NDIS 2026-27 Pricing Schedule: What Changed in Claiming Rules and What Providers Must Do Now

We recommend you check this page frequently for any future updates. Last Updated on 25/06/2026.

Introduction

The 2026-27 NDIS Pricing Schedule has been published and is effective from 1 July 2026. For the first time since the Pricing Arrangements and Price Limits (PAPL) were introduced, the document has been fundamentally restructured — and it has left significant gaps that every provider needs to understand before billing a single claim in the new financial year.

The most critical change is not a rate adjustment. It is the removal of the claiming rules that told providers whether Non-Face-to-Face (NFF) support, Provider Travel, Short Notice Cancellations and NDIA Requested Reports could be claimed for each support item. For Allied Health providers, those rules have been replaced by a new suffix-item-number system. For Disability Support Workers, Nursing and Support Coordination providers, the rules have simply been removed — with no addendum yet published to replace them.

This blog breaks down what has changed for each provider group so you can find your relevant section, understand the impact, and take the right steps before 1 July 2026.

What Is the NDIS Pricing Schedule — and Why Is It Different This Year?

In previous years, the NDIA published the Pricing Arrangements and Price Limits (PAPL) — a document that set both the maximum prices for supports and the rules for how additional claiming types (such as travel, cancellations and non-face-to-face time) applied to each item. An accompanying Excel Support Catalogue listed every line item with Y/N flags for each claiming type.

This year, the PAPL has been replaced by a Pricing Schedule. The name change reflects a significant legislative development: the National Disability Insurance Scheme Amendment (Securing the NDIS for Future Generations) Bill 2026, introduced to Parliament on 14 May 2026, proposes to transfer the power to set binding NDIS prices to the Minister. Because that Bill has not yet passed — and the Senate committee report has been extended to 14 August 2026 — the NDIA cannot publish a formal price-limits document in the usual way. The Pricing Schedule is what providers bill against from 1 July 2026, but it carries guidance status rather than a legal instrument.

Two further consequences follow directly from this:

• No XLSX Support Catalogue has been published for 2026-27 as at 25 June 2026. The Pricing Schedule is available in PDF and DOCX only, removing the machine-readable item list that providers and software vendors have relied on.
• The claiming rules and Y/N flags that appeared in both the PAPL document and the Excel catalogue have been removed from the new Pricing Schedule — either replaced by a new system (for Allied Health) or simply absent (for Labour Supports and Support Coordination).

Group 1: Labour Supports

Schedule 1 — Disability Support Workers (DSW)

The 2026-27 Pricing Schedule does not contain NFF, Provider Travel or Short Notice Cancellation claiming rules for Disability Support Worker supports. No addendum has yet been published to replace them, and the NDIA has not explicitly stated that the 2025-26 PAPL rules carry forward for DSW. Providers are in a genuine gap pending a forthcoming addendum.

Beyond the claiming rules, two structural changes affect Schedule 1:

• Short Term Accommodation (STA) has been split. Support hours now sit under dedicated DSW line items in Schedule 1. The accommodation cost is now billed separately under Schedule 2 as a day rate ($162.85/day nationally). The old all-in-one STA item numbers no longer apply, and service agreements and billing systems must be updated to reflect the split. Note: the NDIA has reverted the name back to STA after briefly calling it Short Term Respite in 2025-26.
• New SIL registration group 0138 commences 1 July 2026. All SIL and NDIS digital platform providers must now be registered with the NDIS Quality and Safeguards Commission. Unregistered SIL providers already delivering supports have until 1 October 2026 to apply. Providing SIL without registration from 1 July 2026 is a serious compliance risk.

Schedule 2 — Accommodation & Capital Costs

The structural split of STA means that accommodation costs are now a standalone day-rate item under Schedule 2 ($162.85/day nationally for participant accommodation and $162.85/day for support worker accommodation). These are new items — there is no direct equivalent in 2025-26 on a standalone basis. Centre Capital Costs and Medium Term Accommodation (MTA) are otherwise unchanged.

Schedule 3 — Nursing & Other Labour Supports

In 2025-26, all nursing items carried Y flags for NFF, Provider Travel, Short Notice Cancellations and NDIA Requested Reports. The 2026-27 Pricing Schedule does not contain any of these claiming rules for nursing supports. No suffix items exist for nursing in Schedule 3. The gap is the same as Schedule 1, and an addendum is expected but not yet published.

Rates have increased: Enrolled Nurse weekday daytime $103.44/hr, Registered Nurse $128.05/hr, Clinical Nurse Consultant $175.18/hr, and Nurse Practitioner $183.15/hr nationally.

Group 2: Allied Health

Schedule 4 — Therapeutic Supports

This is where the most significant structural change in the entire Pricing Schedule sits. The old portal claim-type selection — where providers chose NFF, Travel, Cancellation or Reports as a claim type when submitting — has been completely removed for allied health. It no longer exists.

In its place, every allied health discipline now has six dedicated suffix item numbers. The suffix is appended directly to the base item number:

• _CA — Cancellation, at the full direct service rate
• _NF — Non-Face-to-Face, at the full direct service rate
• _PT — Provider Travel, at exactly 50% of the direct service rate
• _RR — NDIA Requested Reports, at the full direct service rate
• _TH — Telehealth, at the full direct service rate (brand new in 2026-27)

These suffix items apply to every allied health discipline without exception — Occupational Therapists, Speech Pathologists, Physiotherapists, Psychologists, Dietitians, Exercise Physiologists, Social Workers, Behaviour Support practitioners, Therapy Assistants, Audiologists, and all others listed in Schedule 4. Claims submitted using the old portal claim-type selection from 1 July 2026 will be rejected.

