Temporary Transformation Payment

The National Disability Insurance Agency (NDIA) released an updated NDIS Price Guide for 2020-21. In this price guide the NDIS introduced the Temporary Transformation Payment (TTP) to assist providers who meet specific criteria, including registration to the NDIS Quality and Safeguards Commission, to continue transforming their businesses in the move towards a more competitive marketplace. Breakaway understands that you want to get the most support hours possible out of your NDIS package.

In order to support you with quality service delivery at a competitive price all our prices are in line with the latest NDIS price guide.  The NDIA reviews the NDIS price guide annually and sets prices that reflect wage inflation, market trends and ensure the NDIS remains sustainable.

Providers of attendant care and community participation have access to a higher price limit through a Temporary Transformation Payment (TTP) from 01 July 2019.

Your Client Liaison Officer (CLO) will be able to discuss the changes with you in further detail and you can find our latest prices here

Provider Travel

The length of time providers can claim for travel has changed, effective 1 July 2019.

If agreed by participants, providers can claim for the time spent travelling to each participant, for core supports—as indicated by the travel column in the Support Catalogue 2020-21. Only the actual travel time can be claimed, up to a maximum of:

  • 30 minutes within city areas (MMM 1–3)

  • 60 minutes in regional areas (MMM 4–5).

This is an increase from 20 and 45 minutes, respectively. Examples are provided to help give further clarification. Refer to the NDIS Price Guide 2020-21.

Providers delivering capacity-building supports are also able to claim time spent travelling from the last participant to their usual place of work. The maximum amount that can be claimed for return travel is 30 minutes within city areas and 60 minutes in regional areas.

Before providers can charge for travel, they must first discuss and get agreement on any changes with the participant. Once an agreement is reached, providers will need to update the relevant service bookings to reflect the changes agreed. 

The NDIA has made it easy to distinguish when and where travel is claimable by outlining this against each claimable support item number in the NDIS Support Catalogue 2020-21. 

Provider Travel (in remote and very remote areas)

 

In remote areas, capacity-building providers may enter specific arrangements with participants to cover travel costs, up to the relevant hourly rate for the support item. Providers should assist participants to minimise the travel costs that they need to pay (for example, by co-ordinating appointments with other participants in an area, so that travel costs can be shared between participants, or by considering the delivery of the support by telehealth where appropriate).

 

Refer to the NDIS Price Guide and Support Catalogue 2020-21, effective 1 March 2021, for details.

Cancellations

Where a provider has a Short Notice Cancellation (or no show) they are able to claim 100% of the agreed fee associated with the activity from the participant’s plan, subject to this Price Guide and the terms of the service agreement with the participant.

A cancellation is a short notice cancellation if the participant:

·      does not show up for a scheduled support within a reasonable time, or is not present at the agreed place and within a reasonable time when the provider is travelling to deliver the support; or

·      has given less than two (2) clear business days’ notice for a support that meets both of the following conditions:

o  the support is less than 8 hours continuous duration; AND

o  the agreed total price for the support is less than $1000; or

·      has given less than five (5) clear business days’ notice for any other support.

Providers can only claim from a participant’s plan for a Short Notice Cancellation of the delivery of a support item to the participant if all of the following conditions are met:

·      this Price Guide indicates that providers can claim for Short Notice Cancellations in respect of that support item; and

·      the proposed charges for the activities comply with this Price Guide; and

·      the provider has the agreement of the participant in advance (that is, the service agreement between the participant and provider should specify that Short Notice Cancellations can be claimed); and

·      the provider was not able to find alternative billable work for the relevant worker and are required to pay the worker for the time that would have been spent providing the support.

Claims for a short notice cancellation should be made using the same support item as would have been used if the support had been delivered, using the “Cancellation” option in the myplace portal.

There is no hard limit on the number of short notice cancellations (or no shows) for which a provider can claim in respect of a participant. However, providers have a duty of care to their participants and if a participant has an unusual number of cancellations then the provider should seek to understand why they are occurring. The NDIA will monitor claims for cancellations and may contact providers who have a participant with an unusual number of cancellations.

Please refer to the NDIS price guide 2020-21 for further information. 

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Office 27 Mort Street, Toowoomba Qld 4350
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