This article explains the outcome of the 2024-25 NDIA Annual Price Review and the probable implications on Lumary functions.
The NDIA released the outcomes of the 2024-25 Annual Price Review. The outcome of this review are 17 recommendations that help inform the upcoming 2025-26 price guide.
You can review more yourself on the pricing review here.
This article includes:
- a summary of the recommendations, and
- the recommendations Lumary is actively working on implementing.
A summary of the recommendations
Price Indexation Changes
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Likely Price increases for some services from 1 July 2025:
- Nursing and other non-DSW supports will increase based on wage and CPI indexation (80/20 split).
- Disability Support Worker supports will be adjusted based on minimum wage and superannuation changes.
- Level 1: Support Connection and Psychosocial Recovery Coach supports will be indexed using the same method.
Therapy Support Pricing Changes
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Likely National pricing alignment: Therapy supports like Psychology and Physiotherapy will have a single price nationwide.
- Psychologist hourly rate: increased to $232.99
- Physiotherapist hourly rate: reduced to $183.99
- Dietitian and Podiatrist hourly rates: reduced to $188.99
- Jurisdictional loadings will be removed, affecting providers in WA, SA, NT, and TAS.
- Therapy services to be priced in 10-minute blocks to allow more accurate claiming.
- Travel claiming for therapy supports will be capped at 50% of the 10-minute rate to control excessive travel costs.
Plan Management Changes
- Monthly fee for plan management remains unchanged ($104.45).
- One-off plan management establishment fee to be removed.
- Remote/very remote pricing loadings for plan management to be removed, introducing a single national rate.
Recommendations Lumary is actively working on implementing
We are aware of the following recommendations that have a high likelihood of impacting customers providing these service, and we're investigating potential solutions.
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Recommendation 11: The NDIA should present therapy support price limits in 10-minute increments, to encourage greater flexibility in session lengths and improve alignment between claimed time and services delivered. This will be applied as a linear adjustment to the price limit per 10 minutes claimed. This change would apply alongside existing claiming rules for therapy supports.
- On review of the published NDIS Pricing Arrangements and Price Limits 2025-26 - the rate for therapy has remained at an hourly unit price. Based on the examples provided on page 18 Lumary is aligns with claiming based on the Actual or Scheduled times of Sessions or Skedulo Jobs. There should be no changes required to you processes or use of Lumary and there should be no system changes needed for Lumary to meet this recommendation.
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Recommendation 12: From 1 July 2025, the NDIA should reduce the rate and cap on provider travel claims for therapy supports, limiting the total claimable amount for labour time component, to no more than 50% of the applicable therapy 10-minute price limit on a pro rata basis. This change would apply alongside existing claiming rules and thresholds for therapy supports, including time-based limits by remoteness area, and assist to ensure that travel claims remain proportionate to the service delivered.
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We have reviewed ther rules provided on page 23 of the published NDIS Pricing Arrangements and Price Limits 2025-26 , the requirement for travel time to and from a therapy service to be claimed at 50% of the hourly rate remains. We are working on a solution for this to ensure compliance with the new price guide.
For therapy supports providers, including early childhood therapy, the price limit for provider travel time is 50% of the regular price limit for these items. For example, if a speech pathologist travelled for 1 hour in an MMM5 area to deliver support to a participant, the maximum claimable for this travel time component would be $97.00 (which represents 50% of the direct hourly price limit of $193.99). This does not impact the amount that can be claimed for non-labour costs.
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