Key rate changes in Schedule 4:

• Psychologist: increased to $252.99/hr (from $232.99) — the rate was below the external benchmark range
• Dietitian: decreased to $178.99/hr (from $188.99) — the rate was above the benchmark range
• Exercise Physiologist: decreased to $161.99/hr (from $166.99)
• Orientation & Mobility Specialist: now a standalone discipline with its own item numbers at $156.16/hr — previously claimed under Other Professional

One important gap remains: the NDIA has not yet published guidance on when Telehealth (_TH) should be claimed instead of Non-Face-to-Face (_NF). Providers should seek clarification before billing under _TH.

Schedule 5 — Early Childhood Supports

The same suffix item structure applies to every Early Childhood Intervention (ECI) discipline — all six suffixes, the same rates, and the same removal of the old claim-type selection. Telehealth (_TH) is new for all ECI disciplines.

Two additional changes apply specifically to Schedule 5:

• Early Childhood Teacher/Educator is a new discipline added in 2026-27 (item 15_625_0118_1_3, $193.99/hr nationally), with all six suffix items.
• The age limit extension to 9 years (introduced 1 July 2025) carries forward unchanged.

Group 3: Coordination & Management

Schedule 6 — Support Coordination

The 2026-27 Pricing Schedule does not contain NFF, Provider Travel, Short Notice Cancellation or NDIA Requested Reports claiming rules for Support Coordination. In 2025-26, NFF and Provider Travel were Y for all SC items, and NDIA Requested Reports were Y for Levels 2 and 3. No addendum has been published to replace these rules.

Rate changes: Level 1 Support Connection has increased marginally to $80.06/hr (from $78.12). Level 2 Coordination of Supports remains frozen at $100.14/hr and Level 3 Specialist Support Coordination at $190.54/hr — both frozen for the seventh consecutive year. The NDIA has flagged a broader review of the support coordination model.

Schedule 7 — Plan Management

The monthly Plan Management fee remains frozen for the seventh consecutive year at $104.45/month. No claiming rule changes apply to this schedule — it is a fixed monthly fee with no activity-based claiming flags. The NDIA has recommended a future review of whether the flat monthly fee model remains appropriate as the market evolves.

Group 4: Non-Labour / Products / Quotable

Schedule 9 — Supports Without Specified Prices

Two items previously sitting in the broader non-priced group have moved into Schedule 4 (Therapeutic Supports) in 2026-27: 15_047 (Selection/Manufacture of Individualised Technology) and 15_300 (AT Mentoring). Both now carry the full six suffix items. No other claiming rule changes apply to AT, consumables, home modifications or equipment items.

Schedules 8, 10 & 11 — Notional Unit Priced Items, Quotable Supports, Isolated Towns

No claiming rule changes for these schedules. Notional items remain at $1.00. Quotable supports still require an approved quote before delivery. Schedule 11 remains a pricing modifier list only.

What This Means for Providers — A Summary of the Critical Gaps

The table below captures the core claiming rule position for each group from 1 July 2026:
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We Have Prepared a Detailed Comparison Reference

To support NDIS providers navigating these changes, we have prepared a comprehensive reference document — the NDIS Pricing Comparison: Claiming Rules by Schedule — 2025-26 vs 2026-27. This workbook covers all 11 schedules in the new Pricing Schedule, maps the 2025-26 claiming flags (NFF, Provider Travel, Short Notice Cancellations, NDIA Requested Reports, Irregular SIL Supports and Type) against the 2026-27 position for each schedule, and includes a full Allied Health suffix item reference and a prioritised action list for providers.

If you would like to receive a copy, please contact us here, and we will send it through.

How ISO Consulting Services Can Help

At ISO Consulting Services, we work with NDIS providers across Australia to stay ahead of pricing changes, maintain compliance, and prepare for audits with confidence. Whether you need help interpreting the 2026-27 Pricing Schedule, updating your service agreements, preparing for the new SIL registration requirements, or aligning your billing systems with the new suffix item structure, our team is ready to assist.

Our ISO+™ NDIS platform provides an all-in-one compliance management system built specifically for NDIS providers, with linked policies, registers, incident tracking, audit tools, and real-time visibility across your operations.

To find out how we can support your organisation through this transition, get in touch with our team today.

Abbreviations Used in This Blog

• NFF — Non-Face-to-Face
• DSW — Disability Support Worker
• NDIA — National Disability Insurance Agency
• PAPL — Pricing Arrangements and Price Limits
• SIL — Supported Independent Living
• STA — Short Term Accommodation
• ECI — Early Childhood Intervention
• AT — Assistive Technology
• L1 / L2 / L3 — Level 1 / Level 2 / Level 3 (Support Coordination tiers)
• XLSX — Excel Spreadsheet File Format
• DOCX — Microsoft Word Document File Format
• PDF — Portable Document Format
• _CA — Cancellation (suffix item code)
• _NF — Non-Face-to-Face (suffix item code)
• _PT — Provider Travel (suffix item code)
• _RR — NDIA Requested Reports (suffix item code)
• _TH — Telehealth (suffix item code)