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NDIS Participant Pricing Guidelines

When providing services to participants, following the NDIS pricing arrangements and guidelines is essential. These guidelines, updated regularly by the NDIS, outline the maximum prices providers can charge for specific services. The NDIS Price Guide ensures participants receive fair value for money while promoting high-quality services.

For most services, providers must adhere to these capped prices. For example, support workers may charge up to the maximum hourly rate for assistance with daily living, as outlined in the Price Guide. Charging above the maximum is prohibited unless the participant has agreed to pay out-of-pocket for additional services outside their plan, but this must be communicated.

Pricing varies depending on the service type, location (e.g., remote or regional areas may allow for slightly higher charges), and the complexity of support required. The NDIS distinguishes between services like therapy, transport, plan management, and core supports such as Support Coordination, Behaviour support, early childhood, and SDA with each having different price points.

Providers should also factor in the type of plan management the participant uses. If they are self-managed, they may negotiate rates directly with the provider, but for plan-managed and NDIA-managed participants, the pricing must strictly follow the NDIS guidelines.

Transparency in pricing is crucial. Providers should ensure that participants fully understand the costs of their services, and any changes should be communicated upfront. By following the NDIS pricing guidelines, providers can maintain ethical practices while delivering essential support.

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