Source:  NDIS Pricing Arrangements & Price Limits

These support items recognise the otherwise non-claimable costs that providers face in establishing arrangements with participants. They can be delivered to individual participants subject to the rules set out in this NDIS Pricing Arrangements and Price Limits

These support items are claimable by a provider who assists a participant with the implementation of their NDIS Plan, who has made an agreement with the participant to supply a minimum of 20 hours per month for three or more consecutive months of:

 

  • Personal Care Supports – that is, supports in the Activities of Daily Living Support Category that are delivered by providers in the Registration Groups:
    • Daily Personal Activities (0107); or
    • High Intensity Daily Personal Activities (0104); or

 

  • Participation Supports – that is, supports in the Social, Economic and Community Participation Support Category delivered by providers in the Registration Groups:
    • Participation in Community, Social and Civic Activities (0125); or
    • Group and Centre Based Activities (0136); or
    • High Intensity Daily Personal Activities (0104) when delivered for community access or group supports; or
    • Specialised Supported Employment (0133).

 

Each provider can only claim an Establishment Fee in respect of a participant once across all plans. If a provider delivers services to a participant through more than one Registration Group or more than one Support Category they can only claim for one Establishment Fee, and only if they meet the other requirements set out above. More than one provider is able to claim an Establishment Fee against a given plan as long as each provider meets the relevant requirements.