Each financial year, the NDIA releases an updated NDIS Pricing Arrangements and Price Limits document that sets the maximum rates providers can charge for NDIS supports. Understanding what changed in 2025 and how to update your billing systems is an essential operational task for every NDIS provider.
NDIS price limits are the maximum amount a provider can charge for a specific support item in a given period. They are not mandatory rates — providers can charge less. Price limits are set separately for different states and territories, with loadings for remote and very remote areas. Providers delivering supports in Modified Monash Model (MMM) areas 5, 6, and 7 are entitled to apply the relevant remoteness loading.
Indexation of direct support rates: Standard and High Intensity support worker rates received indexation aligned to the Wage Price Index and labour cost movements. TTP continuation: The Temporary Transformation Payment loading was continued for the 2025-26 financial year. Support Coordination rates: Rates for Support Coordination (07_002) and Specialist Support Coordination (07_004) were adjusted. Therapy and allied health supports: Several therapeutic support item codes were reclassified or merged — providers delivering therapy supports should carefully review the updated catalogue.
A significant number of NDIS providers operating in regional and remote areas are not applying the remoteness loading they are entitled to — up to 40% for remote areas (MMM 6) and up to 55% for very remote areas (MMM 7). Check the participant's address against the MMM classification tool on the Department of Health website to confirm the applicable loading.
When the NDIA releases new price limits, providers need to update their billing systems before invoicing for services delivered after the effective date: download the new document from the NDIS website; identify all item codes you bill against; compare new price limits against your current billing configuration; update your billing system before invoicing for the new period; and notify Plan Managers and participants of any rate changes as required under your service agreements.
Ready to streamline your NDIS operations? Start your free CareIQ trial — built for Australian care providers.