What is ndis providers?
Price-guide billing reconciled, claiming kept audit-ready, and the reporting plan managers actually ask for.
An NDIS provider’s books run on a unit most bookkeepers never see elsewhere: the support item number. Every claim — a support coordination hour, a Core Supports shift, a piece of Assistive Technology — has to be coded to the exact item number in the NDIS Pricing Schedule, at or under that item’s price limit, or the claim bounces. The NDIA’s own systems (the myplace provider portal for agency-managed and plan-managed claims, the participant/plan-manager side for self-managed funds) reject anything a cent over the cap, so the reconciliation problem is less 'did we get paid' and more 'did every line item clear the portal on the first pass.' A provider running a mixed caseload — some participants agency-managed, some plan-managed, some self-managed — is effectively running three different claiming workflows through one roster, and the books have to keep them apart.
The claiming identity layer changed under providers’ feet in late 2025: PRODA, the login system that sat behind the myplace provider portal for years, was retired in favour of myID and Relationship Authorisation Manager (RAM) from 10 November 2025. Providers who still describe their claiming access as 'our PRODA login' are describing the old system — the myplace portal itself, the claim item numbers, and the price-limit rejection logic didn’t change, but the identity and authorisation layer sitting in front of them did, and a provider’s RAM authorisations need to be current for staff to submit claims at all.
Who does what
| Your CapEasy team | NDIS providers, the reconciliations and reporting behind it, and the questions list that keeps it honest. |
| Your registered BAS or tax agent | Everything that carries a licence in Australia — rendered exactly as written: work out what goes on your bas, or advise you on it — under tasa 2009 that requires registration we do not hold. |
| You | One conversation with one named person, and the decisions that are genuinely yours. |
NDIS providers in Australia
The NDIS Pricing Schedule sets a hard ceiling, not a guideline
From 2026-27 the NDIA splits pricing information across three separate publications — the Annual Pricing Review, the NDIS Pricing Schedule, and the NDIS Support Catalogue — replacing the old single combined price guide. The Pricing Schedule lists each support item’s national, remote, and very remote maximum price; billing a cent over the applicable cap for a code gets the claim rejected by the portal, not flagged for review. We reconcile every claim batch against the current Pricing Schedule before submission so rejections get caught before lodgment, not after a participant’s budget shows a shortfall; setting prices below the cap, or deciding what to charge for a given support, is the provider’s own commercial decision.
Registration status decides who can bill whom, not how much
Whether a provider needs to be NDIS-registered at all depends on which participants it serves: agency-managed participants can only be billed by a registered provider, plan-managed and self-managed participants can use either. We track which claiming lane each active client sits in and route claims accordingly — agency-managed through the provider’s own myplace submission, plan-managed as an invoice to the participant’s plan manager, self-managed as a direct participant invoice. Whether the business itself should pursue registration, and at what scope, is a decision for its own leadership, not something this leaf recommends.
Certification audits run against the NDIS Practice Standards, administered by the NDIS Quality and Safeguards Commission
Providers delivering higher-risk or more complex supports need a certification audit — conducted by an Approved Quality Auditor, not the Commission itself — assessing governance, risk management, and service delivery against the NDIS Practice Standards, with renewal every three years and a mid-term audit for higher-risk categories. We assemble the financial and rostering evidence an auditor typically asks for — claim history reconciled to service agreements, rostered-versus-paid hours, incident-related cost records — ahead of the audit date; the audit itself, and any judgement on whether practice meets the Standards, is the AQA’s call and the provider’s responsibility, not ours.
SCHADS Award classification and the 1 July rate cycle
The Social, Community, Home Care and Disability Services Industry Award 2010 (MA000100) sets minimum pay by classification level and pay point, with social and community services (including most disability support work) on an eight-level structure and home care employees on a separate four-level one; rates move on 1 July each year via the Fair Work Commission’s annual wage review. We run payroll against the classification level the provider’s own HR determination has assigned each worker and update pay rates on the 1 July cycle; deciding which level a given role sits at, or whether a worker has been correctly classified, is an HR and industrial-relations determination outside a bookkeeping engagement.
What your registered BAS or tax agent receives from us
- A claim reconciliation working paper matching every submitted claim to its NDIS Pricing Schedule item number, unit, and price-limit check, flagged before lodgment rather than after a rejection.
- A claiming-lane map by active participant — agency-managed (myplace direct), plan-managed (invoice to plan manager), self-managed (direct participant invoice) — kept current as participants move between plan management types.
- A rostered-hours-to-paid-hours-to-claimed-hours three-way reconciliation, the single most common request from an Approved Quality Auditor and from a plan manager querying an invoice.
- An evidence folder assembled ahead of a certification or verification audit date: claim history against service agreements, payroll records against rosters, and incident-related cost entries, organised the way an AQA typically asks to see them.
- A SCHADS-classified payroll register showing each worker's assigned level and pay point against the current award rates, updated on the 1 July annual movement.
- A plan-manager-facing invoice batch formatted and coded so it reconciles cleanly against the plan manager's own monthly participant statement.


