PB Price Guide 2020-21 v1.1 DOCX 0 PDF

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Price Guide 2020-21

Valid from: 25 October 2020 (Version 1.1 – Publication Date:

/10/2020)

© National Disability Insurance Agency 2020 With the exception of any material protected by a trademark, and when otherwise noted, this work is licensed under a Creative Commons Attribution 4.0 International licence CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). The details of the relevant licence conditions are available on the Creative Commons website (accessible using the link provided) as is the full legal code for the CC BY 4.0 International licence. Content from this work should be attributed as the National Disability Insurance Agency.

Version Control The NDIS Price Guide is subject to change. The latest version of the NDIS Price Guide is available on the NDIS website. Version

Page

1.0

Details of Amendment

Release Date

First Operative Edition

26 June 2020 29 June 2020

Operative Date

1.0.1

69

Correction of typo in end date for the transitional arrangements for group-based supports in the Assistance with Social, Economic and Community Participation Support Category. Correct date is 30 June 2021.

1.0.2

49

Correction of typo in Support item number 01_831_0115_1_1 to 01_832_0115_1_1.

1 July 2020

1 July 2020

1.0.3

49

Correction to registration group from 0104 to 0115 for SIL support items.

2 July 2020

2 July 2020

1.0.4

82

Correction of typo in Support item 07_799_0106_8_3 to 07_799_0106_6_3

9 July 2020

9 July 2020

73

Corrections to the price limits for Group Activities in a Centre – 1:5 – Standard

1.0.5

64

Inclusion of Community, Social and Recreational Activities with correction from Support Item Number 04_115_0125_6_1 to 04_210_0125_6_1.

13 July 2020

13 July 2020

1.0.6

27

Clarified that group based SIL supports can be offered as a program of supports

31 July 2020

29 July 2020

37

New temporary support so that participants can purchase Personal Protective Equipment (PPE) for use when interacting with their disability support workers

57

Expanded the temporary support items for COVID incidents in SIL to include participants required to selfisolate or quarantine.

58

New temporary support items for Personal Protective Equipment (PPE) for disability support workers

59

New temporary support items for Deep Cleaning for support worker-related COVID-19 diagnosis

1.0.7

10

Geographic coverage of some COVID support items extended to New South Wales and designated areas of Queensland

27 August 2020

22 August 2020

1.0.8

10

Priority of Price Guide documents NDIS Price Guide Schedule of Addenda

11 Sep 2020

11 Sep 2020

Price Guide 2020-21 Version 1.1 (published 22/10/2020)

Version

Page

1.0.9

37

1.1

15

Details of Amendment COVID19 Low Cost AT support end-date moved to NDIS Schedule of Addenda Updated the way in which the NDIS determines which areas are regional, remote or very remote

26

Updated the Activity Based Transport example

29

Irregular SIL Supports: used for intermittent or unpredictable supports outside of a SIL setting

85

Clarified that providers of Psychosocial Recovery Coaches can claim for NDIA Requested Supports

Price Guide 2020-21 Version 1.1 (published 22/10/2020)

Release Date 2 Oct 2020 22 Oct 2020

Operative Date 1 Oct 2020 25 Oct 2020

Contents Introduction.................................................................................................................................... 9 Priority of Price Guide documents........................................................................................... 10 NDIS Price Guide Schedule of Addenda................................................................................. 10 Support Purposes, Support Categories and Support Items.....................................................11 Support Items.......................................................................................................................... 11 Support Purposes.................................................................................................................... 11 Support Categories aligned to the NDIS Outcomes Framework..............................................11 Registration Groups................................................................................................................ 12 Units of Measure..................................................................................................................... 13 General Claiming Rules............................................................................................................... 14 Service Agreements................................................................................................................ 14 Service Bookings..................................................................................................................... 14 Regional, Remote and Very Remote Areas.............................................................................15 Modified Monash Model................................................................................................... 15 Isolated Towns Modification.............................................................................................15 Pricing Arrangements in Regional, Remote and Very Remote Areas...............................16 Time of Day and Day of Week.................................................................................................17 Night-Time Sleepover supports........................................................................................18 Claiming for non-direct services.............................................................................................. 18 Non-Face-to-Face Support Provision...............................................................................18 Provider Travel................................................................................................................. 19 Short Notice Cancellations............................................................................................... 23 NDIA Requested Reports.................................................................................................24 Claiming for Activity Based Transport......................................................................................24 Activity Based Transport - Social, Economic and Community Participation Supports.......24 Activity Based Transport - Capacity Building Supports.....................................................25 Claiming for Group-Based Supports........................................................................................ 26 Programs of Support............................................................................................................... 26 Claiming for Centre Based Social, Economic and Community Participation Supports.............27 Centre Capital Costs........................................................................................................27 Claiming for Establishment Fees for Personal Care/Participation Supports............................28 Irregular SIL Supports............................................................................................................. 29 Claiming for Shadow Shifts.....................................................................................................29 Other Considerations.............................................................................................................. 29 Supports must be Reasonable and Necessary................................................................29 Price Guide 2020-21 Version 1.1 (published 22/10/2020)

