AustraliaServices Industries we knowNDIS providers

Industries we know

NDIS providers for Australian businesses

Price-guide billing reconciled, claiming kept audit-ready, and the reporting plan managers actually ask for.

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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 teamNDIS providers, the reconciliations and reporting behind it, and the questions list that keeps it honest.
Your registered BAS or tax agentEverything 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.
YouOne 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.

Questions worth asking before you start

Who actually does the work — a person or an AI tool?

A named person on our team owns your file and reviews everything that leaves it. Software does a real share of the grinding underneath it — coding, matching, flagging the obvious gaps — but nothing regulated happens without a person’s judgement, and nothing here is signed or filed by an algorithm.

Is there a filing or lodging step here?

No — ndis providers is operational work inside your books, not something submitted to ATO. Where a filing does sit downstream of it, inside industries we know more broadly, that stays with your registered BAS or tax agent, never with us.

Which software do you work in?

Whatever you already run. Most commonly QuickBooks, Xero, NetSuite, Sage, Zoho Books and a handful of others — we work inside your system rather than moving you onto one of our own.

How does this actually start?

A short, free read-only look at what you already have, and a written note on what we found. A scoping call decides the size of the engagement — nothing here commits you to anything.

What does it cost?

There is no published price for ndis providers — it depends on volume, how many entities are involved, and how far behind the books are. We quote after the read-only review, which is free.

How does this fit with the rest of industries we know?

NDIS providers sits inside industries we know, alongside Ecommerce, SaaS and software, Professional services. Most clients end up buying the category as a whole rather than one leaf at a time, but starting narrow is fine.

Do you decide what we charge for a support item?

No. We reconcile every claim against the current NDIS Pricing Schedule’s maximum price for that item and flag anything that would breach the cap before it’s submitted. What to charge below that cap — and whether to charge the maximum at all — is your own commercial decision.

What changed with PRODA and myplace?

From 10 November 2025, myplace provider portal access moved from PRODA to myID and Relationship Authorisation Manager (RAM). The claiming logic, item numbers, and price-limit rejections in myplace itself didn’t change — only the identity and authorisation layer in front of it did. We check that staff RAM authorisations are current so a lapsed login doesn’t hold up a claim run.

We serve agency-managed, plan-managed, and self-managed participants. Does that change how you handle claims?

Yes — each lane is a different workflow. Agency-managed claims go through myplace directly, plan-managed claims go as an invoice to the participant’s plan manager, and self-managed claims are an ordinary invoice the participant reimburses themselves. We track which lane each participant sits in and route claims and invoices accordingly.

Are we ready for our next NDIS Commission audit?

We don’t assess Practice Standards compliance or perform the audit — that’s the Approved Quality Auditor’s role. What we do is keep the claim history, roster-to-payroll reconciliation, and financial evidence organised on a running basis, so whatever an AQA asks to see for the audit is a pull from a current file rather than something assembled at the last minute.

Do you tell us how to classify a support worker under the SCHADS Award?

No, classification depends on the actual duties a worker performs and is an HR/industrial-relations determination. We run payroll against whichever classification level your own HR determination has assigned, and keep pay rates current against the 1 July SCHADS movement.

What happens if a claim gets rejected in myplace?

Usually it’s a price-limit breach, a mismatched item number, or a lapsed claiming authorisation. We reconcile claims against the current Pricing Schedule before submission specifically to catch the first two before lodgment, and monitor authorisation status to catch the third.

Do you send our plan-managed participants their monthly funding statement?

No — the participant’s monthly statement is the plan manager’s obligation under the NDIS Guide to Plan Management, built from the invoices providers submit. We keep our invoice and claim records reconciled against what plan managers remit, so our numbers and the plan manager’s statement match if a participant ever compares them.

Do you decide whether our business should pursue NDIS registration?

No, that’s a strategic decision for your own leadership, weighing the participant base you want to serve against the certification-audit obligations registration brings. We support whichever status you hold — tracking claiming lanes and preparing audit evidence if registered, or keeping straightforward invoice records if not.

Is NDIS income GST-free?

Most NDIS supports delivered under a written service agreement to a participant with an approved NDIS plan are GST-free, but not every support item or arrangement qualifies automatically. We track the GST treatment of each income line for the BAS reconciliation; the GST classification call on an edge case sits with your registered BAS or tax agent.

How do you handle the rostered-hours-to-claimed-hours check?

As a standing monthly reconciliation — rostered hours against actual paid hours against actual claimed hours — rather than something reconstructed once a year before an audit. A gap between any two of those figures gets flagged the pay cycle it appears.

What do you actually hand over each month?

A claim reconciliation against the Pricing Schedule, the rostered-to-paid-to-claimed three-way check, a SCHADS-classified payroll register, a support-item utilisation report by participant, and a plan-manager invoice batch formatted to reconcile against their remittances — plus a running evidence folder kept current between audit cycles.

Your CapEasy experts

Connect with us

Talk to the people who handle this work every day — no call centre, no hand-offs.

Ayush Joshi

Ayush Joshi

Co-Founder

Ex-OYO and Tenaciousfly. 7+ years in business development, strategic acquisitions, financing and debt syndication.

Aditya Jain

Aditya Jain

Co-Founder

Ex-Bank of America. 4+ years in investment banking, EU & Indian compliances, ESG compliances, and project management.

Manav Raval

Virtual CFO & Tax Specialist

Section 80-IAC, tax planning and startup compliance. Previously at Toyota Motor Corporation and Jaguar Land Rover.

Ayush Faldu

Virtual CFO & Tax Specialist

Financial strategy, budgeting and cash flow — a CFO’s judgement, monthly.

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