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NDIS Temporary Increase in Price Limits
NDIS Temporary Increase in Price Limits

Temporary price increase for certain NDIS services effective 25th March 2020

Updated over a week ago

NDIS has increased price limits by 10% for certain supports effective 25th March 2020. The Support Catalogue has been updated with the supports that are subject to the 10% increase.

Please follow the (applicable) steps below to update your Penelope database.


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Update NDIS Service Units (Below)


Update NDIS Service Units

For supports that have been impacted by the price increase you may need to do the following:

Update the Fee and Full Fee Legal Limit fields on the NDIS Service Unit and perform Update Billing Amounts to Appointments. This will cover any self-managed clients. Please note that this must be done before moving on to the next steps.

NDIS Funders

If the Rate on the coverages is using percent, this is all you need to do (e.g. update the NDIS Service Unit as mentioned above).

If the Rate on the coverages are being entered on your Policies you will need to do the following:

  1. Update the Public Policy Coverage and perform a Mass Update.
    – Public Policy Setup (Funder)
    – Mass Update Rates to Individual Policies

  2. Update the Private Policy Coverage for Individuals.
    – Adding a Private Policy

Monitored Billing Funders

For Self-Managed with agency assistance plans, the Co-Pay field will need to be updated for coverages under a Monitored Billing Funder.

Depending on your agency’s use of Penelope, you may need to do a few of these:

  1. Update the Co-Pay field on the Public Policy Coverage and Perform a Mass Update
    Public Policy Setup (Funder)
    – Mass Update Rates to Individual Policies

  2. Update the Co-Pay field on the Group Policy Coverage on the Monitored Billing Funder.
    Group Policy Setup (Funder)

  3. Update the Co-Pay field on the Private Policy Coverage for Individuals.
    Adding a Private Policy

  4. Recalculates Service Units – For good measure, perform a “Recalc. Service Units” for Service Files so the Cart Items in the Service Events are updated with the correct amounts.
    Billing Sequence

Cancellations

NDIS has made some changes with regards to cancellation charges. For more information on these cancellation charges click here.

Short Notice Cancellations

NDIS has changed the definition of a short notice cancellation for a six-month period (25 March 2020 to 25 September 2020) they will be doing an initial review at the 3-month mark to determine if it is still appropriate.

Any Action Triggers that are set up to notify of Cancelled events:
Managing Action Triggers
– Tips for Managing NDIS Cancellation Charges

Increased Percentage for Cancellation Claims

As of 30 March 2020, 100% of the agreed support price can be claimed when a client cancels with short notice (this was previously 90%). For further details on what you should do when working with the client please visit the link above on the NDIS website.

In Penelope, you should not have to alter any processes as the process is to submit for the full amount and NDIS does the Cancellation claim calculation for you based on it being submitted with the Cancellation claim type.

Things that may be helpful as a refresher:
Adding an NDIS Claim Type to a Cart Item
NDIS Service Units

New Line Items for Support Coordination

New support coordination items were introduced and are effective on 25 March 2020. These can be added to Penelope by adding them as an NDIS Service Unit.

See the NDIS Support catalogue for the new line items (available here).

Useful Links

For updates on NDIS changes, please visit www.ndis.gov.au. Below you will find some links to important updates.

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