NDIS Pricing Update: What Providers and Participants Need to Know from 24 November 2025

The National Disability Insurance Scheme (NDIS) has released an updated version of the NDIS Pricing Arrangements and Price Limits (2025–26 v1.1). These updates officially apply from 24 November 2025 and will influence how services are billed, how budgets are managed, and how support is delivered across the disability sector.

At Allied Admin Partners, we work closely with Allied Health providers and NDIS businesses every day, so we’ve summarised the key points without the jargon or complexity.

Why the Pricing Arrangements Matter

The Pricing Arrangements guide outlines:

1. How services can be charged

2. The highest hourly rates registered providers can apply

3. Which items can be claimed under which parts of a participant’s plan

If you’re Agency Managed or Plan Managed, your providers must follow these price limits.

If you’re Self Managed, you still have flexibility, but the plan budget doesn’t change – so spending above price limits will reduce the funding sooner.

Main Changes in the 2025–26 v1.1 Update

1. Pricing Adjustments for Art and Music Therapy

The maximum hourly rates for Art Therapy and Music Therapy have been revised downward.

Impacts:

1. Plan Managed and Agency Managed participants must be charged at or below the new rate.

2. Self Managed participants can choose to pay more, but the additional cost comes from their own budget.

This adjustment reflects the NDIA’s ongoing review of pricing fairness across therapeutic supports.

2. Removal of All COVID-Related Support Items

Temporary COVID add-ons and claiming allowances have now expired in full.

This includes:

1. PPE reimbursement items

2. Temporary cleaning allowances

3. Additional risk mitigation invoicing flexibility

All claiming is now aligned with standard NDIS practices.

3. Changes to Low-Cost Assistive Technology Claiming

The support category previously labelled “Low Cost AT – Capacity Building” is no longer available.

Participants are still able to purchase low-cost AT (usually under $1500), however:

1. These purchases will now typically come from Core: Consumables instead of Capacity Building.

If there is uncertainty about where a purchase should be claimed from, a Plan Manager or Support Coordinator should check the budget mapping before ordering or reimbursing.

4. Regional & Remote Area Classifications Updated

The Modified Monash Model (MMM) has been reviewed, which affects whether certain areas are classified as:

1. Remote

2. Very Remote

3. or Standard Access

Some towns have shifted out of remote classification and will now fall under standard pricing.

If you deliver supports outside metropolitan areas, it’s important to check whether your postcode has been reclassified before adjusting invoices or service agreements.

5. Clarifications in Language and Definitions

The update also provides clearer wording in places, including:

1. How plan-managed participants engage providers

2. Updated naming conventions for social and community participation supports

3. Streamlined referencing of the NDIS support catalogues

These are clarity improvements – not operational changes.

When the Changes Apply

All updates come into effect 24 November 2025.

Providers should ensure:

1. Pricing tables are updated

2. Service agreements reflect the new wording and rates

3. Staff teams understand billing and claiming expectations

Participants may wish to check their budgets to ensure spending remains aligned.

What This Means for Providers

1. Review and update your Splose, Halaxy, Cliniko, Xero, or GoHighLevel price tables

2. Adjust service agreements to reflect new wording and claiming conditions

3. Notify clients about any pricing changes before 24 November

What This Means for Participants

1. Some therapies will cost less per hour (if plan-managed or agency-managed)

2. COVID claiming options are no longer available

3. Low-cost AT may draw from a different part of your plan than before

How Allied Admin Partners Can Support Your Business

We specialise in helping Allied Health and NDIS businesses stay compliant and organised. Our team can:

1. Update your pricing schedule and service agreement templates

2. Review your claiming and billing workflow for compliance

3. Train your admin team on correct category usage and invoice coding

4. Prepare your business for audit and registration renewal

Whether you're a solo practitioner or running a full multidisciplinary team, we help keep your systems smooth and compliant.

Need Help Adjusting to These Changes?

We’ve got you.

📧 [email protected]

🌐 www.alliedadminpartners.com.au

💬 Supporting Allied Health & NDIS providers Australia-wide