Medicare and insurance................................................................................................... 30 Expenses related to Recreational Pursuits.......................................................................30 Prepayments.................................................................................................................... 30 Co-payments for Capital items, including Assistive Technology.......................................30 Other Fees and Charges..................................................................................................30 Goods and Services Tax (GST)........................................................................................ 31 Special NDIS Pricing Arrangements...........................................................................................32 High Intensity Supports........................................................................................................... 32 Level of Disability Support Worker...................................................................................32 Temporary Transformation Payment (TTP).............................................................................. 32 Registration for TTP Eligibility.......................................................................................... 33 Plan managers and the TTP............................................................................................ 34 Disability-Related Health Supports.......................................................................................... 34 Type of Nurse................................................................................................................... 35 Coronavirus (COVID19) Response.........................................................................................35 Increased access to Support Coordination.......................................................................36 SIL Providers....................................................................................................................36 Low Cost Disability-Related Health Consumables – Personal Protective Equipment.......37 Personal Protective Equipment for Workers.....................................................................37 Deep cleaning.................................................................................................................. 37 Assistive Technology Rental Support Items to facilitate Hospital Discharge.....................38 Low Cost Assistive Technology - Capacity Building..........................................................38 Core - Assistance with Daily Life................................................................................................40 Daily Personal Activities.......................................................................................................... 40 Assistance with Self Care Activities..................................................................................40 Assistance with Self Care Activities - Night-Time Sleepover Support...............................41 Assistance from Live-in Carer.......................................................................................... 41 Assistance with Personal Domestic Activities...................................................................41 On-Call Overnight Monitoring...........................................................................................42 High Intensity Daily Personal Activities....................................................................................42 Assistance with Self Care Activities..................................................................................42 Specialised Home Based Assistance for a Child..............................................................46 Assistance with household tasks............................................................................................. 46 Assistance with Household Tasks....................................................................................46 Linen Service................................................................................................................... 47 Preparation and delivery of meals....................................................................................47 Assistance with Daily Life Tasks in a Group or Shared Living Arrangement............................47 Assistance in Shared Living Arrangements - Supported Independent Living....................47 Short Term Accommodation and Assistance (including the provision of respite care)......48 Price Guide 2020-21 Version 1.1 (published 22/10/2020)

Medium Term Accommodation (MTA).............................................................................. 50 Residential Aged Care.....................................................................................................50 Other living arrangements................................................................................................ 51 Individualised Living Options................................................................................................... 51 Exploration and Design....................................................................................................51 Support Model.................................................................................................................. 52 Self-Management Capacity Building........................................................................................ 52 Disability Related Health Supports.......................................................................................... 53 Nursing............................................................................................................................. 53 Therapy-related health supports...................................................................................... 54 Temporary COVID 19 Supports............................................................................................... 56 Support Coordination....................................................................................................... 56 Supported Independent Living......................................................................................... 56 Personal Protective Equipment (PPE) for workers...........................................................57 Deep Cleaning for Support Worker-Related COVID-19 Diagnosis...................................58 Core - Transport........................................................................................................................... 59 General Transport................................................................................................................... 59 Specialised Transport.............................................................................................................. 59 Core - Consumables.................................................................................................................... 59 Core - Assistance with Social, Economic and Community Participation................................60 Assistance to Access Community, Social and Recreational Activities......................................60 Participation in Community, Social and Civic Activities.....................................................60 Participation in Community, Social and Civic Activities - High Intensity Supports.............61 Community, Social and Recreational Activities.................................................................64 Group and Centre Based Activities..........................................................................................64 Group and Centre Based Activities - Standard.................................................................64 Group and Centre Based Activities - High Intensity..........................................................65 Supports in Employment......................................................................................................... 66 Specialised Supported Employment.................................................................................66 Transitional Arrangements for Community and Centre Based Group Activities.......................68 Community Based Group Activities - Standard.................................................................68 Centre Based Group Activities - Standard........................................................................70 Community Based Group Activities - High Intensity.........................................................73 Centre Based Group Activities - High Intensity.................................................................76 Capital - Assistive Technology.................................................................................................... 80 Capital - Home Modifications and Specialist Disability Accommodation................................80 Home Modifications................................................................................................................. 80 Specialist Disability Accommodation (SDA).............................................................................80 Price Guide 2020-21 Version 1.1 (published 22/10/2020)

Capacity Building - Support Coordination................................................................................. 81 Level 1: Support Connection...................................................................................................81 Level 2: Coordination of Supports........................................................................................... 82 Level 3: Specialist Support Coordination................................................................................. 82 Capacity Building and Training in Plan and Financial Management........................................84 Psychosocial Recovery Coaches............................................................................................ 84 Capacity Building - Improved Living Arrangements.................................................................86 Assistance with Accommodation and Tenancy Obligations......................................................86 Capacity Building - Increased Social and Community Participation.......................................87 Assistance in Coordinating or Managing Life Stages, Transitions and Supports.....................87 Development of Daily Living and Life Skills.............................................................................87 Innovative Community Participation........................................................................................88 Community Participation Activities...........................................................................................88 Capacity Building - Finding and Keeping a Job........................................................................90 Employment Related Assessment and Counselling.................................................................90 Workplace assistance.............................................................................................................. 90 School Leaver Employment Supports (SLES).........................................................................91 Supports in Employment......................................................................................................... 92 Specialised Supported Employment.................................................................................92 Capacity Building - Improved Relationships..............................................................................94 Specialist Behavioural Intervention Support............................................................................94 Individual Social Skills Development............