and avoid common mistakes.

Prerequisites

Before you begin, make sure you have the participant's plan type, plan dates, and their NDIS number ready. If you're a provider, make sure you have an Australian Business Number (ABN) and, if needed, GST registration. If you're a participant or plan manager, have access to myplace or your plan manager portal.

How NDIS pricing and codes work (short)

Each year, the NDIA releases a Pricing Arrangements and Price Limits document along with a Support Catalogue listing every support item, its code, and price limit. Price limits are the maximum a registered provider can charge for an NDIS‑funded support when the participant is NDIA‑managed or plan‑managed. Providers and participants can agree a lower price. The NDIA updated pricing effective 24 November 2025 in the NDIS Pricing Arrangements and Price Limits 2025–26 v1.1 and the Support Catalogue 2025–26 v1.1.

Step‑by‑step: find an NDIS code and the current rate

To check an item code and price limit for 2026, follow these steps.

  1. Open the NDIA pricing page — go to https://www.ndis.gov.au/providers/pricing-arrangements-and-price-limits. The official Pricing Arrangements page links the latest PDF and the Support Catalogue spreadsheet. The 2025–26 package was published with files labelled v1.1 (PDF 1.3MB; DOCX 381KB; XLSX 549KB) effective 24 November 2025.
  2. Download the Support Catalogue XLSX — the spreadsheet contains every support item code (for example, codes beginning with 01_ or 15_ depending on support type), the description, the pricing unit (hour, session, kilometre), and the price limit. Open the XLSX and use the search tool (Ctrl/Cmd+F) to find the item code or support name.
  3. Check the price limit and claim types — each row shows the current price limit and whether travel, non‑face‑to‑face or minimum call‑out fees apply. Note whether the price is GST‑inclusive or GST‑exclusive; the catalogue indicates GST treatment per item.
  4. Confirm plan funding — match the item to the participant's plan line item. Not every plan uses the same wording — check the plan's budget category (Core, Capacity Building, Capital) and line item code.
  5. Decide billing method — for NDIA‑managed participants, registered providers must claim via the NDIS portal (myplace provider portal) using the exact support item code. For plan‑managed participants, submit invoices to the plan manager. For self‑managed participants, invoice the participant directly using the item code so the participant can claim it back.

Step‑by‑step: billing and claiming (provider)

Once you're ready to bill, use these practical steps.

  1. Use the exact support item code — claims lodged without the correct code will be rejected or paid incorrectly. Match the Support Catalogue code exactly to the plan line item.
  2. Apply the price limit — for NDIA‑ or plan‑managed participants, you can't charge above the price limit for registered provider claims. You can negotiate lower rates with the participant or their plan manager, but the maximum is the catalogue price limit.
  3. Include travel and non‑face‑to‑face correctly — check the Support Catalogue for which items allow travel claims or non‑face‑to‑face claims. Some supports allow a travel rate per kilometre or a flat travel fee. Non‑face‑to‑face items (report writing, case conferencing) often have separate price limits and claim types.
  4. Submit via myplace or plan manager portal — NDIA‑managed claims go through the myplace provider portal. Plan managers accept invoices and then claim from the NDIA. Keep electronic copies of all claims and supporting notes for at least five years.
  5. Record GST correctly — the Support Catalogue shows whether an item is GST‑free. If you're registered for GST and the item is taxable, add 10% GST to your invoice; if it's GST-free, leave it out. Check servicesaustralia.gov.au/ndis for links on NDIS and tax guidance and consult the Australian Taxation Office for GST rules.

Step‑by‑step for participants and plan managers

  1. Find the code — use the NDIA Support Catalogue to confirm the item code and price limit for the service you need.
  2. Ask the provider for the code and quote — ask for the exact item code, unit rate, and whether travel or non‑face‑to‑face costs will be charged.
  3. Check plan budget — confirm the plan has funds in the relevant budget line and the date range covers when the service will be delivered.
  4. Approve or negotiate — plan managers often negotiate an agreed rate with providers that fits the plan. Participants with self-managed plans can pick any provider, but they need to make sure the service is reasonable and fits their plan goals.
  5. Claim back — if self‑managed, pay the provider and claim reimbursement via the myplace participant portal. Keep invoices with the correct item codes.

Tips and practical notes

- Bookmark the NDIA pricing page and re‑download the Support Catalogue after 24 November each year — that’s when price limits are updated. The NDIA runs an Annual Pricing Review that feeds into the next update.

Mastheads

- Use the Support Catalogue file name and version to be sure you’re looking at the live schedule: e.g., NDIS Support Catalogue 2025–26 v1.1 (XLSX 549KB).

- For travel: confirm whether the price limit is a per‑kilometre rate or a flat travel fee. Some rural providers have special allowances — check the item row.

- For block bookings or allied health packages: the catalogue sometimes lists both hourly and sessional rates. Match the code to the way the service will be delivered.

- If you’re unsure about GST treatment, check the Support Catalogue GST column and get a tax advisor’s help. Services Australia has an NDIS hub at https://www.servicesaustralia.gov.au/ndis with links to official guidance.

Common mistakes to avoid

  • Claiming with the wrong item code — leads to payment delays or rejections.
  • Charging above the price limit for NDIA‑ or plan‑managed participants — registered providers must not exceed the limit.
  • Forgetting travel or non‑face‑to‑face claim rules — these must match the catalogue allowances.
  • Mixing up GST treatment — charging GST on GST‑free items, or not charging GST when required.
  • Using an old Support Catalogue — price limits change. Always check the version and effective date (the current published set was effective 24 November 2025).

Alternatives and comparisons

Registered provider vs unregistered: registered providers must follow price limits when claiming from the NDIA or plan managers. Unregistered providers can set their own prices but participants who are NDIA‑managed or plan‑managed may be limited in what the NDIA or plan manager will pay back — so compare total costs before choosing.

Sure, NDIA‑managed vs plan‑managed vs self‑managed: with NDIA management, the NDIA pays providers directly — providers claim against the Support Catalogue codes and price limits. With plan management, a private plan manager claims on behalf of participants and can negotiate. Self‑managed participants can arrange any provider but must ensure the support aligns with the plan and is reasonable under NDIS rules.

Where to get official documents and help

- NDIA pricing and Support Catalogue: https://www.ndis.gov.au/providers/pricing-arrangements-and-price-limits - NDIS Support Catalogue spreadsheet: linked on the NDIA pricing page (look for NDIS Support Catalogue 2025–26 v1.1 XLSX 549KB). - Services Australia NDIS hub: https://www.servicesaustralia.gov.au/ndis - For tax and GST issues: Australian Taxation Office guidance on GST and disability services.

Related Articles

The NDIA’s pricing rules set maximum price limits and define the exact item codes you must use when claiming. Check the Support Catalogue each year — the current pricing package was published effective 24 November 2025 — and match the correct code, price limit and claim type before you bill or pay.

This article was created with AI assistance.