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NDIS price limits: what all disability support workers should know

If you’re a support worker providing support to people with a disability, there’s a good chance your client is an NDIS participant with funding that’s subject to NDIS price limits set by the National Disability Insurance Agency (NDIA). If your support rates are higher than these price limits, it could affect the number of jobs you receive on the Mable platform and create payment collection issues – so we’ve answered a few important questions about NDIS price limits.

What are NDIS price limits?

NDIS price limits apply to NDIS participants whose funding is managed by a plan manager or the NDIA. These are monetary limits that allow the NDIA to monitor the costs charged by registered providers and independent support workers like those on Mable. Price limits vary depending on the service, the time and day support is provided and whether your client lives in a remote location.

Why are there price limits?

The National Disability Insurance Scheme Act 2013 states that the cost of support must be reasonable and relative to the support provided and the costs of alternative support.

The NDIA updates price limits annually (sometimes more frequently) to consider market trends, changes in costs and average wage rates.  

How could NDIS price limits affect my work?

Around 28% of clients with a disability on the Mable platform currently self-manage their NDIS funding – meaning price limits guide them. However, around 72% of NDIS participants on Mable are either plan-managed or NDIA-managed (also referred to as agency-managed) – this means they cannot exceed the NDIS price limits. 

If you provide support to an NDIS participant on Mable, your invoice could be reviewed by the client’s plan manager to ensure it doesn’t exceed the NDIS price limit. For example, if your invoice includes hourly rates that are higher than the NDIS price limit your client can’t pay using their NDIS funding.

So, if you’re charging a higher hourly payment rate than the NDIS price limit, clients with a disability may not book you. 

When considering your hourly rates on Mable, calculate the full cost of support to ensure your hourly rate doesn’t exceed the NDIS price limit. The full cost of support means all the costs associated with providing support – your hourly rate plus any additional fees, such as Mable’s 5% client service fee which adds a small cost to the overall amount. Plan-managed clients pay for the plan management service from a separate NDIS funding category. However, a small percentage of NDIA-managed clients have an NDIS registered provider sourcing their support – and their service fee is included in the full cost of support calculation. 

What does this mean for me as a support worker?

If you’re providing support to people with disability, it’s important to stay up-to-date with NDIS pricing arrangements and price limits and understand your clients’ individual funding arrangements to avoid potential problems receiving job requests and collecting your payments.

When you’re discussing rates with an NDIS funded client or their representative, ask how their funding is managed and ensure that the full cost of support does not exceed NDIS price limits.

For more information or support, contact Mable at info@mable.com.au or 1300 73 65 73.

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