Comply with NDIS Pricing Arrangements + Price Limits
NDIS providers must claim within NDIA-published price limits + arrangements.
Who must comply
All NDIS providers (registered + unregistered).
What triggers it
Delivering NDIS-funded supports.
When due
Per-claim; annual update review.
Evidence required
Service agreement; correct item codes; price compliance; claim records.
Max penalty
Recovery + civil penalties for overcharging; provider banning
Summary
NDIS Pricing Arrangements + Price Limits (updated annually) cap per-unit pricing for supports. Providers cannot charge participants above the cap; must use specified item codes; bill within service agreement.
Enforced by
Source legislation
Industries
Topics
Related obligations
- CWLTHReport serious NDIS incidents to the NDIS CommissionDeath, serious injury, abuse, neglect, unauthorised restrictive practices, and sexual misconduct must be notified.
- CWLTHComply with NDIS Practice StandardsRegistered NDIS providers must meet the NDIS Practice Standards for their registration groups.
- CWLTHVerify NDIS worker screening clearanceRegistered providers must only engage workers in risk-assessed roles with a current NDIS Worker Screening clearance.
- CWLTHDevelop + authorise Behaviour Support Plans for restrictive practicesUse of restrictive practices in NDIS supports requires a comprehensive Behaviour Support Plan.
- CWLTHComply with NDIS quality auditor cycle for registered providersRegistered NDIS providers must pass NDIS Quality auditor cycle (verification + certification audits).
- CWLTHNDIS fraud prevention + reporting obligationsNDIS providers must implement fraud-prevention systems + report suspected fraud.
Frequently asked questions
- Who must comply with NDIS Pricing Arrangements + Price Limits?
- All NDIS providers (registered + unregistered).
- What triggers NDIS Pricing Arrangements + Price Limits?
- Delivering NDIS-funded supports.
- When is NDIS Pricing Arrangements + Price Limits due?
- Per-claim; annual update review.
- What is the maximum penalty for NDIS Pricing Arrangements + Price Limits?
- Recovery + civil penalties for overcharging; provider banning
- What evidence is required for NDIS Pricing Arrangements + Price Limits?
- Service agreement; correct item codes; price compliance; claim records.
Source: https://www.ndis.gov.au/providers/pricing-arrangements. Rules Mate is not a law firm. Always verify against the live regulator source before acting.