This article explains how we handle the notional unit prices that were introduced in the NDIS Pricing Arrangement and Price Limits 2021-22.
In the NDIS Pricing Arrangement and Price Limits 2021-22, the NDIA introduced the concept of notional unit prices. In this article, we explain:
What is a notional unit price?
A notional unit price of $1.00 has been set for some NDIS services that previously did not have price limits. While you can still negotiate the price of these services with your participants, the notional rate changes the way the claim is calculated. Instead of claiming the total dollar value of the service, the unit price of $1 will need to be multiplied by a quantity to calculate the overall cost.
For example...
The NDIA has provided the following example:
Activity based transport items are not subject to price limits but have a ‘notional’ unit limit of $1.00. If the non-labour cost of activity based transport was $21.50, the provider would submit a payment request for 21.5 units at $1.00 per unit for a total cost of $21.50.
You can identify affected rates in the NDIS Support Catalogue by referring to the Type column and looking for services with the type Unit Price = $1.
How Lumary handles notional unit prices
We've made changes to Lumary to adapt to the new requirements so that providers can continue to make claims without changing existing processes. We've leveraged the capabilities of Salesforce to perform the calculation on relevant rates in the background. This means that users do not need to change the way they record the delivery of affected services.
Most of the affected services can be claimed using negotiated rates to set the actual value of the service provided. The system will use these values to make the appropriate calculations and present the claim to the NDIA in the required format.
Where the rates apply to travel non-labour costs or activity based transport, users can enter values in the relevant travel and transport fields when scheduling or recording the delivery of the service. As with negotiated rates, the system will apply the relevant calculations for claiming.
Affected services
For January 2022, we're updating the rates in Lumary to align to the values listed in the NDIS Support Catalogue 2021-22 - effective 1 January 2022. This means that most of these rates will change from their previous listing of $0.00 to $1.00. As most of these services are claimed using negotiated rates, this should not affect any existing provider processes.
If you have a claim that may have been rejected due to the inclusion of a service affected by notional unit prices, please raise a ticket with our Customer Success team with "NDIS notional unit prices claim rejected" in the subject line.
The following table shows the services that are being changed in the January 2022 update.
| Support item code | Service name | Category |
| 01_799_0104_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0106_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0107_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0114_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0115_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0117_8_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0118_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0120_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0128_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 01_799_0132_1_1 | Provider travel - non-labour costs | Assistance with Daily Life (Includes SIL) |
| 04_590_0125_6_1 | Activity Based Transport | Assistance with Social, Economic and Community Participation |
| 04_591_0136_6_1 | Activity Based Transport | Assistance with Social, Economic and Community Participation |
| 04_592_0104_6_1 | Activity Based Transport | Assistance with Social, Economic and Community Participation |
| 04_821_0133_6_1 | Activity Based Transport | Assistance with Social, Economic and Community Participation |
| 04_799_0104_6_1 | Provider travel - non-labour costs | Assistance with Social, Economic and Community Participation |
| 04_799_0125_6_1 | Provider travel - non-labour costs | Assistance with Social, Economic and Community Participation |
| 04_799_0133_5_1 | Provider travel - non-labour costs | Assistance with Social, Economic and Community Participation |
| 04_799_0136_6_1 | Provider travel - non-labour costs | Assistance with Social, Economic and Community Participation |
| 05_150000115_0123_1_2 | AT Rental - Assistive Products for Household Tasks | Assistive Technology |
| 05_040312115_0103_1_2 | AT Rental - Assistive Products for Respiration Support | Assistive Technology |
| 05_222100115_0124_1_2 | AT Rental - Communication and Computer access | Assistive Technology |
| 05_220600112_0122_1_2 | AT Rental - Hearing Devices and Accessories | Assistive Technology |
| 05_300000115_0112_1_2 | AT Rental - Modified for accessible recreation | Assistive Technology |
| 05_060000115_0135_1_2 | AT Rental - Prosthetic and Orthotic | Assistive Technology |
| 05_121227125_0108_1_2 | AT Rental - Vehicle modified for Access | Assistive Technology |
| 05_220300115_0113_1_2 | AT Rental - Vision support or alternate access | Assistive Technology |
| 05_120000115_0105_1_2 | AT Rental for Personal Mobility and Transfer | Assistive Technology |
| 05_090000155_0103_1_2 | AT Rental Products for Personal Care and Safety | Assistive Technology |
| 05_711000080_0124_1_2 | Delivery - Communication and Information AT | Assistive Technology |
| 05_711000080_0122_1_2 | Delivery - Hearing AT | Assistive Technology |
| 05_711000080_0123_1_2 | Delivery - Household tasks or control AT | Assistive Technology |
