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Assessment Recommendation Therapy or Training Supports - Physiotherapist | 01_721_0128_1_3

Regular price
$193.99
Regular price
Sale price
$193.99
Unit: Hour

Overview:

NDIS support item 01_721_0128_1_3  provides physiotherapy care to respond to the disability-related health needs of a participant where that care is not the usual responsibility of the health system. 01_721_0128_1_3 support item can only be delivered by a physiotherapist, and by therapy assistants operating under the delegation and supervision of a physiotherapist. Physiotherapist is a person who has a current AHPRA Registration as a Physiotherapist. 01_721_0128_1_3 support item relates to registration group 0128: Therapeutic Supports and are to be used by participants older than 7.

01_721_0128_1_3 support item relates to registration group 0128: Therapeutic Supports and is to be used by participants older than 7. Providers of 01_721_0128_1_3 support can also claim for the costs of Provider Travel – Non-Labour Costs using support item 01_799_0128_1_1.

Service Details:

01_721_0128_1_3 NDIS support item provides specialised assessment, recommendation, therapy, or training from qualified physiotherapists. Participants receive 01_721_0128_1_3 programs that address physical limitations, pain management, mobility, and functional improvement. 01_721_0128_1_3 may include manual therapies, exercise regimens, and assistive technology guidance.

Participant Outcomes:

Engagement with professional physiotherapy aids in achieving goals related to physical health and autonomy. Participants benefit from improved movement, strength, and reduced discomfort, leading to enhanced participation in daily activities. Personal empowerment and quality of life are markedly heightened through sustained physiotherapeutic intervention.

Impact Statement:

Effective 01_721_0128_1_3 physiotherapy fosters significant leaps in participant self-sufficiency and community engagement, underpinning broader NDIS aims of inclusion and societal contribution.

Expand Below for More Information
Provider Travel

Where a provider claims for travel time in respect of a support then the maximum amount of travel time that they can claim for the time spent travelling to each participant (for each eligible worker) is 30 minutes in MMM1-3 areas and 60 minutes in MMM4-5 areas. (Note the relevant MMM classification is the classification of the area where the participant is when the support is delivered.)

In addition to the above travel, providers delivering core and capacity-building supports are permitted to claim for provider travel in respect of a support item can also claim for the time spent travelling from the last participant to their usual place of work. Note, this travel is only claimable when the provider must pay their worker for the return travel time.

Where a worker is travelling to provide services to more than one participant in a ‘region’, then it is reasonable for a provider to apportion all of the travel time (including the return journey where applicable) between the participants who received support from the worker. This apportionment should be agreed with each participant in advance as part of the service agreement.

Claims for travel in respect of a support must be made separately to the claim for the primary support (the support for which the travel is necessary) using the same line item as the primary support and the “Provider Travel” option in the myplace portal.

When claiming for travel in respect of a support, a provider should use the same hourly rate as they have agreed with the participant for the primary support (or a lower hourly rate for the travel if that is what they have agreed with the participant) in calculating the claimable travel cost.

Cancellation

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:

  • The NDIS Pricing Arrangements and Price Limits indicates that providers can claim for Short Notice Cancellations in respect of that support item; and
  • The proposed charges for the activities comply with the NDIS Pricing Arrangements and Price Limits; 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.

NDIA Report

Providers can only claim from a participant’s plan for a NDIA Requested Report if all of the following conditions are met:

  • The NDIS Pricing Arrangements and Price Limits indicates that providers can claim for NDIA Requested Reports in respect of that support item and the proposed charges for the activities comply with the NDIS Pricing Arrangements and Price Limits; and
  • The provider has the agreement of the participant in advance (i.e., the service agreement with the participant should specify that NDIA Requested Reports can be claimed); and
  • The report is requested by the NDIA.

A report is considered to have been requested by the NDIA if it is a report that is required at the commencement of a plan that outlines plan objectives and goals, or at plan review that measures functional outcomes against the originally stipulated goals, or that makes recommendations for ongoing needs (informal, community, mainstream or funded supports).

Providers may also claim for other NDIA-requested therapy report that is stipulated as being required in a participant’s plan.

Non-Face-to-Face

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

  • The NDIS Pricing Arrangements and Price Limits indicates that providers can claim for Non-Face-to-Face Support Provision in respect of that support item; and
  • The proposed charges for the activities comply with the NDIS Pricing Arrangements and
    Price Limits and with the Service Agreement with the participant; and
  • The activities are part of delivering a specific disability support item to that participant or in the case of group-based supports, are required to enable the group support to be delivered (rather than a general activity such as enrolment, administration or staff rostering); and
  • The provider explains the activities to the participant, including why they represent the best use of the participant’s funds (that is, the provider explains the value of these activities to the participant); and
  • The provider has the agreement of the participant in advance (that is, the service agreement between the participant and provider specifies that Non-Face-to-Face supports can be claimed).
Assessment Recommendation Therapy or Training Supports - Physiotherapist | 01_721_0128_1_3