Big Changes With The NDIS Price Guide 2025 You Need To Know

Big Changes With The NDIS Price Guide 2025 You Need To Know

What is the NDIS price guide 2025 and how will it affect the costs and funding of disability support through your NDIS plan?

Answer: The NDIS price guide 2025, officially released as the NDIS Pricing Arrangements and Price Limits (PAPL) for 2025 26, sets the maximum prices that registered providers can charge for support and services under the NDIS from 1 July 2025. It governs how much funding participants can use for different supports, ensures consistency across providers, and aims to balance participant value with provider sustainability.

Below is a detailed look at what the NDIS price guide 2025 covers, what changes are involved, and what participants and providers should know especially for a business like Authentic Care offering NDIS support.

The Role and Purpose of the NDIS Price Guide

The document commonly referred to as the “NDIS price guide” has evolved. Today, the official version is called NDIS Pricing Arrangements and Price Limits PAPL, and it replaces and expands upon what was previously called the NDIS Price Guide.

Why it matters:

• It sets price limits for specific support items, that is, the maximum that a registered provider can claim from a participant’s plan for a given support.
• It defines which supports are subject to price regulation that have caps and which are quotable that are negotiated or unregulated.
• It ensures participants get value for money and helps prevent inconsistent or inflated charges across providers.
• It offers clarity for providers about claiming travel, non face to face work, cancellations, and other billing rules.

Because Authentic Care operates in the NDIS support space, understanding and aligning with the NDIS price guide 2025 is essential for compliance, correct billing, and transparency with participants.

Key Changes and Highlights in the NDIS Price Guide 2025

The new pricing arrangements effective 1 July 2025 introduce several important shifts. Below are some of the main changes to be aware of.

1. Overall Price Increases

Many standard support prices have increased by 3.95 percent reflecting wage growth, superannuation changes, and cost pressures.

2. Psychology Standardised Rate

One notable change is that psychology services now have a standardised national rate of 223.99 per hour across all states and territories.

This means regardless of location, the rate is the same for psychology services that are price limited. That helps reduce geographic variation and confusion.

3. Travel and Non Face to Face Adjustments

The price guide reduces what providers can charge for travel and non face to face services in many cases. For certain supports, travel loading is limited or halved, meaning less reimbursement from a participant’s plan.

Some supports no longer allow non face to face claims unless specifically provided for in PAPL.

4. Removal or Adjustment of Loadings and Extras

• Plan management set up fees are removed for new plans.
• Remote or very remote loadings are being reduced or removed for some therapy supports.
• Some support items have been deactivated or turned into legacy supports.

5. Operational Guidelines and Updates

Alongside the price changes, the NDIA has released a new Operational Guideline for Therapy Supports, clarifying when therapy supports will be funded and by whom.

Also, updates effective 24 November 2025 introduce new guidance on claiming Other Professional supports, changes to assistive technology, and removal of the COVID Addendum.

What the NDIS Price Guide 2025 Means for Participants

If you are an NDIS participant or potential participant, here’s how these changes may impact you:

Impact on Your Budget and Planning

• Because price limits are higher in many support categories, providers may charge closer to those limits, so your plan allocation needs to match expected service levels.
• Travel funding may be more constrained, especially for therapies, you might need to factor in out of pocket costs or seek providers closer to you.
• For psychology or therapy, knowing the standard rate 223.99 per hour helps you check provider invoices and plan budgets accurately.

Negotiation and Choice

While providers cannot exceed the price limits for regulated supports, participants or plan managers can negotiate lower prices if a provider is willing.

If a support is quotable, then pricing is negotiable by default.

Access to Services

Reduced travel or non face to face claims may impact providers’ willingness to serve certain remote locations. It may become more important to find locally based providers or use telehealth where possible.

Planning for Revisions

If your current plan doesn’t allow enough funding under the new structure, you may request a plan review to adjust your supports / services in line with 2025 pricing realities.

What the NDIS Price Guide 2025 Means for Providers?

As a provider, complying with the NDIS price guide 2025 is critical to your operations. Here are some key considerations:

Billing Compliance

• Ensure your service fees align with the new price limits. Exceeding them for regulated supports may result in claim rejections or non payment.
• Be transparent with participants about your rates and cancellation, travel, or non face to face charge policies in service agreements.
• Understand which supports allow claims for travel, non face to face work, and when those options are restricted.

Cost Pressures

While many supports have had increases, other cost factors such as travel reimbursements being trimmed may squeeze margins, especially for providers serving wide geographic areas.

Strategic Location and Telehealth

Given travel constraints, expanding telehealth capacity or having multiple service hubs may help maintain service reach while managing costs.

Supporting Participants in Understanding Their Plans

You may need to help participants understand the new structures, how their funding is used, and whether their plans are still sufficient post update.

Monitoring Updates

The NDIA sometimes issues addenda or mid year updates. Providers must stay updated so their practices remain compliant.

Tips for Participants and Providers with the 2025 Price Guide

Here are some strategies to navigate the new regime:

1. Review Your Plan Thoroughly
   Before agreeing to services, check that your plan’s support categories and budgets match the new price limits.
2. Request Plan Reviews if Needed
   If your plan is underfunded under the new structure, ask your planner to review it with updated provider quotes.
3. Use Registered Providers or Clear Agreements
   For agency managed participants, only registered providers may claim directly. For plan managed or self managed, ensure your agreements clearly outline price limits and claim types.
4. Negotiate Wisely
   Even within price limits, some flexibility exists. Negotiating lower rates might fit within your plan if the service level is comparable.
5. Keep Transparent Records
   Document travel time, non face to face tasks, cancellations, and support delivery to align with PAPL requirements.
6. Stay Informed
   The NDIS may issue additional updates mid year. Providers and participants should monitor the NDIA website for revisions.

The NDIS price guide 2025, in the form of the NDIS Pricing Arrangements and Price Limits 2025 26, is a major update intended to create more transparency, consistency, and sustainability in disability supports funding. While many supports / services see a meaningful cost increase, there are tightening controls around travel, non face to face claims, and extra loadings.

For participants, this means carefully matching your plan to the new costs and advocating through plan reviews if needed. For providers like Authentic Care, it demands compliance, clarity, and maybe operational shifts to manage cost pressures.

If you need help interpreting what the NDIS price guide 2025 means specifically for your business or your clients’ plans, let me know, I can help craft a tailored summary or client facing explanation.