Pricing updates
đ Key changes & features for 2025-26 you need to know
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As youâre deeply involved in plan-management, invoice checking and compliance, these are the points that will matter for your workflow and for your participantsâ budgets:
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- Effective dates & versioning
- The 2025-26 arrangements came into effect 1 July 2025 (Version 1.0). NDIS+2NDIS+2
- A subsequent update (Version 1.1) takes effect 24 November 2025. NDIS+1
- Important: as a plan-manager youâll want to ensure any invoices/service agreements reflect the correct version and date.
- Updates to price-limits and categories
- Some support worker (DSW) rates have increased to reflect rising wages (including superannuation). Fairtime+1
- Some therapy supports (particularly allied health like physiotherapy, dietetics) have reduced price limits or had loadings removed, because rates were considered higher than comparative market rates (private/Medicare) in many instances. infiniteability.com.au+1
- Removal of certain loadings (e.g., remote loadings in some cases), or adjusting them with the updated Modified Monash Model (MMM) classification. NDIS+1
- Early childhood approach age limit changed: the Early Childhood Approach now covers children up to 9 years (instead of 7). NDIS+1
- Support item catalogue updates: items created/modified/deleted particularly in Assistive Technology, Home Modifications, Consumables to align with supports list. NDIS+1
- Claiming and billing rules refined
- Nonâface-to-face support time and travel time rules clarified. The guide sets out when travel, cancellations, non-face-to-face time can be claimed and at what rate. NDIS+1
- Conflict of interest disclosures and provider responsibilities explicitly included. NDIS+1
- For self-managing/plan-managing, providers must adhere to this pricing document; participants should monitor service agreements to ensure provider charge rates do not exceed the price limits. NDIS+1
- Impacts for participants and budgets
- Where rates have gone down (e.g., some therapies) this may mean more hours of support if budget remains constant, or conversely fewer hours if provider rates stay at old higher levels (which would not comply).
- Where worker rates have increased (e.g., DSW), the participantâs budget may cover fewer hours unless the funding amount was adjusted.
- It becomes even more important for you (as plan manager) to check service agreements, invoices and provider disclosures to ensure compliance and protect participantsâ budgets from being eroded.
- Ensure any travel, cancellation, or nonâface-to-face claims are properly supported and within claiming rules (since the guide has tightened these).
- Sustainability and market alignment
- The NDIA explicitly says the pricing arrangements aim to âremain affordable and in place for future generationsâ and âremain aligned to market conditions and cost structuresâ (including workforce wages, inflation, etc). NDIS+1
- Data from more than 10 million therapy transactions were used to inform changes
