My invoice has been partially paid due to being over the price cap/limit - what does this mean?

As part of the National Disability Insurance Scheme (NDIS), there is price regulation in place to ensure that participants receive value for money in the supports that they receive. These regulations are referred to as price limits/price caps.

NDIS Pricing Arrangements and Price Limits are published by the NDIS to assist participants and providers in understanding the price limits which apply. It also provides information on the current (and previous) price limits for each support item and indicates which claim types (travel, non-face-to-face, etc.) apply for each price-limited support item.

You can find the NDIS Pricing Arrangements and Price Limits on the NDIS website.

Price limits are the maximum prices that providers can charge NDIS participants for specific supports, and we are unable to claim over the price limit. Different price limits apply depending on the location of the participant, and if the NDIS considers them to be in a Standard, Remote or Very Remote location.

If GST is applicable to a support, the price limit is inclusive of GST.

Please ensure that all invoices fall at or below the relevant price limit to ensure that invoices can be processed in full. When an invoice is issued with a unit price above the relevant price limit, we will send you an email to let you know that the invoice has been partially funded by the NDIS up to the relevant price limits for the dates on the invoice so that you are aware.