With the release of the updated NDIS Price Guide and Support Catalogue 2019–20, effective 1 July 2019, and the price limit increases – providers and participants will need to discuss and agree on any proposed changes to charges for services and supports.

Once agreed, providers are then required to update service bookings to reflect the agreed changes. The NDIA will not be automatically adjusting existing service bookings.

Providers can only start claiming a new price level, agreed to by the participant, from the start date of the revised or newly created service agreement and service booking (unless the provider has pre-arranged agreements with the participant written into the service agreement as follows):

  • In some instances, providers may have service agreements that allow the provider to automatically claim annual indexed price limits without the need to update the existing service agreement.

To update service bookings to reflect any agreed changes, providers will need to end and create new service bookings OR update the ‘Allocated Dollar’ amount in the service booking, via the myplace provider portal. This can be done any time from 1 July 2019.

Category level 
•    Where the service booking is created at the category level, no immediate action is required.

•    However, to apply new price limits, providers will need to update value of the ‘Allocated Dollar’ amount in the service booking, via the myplace provider portal.

•    Instructions are in the ‘Edit support details service booking’ page on the Provider Toolkit.

Support line item level
•    To apply the new price limits for service bookings created at the support line item level, including service bookings generated by the NDIA, providers can change the end date of existing service bookings and then create a new service booking.

•    It is recommended that providers first ensure all payment claims associated with that service booking are up-to-date. This will eliminate the need to calculate an accrual amount for any claims not yet made.

•    If claims are not up to date, calculate the correct accrual amount before updating the end date of the service booking. Once the service booking end date has changed, it cannot be further amended.

Example One
•    Where a provider has a service booking in place that goes from 1 January 2019 to 31 December 2019, service bookings can be amended to apply the new price limits from 1 July 2019. To do this:
   -  end the service booking before 30 June 2019
   -  create a new service booking with the new price limits and support line item, starting 1 July 2019 until 31 December 2019.
•    This may now mean providers have two service bookings for the equivalent service for the same participant: one from 1 January to 30 June and the next from 1 July to 31 December.

Example Two
•    Service bookings cannot be backdated. Change the end date to the date before you want the new price limits to apply. For example:
  -  Provider edits the original service booking on 1 August 2019, which means the end date cannot be before 1 August 2019,
  -  Provider makes sure there is an accrual of funds in the original service booking, then closes the booking.
  -  Provider creates a new service booking with the new support line item, which can only start from 2 August 2019.
  -  The provider then claims against the original service booking and all future claims will be against the new service booking.