Therapy Supports
(over 7 years)

Therapy Supports (over 7 years)

These support items provide therapeutic services to participants (over 7 years). In the NDIS, therapy supports are for participants with an established disability, where maximum medical improvement has been reached, to facilitate functional improvement. For people who access the Scheme as ‘early intervention’ NDIS participants, reasonable and necessary supports are likely to be a blend of medical and disability therapies, but should be predominantly disability therapy supports. Therapy in this context must be aimed at adjustment, adaption, and building capacity for community participation.

Maintenance care can be claimed against a participant’s plan, where the primary purpose is to provide ongoing support for a participant in order to maintain a level of functioning including long term therapy/support required to achieve small incremental gains or to prevent functional decline,. In general, maintenance therapy that is reasonable and necessary should be delivered by carers who are or can be trained in this if required. Where a participant has a medical condition or disability that requires a particular regime to maintain functioning of a body part, or to slow the deterioration of a medical condition or body part, then these support items can be used to deliver reasonable and necessary training for non-qualified personnel to assist a participant, as part of usual daily care. These support items cannot be used for massage, delivered directly to impact a body part or body system, as these supports are more appropriately provided and funded by the health system.

These support items can also be used for the assessment, planning, and delivery of Disability-Related Health Supports where these supports directly relate to a participant’s significant and permanent functional impairment and assist them to undertake activities of daily living.

These support items can be delivered to individual participants or to groups of participants subject to the rules set out in this NDIS Pricing Arrangements and Price Limits. If a support item is delivered to a group of participants then the price limit for each participant is the price limit set out in the following Table divided by the number of participants in the group. Providers should make a claim for each participant using the relevant support item. Each claim should be for the total time of the support but is subject to the lower price limit as set out above. (Note: There are special arrangements for the Community Engagement Assistance support item.)

As well as direct service provision, these support items can be used to claim for

• Non-Face-to-Face Support Provision

• Provider Travel

• Short Notice Cancellations

• NDIA Requested Reports.

Providers of this support can also claim for the costs of:

• Provider Travel - Non-Labour Costs using support item 15_799_0114_1_3 or 15_799_0126_1_3 or 15_799_0128_1_3, depending on their Registration Group.

These support items are subject to price limits as set out in the following Table. Different price limits apply depending on the type of allied health professional who delivers the support.

Item Number
15_056_0128_1_3
Assessment, Recommendation, Therapy or Training (including Assistive Technology) - Other Therapy

• Provision to a participant of Assessment, Recommendation, Therapy, or Training (including in assistive technology) supports.

• The support must be delivered by a suitably qualified allied health professional.

Pricing

• NSW / VIC / QLD / ACT: $193.99 per hour

• Remote: $271.59 per hour

• Very Remote: $290.99 per hour

No out-of-pocket expenses for our services.