From 1 July 2026 each NDIS therapy profession has five extra codes alongside the direct service: cancellation,
non-face-to-face, telehealth, NDIA requested reports and provider travel. The first four have the same price
limit as the direct service. Travel time is capped at half. You can charge a cancellation when the participant
gives less than 2 clear business days' notice. Agree each of these in your service agreement before you claim it.
This covers the 19 professions in the Therapeutic Supports registration group, listed in the rates table below.
Early childhood professionals, behaviour support practitioners and audiologists got the same five extra codes.
What changed on 1 July 2026?
From 1 July 2026, a cancellation, telehealth session, non-face-to-face time, NDIA requested report or travel
time each goes on its own code instead of the direct service code. Until 30 June 2026 you claimed all of them on
the direct service code and chose the claim type when lodging. The new codes end in _CA,
_NF, _TH, _RR and _PT, and the direct service codes no
longer allow those claim types themselves.
That's 335 new codes across 67 support items, most of the 368 codes added to the catalogue this year. The prices
are in the NDIS Pricing Schedule 2026-27. The claiming rules below come from the NDIA's
pricing arrangements for 2025-26,
which stay current until the NDIA publishes its 2026-27 guidance.
What are the six codes for one therapy support?
Each therapy profession has one direct service code and five codes that share its number with an ending added.
Here they are for occupational therapy, direct service code
15_617_0128_1_3. Every profession in the rates table works the same
way.
The six 2026-27 occupational therapy codes, what each is for and its national price limit | Code | What it's for | Limit per hour |
Direct Service 15_617_0128_1_3 | The session itself, in person. | $193.99 |
Cancellation 15_617_0128_1_3_CA | A short notice cancellation or no-show. | $193.99 |
Non-Face-to-Face 15_617_0128_1_3_NF | Work for this participant done away from them, such as a progress report for their other providers. | $193.99 |
Telehealth 15_617_0128_1_3_TH | The session delivered remotely, such as by video call. | $193.99 |
NDIA Requested Reports 15_617_0128_1_3_RR | A report the NDIA asked for. | $193.99 |
Provider Travel 15_617_0128_1_3_PT | Your travel time for a face-to-face session. | $97.00 |
What are the 2026-27 therapy rates by profession?
These are the national price limits per hour. The cancellation, non-face-to-face, telehealth and report codes
match the direct service limit for every profession, and travel time is half of it.
Some professions also have codes in other support categories at the same limits, each with the same five extra
codes: Assistance with Daily Life (for example 01_661_0128_1_3 for
occupational therapy), Finding and Keeping a Job, and Improved Health and Wellbeing. The 2025-26 arrangements say
the Assistance with Daily Life copies exist so participants have more ways to fund therapy. Ask the plan manager
which one the participant's plan uses.
Which price limit applies: national, remote or very remote?
For a face-to-face session it's the limit for where the participant is, the same as any other support. For
telehealth it's generally the limit for where you are, though a participant in a remote or very remote area can
agree to their area's limit if they're satisfied it's value for money. Non-face-to-face time and NDIA requested
reports use the limit for where you are. MMM areas and remote rates
explains how to find an address's area.
When can you charge a therapy cancellation?
You can charge a therapy cancellation when the participant gives less than 2 clear business days' notice, doesn't
turn up, or isn't at the agreed place within a reasonable time when you've travelled there. That's shorter than
the 7-day window for most support work. Claim up to your agreed fee on the _CA code, within its
price limit, and only if you couldn't find other paid work for that time.
You can waive the fee. There's no limit on how many you claim, but if a participant cancels unusually often you're
expected to find out why, and the NDIA monitors cancellation claims. The NDIA's examples only allow the claim where
the service agreement sets out cancellation terms, so put yours in
writing first. The cancellations guide covers the full rules and the
windows for other supports.
What's the difference between telehealth and non-face-to-face?
Telehealth is the session itself delivered remotely, such as by video call, on the _TH code.
It has to be a suitable way to deliver that support, and you're expected to give the same standard of care as in
person. Travel time can't be claimed for it: provider travel only applies to face-to-face supports.
Non-face-to-face is work for that participant done without them there, on the _NF code. The NDIA's
examples are writing a progress report for the participant's other providers, and research tied specifically to
their goals. Staff training and supervision can't be claimed this way, because the price limits already include
them. Nor can admin: pre-engagement visits, drafting the service agreement, entering participant details,
bookings, quotes, rostering and lodging claims are all covered by the price limit.
Two exceptions come up in therapy. When you supervise or train a therapy assistant to hand over a participant's
support, you can bill both your time and the assistant's. A case conference with other therapists about a
participant's needs can be billed for every therapist's time.
For telehealth and non-face-to-face, the participant has to agree in advance, and you need to explain why the time
is a good use of their funding.
How does therapy travel work?
Therapy travel time is capped at half the hourly limit, on the _PT code, with the same time caps as
any other support. In MM 1-3 areas (cities, regional centres and large rural towns) you can claim up to 30
minutes to each participant, and up to 60 minutes in MM 4-5 (medium and small rural towns). As a sole trader you
can claim travel from your usual place of work to or from a participant, so the trip back after your last
participant counts too, with the same cap. If you work from home, that's usually home. In remote and very
remote areas there's no set time cap; you agree travel costs with the participant, up to half the hourly limit.
MMM areas and remote rates has the travel rules by area.
For example, 45 minutes of travel to a participant in a medium rural town (MM 4) at the occupational
therapy travel limit is $97.00 x 45/60 = $72.75, as
its own invoice line on 15_617_0128_1_3_PT.
Kilometres, tolls and parking aren't halved. They go on the non-labour travel code for the category, such as
15_799_0128_1_3, at up to $0.99 a km in your own vehicle plus tolls
and parking at cost. Travel of any kind needs the participant's agreement in advance, in the service agreement.
The travel claims guide has the full rules and worked examples.
When can you claim an NDIA requested report?
You can claim the _RR code only for a report the NDIA requested, and only if the participant agreed
in advance. The NDIA counts a report as requested if it's required at the start of a plan to set out goals, at
plan review to measure progress against those goals, or to recommend ongoing supports, or if the participant's
plan says it's required. A report you or the participant decide would be useful doesn't qualify.
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