This article explains how Lumary will handle the new notional unit prices introduced in the NDIS Pricing Arrangement and Price Limits 2021-22.
In the recently published NDIS Pricing Arrangement and Price Limits 2021-22, the NDIA has introduced the concept of notional unit prices. In this article, we explain:
What is a notional unit price?
A notional unit price of $1 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 will change 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.
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 we’re planning to handle notional unit prices
The NDIS is currently continuing to accept the existing approach for claiming affected services. However, they have not yet indicated when this will end.
We are working on changes to Lumary to adapt to the new requirements so that providers will be able to continue to make claims without needing to change any existing processes. Our goal is to leverage the capabilities of Salesforce to perform the calculation on relevant rates in the background. This should mean that users will not need to change the way they record the delivery of affected services.
We'll provide more information when these changes become available.
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.
If you would prefer to opt out of these changes, please raise a ticket with our Customer Success team with “Opt out of notional unit pricing” in the subject line by COB Friday 23 July.