Dedicated high-intensity care for NDIS participants during Saturdays, facilitating critical personal tasks. Providers of these supports can also claim for the costs of Provider Travel – Non-Labour Costs using support item 01_799_0104_1_1.
Service Details:
This NDIS support item encompasses specialised assistance by skilled workers on Saturdays for participants requiring significant help with self-care activities. The Temporary Transformation Payment (TTP) inclusion acknowledges the need for enhanced provider support. Services accommodate complex needs, ensuring safety and promoting independence in personal activities such as bathing, dressing, and mobility.
Participant Outcomes:
Participants benefit from tailored support plans that appreciate their unique high-intensity needs. Engaging with proficient care providers on weekends enhances life quality, upholds dignity, and supports participants' daily living autonomy. This assistance sustains participants' well-being, offering families respite and peace of mind.
Impact Statement:
Significantly elevates participants' daily living experiences, while providing necessary weekend support for complex care requirements.
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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.
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).
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