| 05_711000080_0103_1_2 | Delivery - Personal care and safety AT | Assistive Technology |
| 05_711000080_0105_1_2 | Delivery - Personal Mobility and Transfer AT | Assistive Technology |
| 05_711000080_0135_1_2 | Delivery - Prosthetics and Orthotics | Assistive Technology |
| 05_711000080_0112_1_2 | Delivery - Recreation AT | Assistive Technology |
| 05_711000080_0119_1_2 | Delivery - Specialised Hearing AT | Assistive Technology |
| 05_711000080_0109_1_2 | Delivery - Vehicle modifications AT | Assistive Technology |
| 05_711000080_0113_1_2 | Delivery - Vision AT | Assistive Technology |
| 05_501288435_0105_1_2 | Repairs and Maintenance - After Hours | Assistive Technology |
| 05_500933306_0103_1_2 | Repairs and Maintenance - Bathing And Toileting AT | Assistive Technology |
| 05_502200312_0124_1_2 | Repairs and Maintenance - Communication Cognitive or ECU AT | Assistive Technology |
| 05_040300159_0103_1_1 | Repairs and Maintenance - Disability-Related Health Machines | Assistive Technology |
| 05_501812311_0103_1_2 | Repairs and Maintenance - Electric Bed | Assistive Technology |
| 05_502206151_0122_1_2 | Repairs and Maintenance - Hearing AT | Assistive Technology |
| 05_500612441_0135_1_2 | Repairs and Maintenance - Orthotic | Assistive Technology |
| 05_500000303_0103_1_2 | Repairs and Maintenance - Other AT | Assistive Technology |
| 05_500433443_0103_1_2 | Repairs and Maintenance - Personal Care/Safety - After Hours | Assistive Technology |
| 05_500624305_0135_1_2 | Repairs and Maintenance - Prosthetic - Major | Assistive Technology |
| 05_500624304_0135_1_2 | Repairs and Maintenance - Prosthetic - Minor | Assistive Technology |
| 05_503000316_0112_1_2 | Repairs and Maintenance - Specialised Recreation AT | Assistive Technology |
| 05_501236025_0105_1_2 | Repairs and Maintenance - Transfer AT | Assistive Technology |
| 05_501212373_0109_1_2 | Repairs and Maintenance - Vehicle Modification | Assistive Technology |
| 05_502218315_0113_1_2 | Repairs and Maintenance - Vision AT | Assistive Technology |
| 05_501200308_0105_1_2 | Repairs and Maintenance - Wheeled Mobility Major | Assistive Technology |
| 05_501200307_0105_1_2 | Repairs and Maintenance - Wheeled Mobility Minor | Assistive Technology |
| 03_040000919_0103_1_1 | Disability-Related Health Consumables - Low Cost | Consumables |
| 03_222100911_0124_1_1 | Low Cost AT - Communication Or Cognitive Support | Consumables |
| 03_220600911_0122_1_1 | Low Cost AT - Hearing Related AT | Consumables |
| 03_090000911_0103_1_1 | Low Cost AT - Personal Care And Safety | Consumables |
| 03_120000911_0105_1_1 | Low Cost AT - Personal Mobility | Consumables |
| 03_060000911_0135_1_1 | Low Cost AT - Prosthetics And Orthotics | Consumables |
| 03_220300911_0113_1_1 | Low Cost AT - Vision Related AT | Consumables |
| 03_501509092_0103_1_1 | Repairs and Maintenance - HEN AT | Consumables |
| 10_590_0102_5_3 | Activity Based Transport | Finding and Keeping a Job |
| 10_590_0133_5_3 | Activity Based Transport | Finding and Keeping a Job |
| 10_799_0102_5_3 | Provider travel - non-labour costs | Finding and Keeping a Job |
| 10_799_0128_5_3 | Provider travel - non-labour costs | Finding and Keeping a Job |
| 10_799_0133_5_3 | Provider travel - non-labour costs | Finding and Keeping a Job |
| 06_180000111_0111_2_2 | HM Rental - Bathroom Toilet Ramp | Home Modifications and Specialised Disability Accommodation (SDA) |
| 15_222400911_0124_1_3 | Low Cost AT - Support Capacity Building | Improved Daily Living Skills |
| 15_799_0106_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0114_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0117_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0118_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0119_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0126_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0128_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0134_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 15_799_0135_1_3 | Provider travel - non-labour costs | Improved Daily Living Skills |
| 12_799_0126_3_3 | Provider travel - non-labour costs | Improved Health and Wellbeing |
| 12_799_0128_3_3 | Provider travel - non-labour costs | Improved Health and Wellbeing |
| 13_590_0102_4_3 | Activity Based Transport | Improved Learning |
| 13_799_0102_4_3 | Provider travel - non-labour costs | Improved Learning |
| 14_799_0127_8_3 | Provider travel - non-labour costs | Improved Life Choices |
| 08_590_0106_2_3 | Activity Based Transport | Improved Living Arrangements |
| 08_799_0106_2_3 | Provider travel - non-labour costs | Improved Living Arrangements |
| 11_590_0117_7_3 | Activity Based Transport | Improved Relationships |
| 11_799_0110_7_3 | Provider travel - non-labour costs | Improved Relationships |
| 11_799_0117_7_3 | Provider travel - non-labour costs | Improved Relationships |
| 09_590_0106_6_3 | Activity Based Transport | Increased Social and Community Participation |
| 09_591_0117_6_3 | Activity Based Transport | Increased Social and Community Participation |
| 09_799_0106_6_3 | Provider travel - non-labour costs | Increased Social and Community Participation |
| 09_799_0117_6_3 | Provider travel - non-labour costs | Increased Social and Community Participation |
| 07_501_0106_6_3 | Activity Based Transport | Support Coordination |
| 07_799_0106_6_3 | Provider travel - non-labour costs | Support Coordination |
| 07_799_0117_8_3 | Provider travel - non-labour costs | Support Coordination |
| 07_799_0132_8_3 | Provider travel - non-labour costs | Support Coordination |
| 02_051_0108_1_1 | Transport | Transport |