Estimated reading time: 6 minutes
Introduction
The National Disability Insurance Scheme (NDIS) provides funding for eligible Australians to access therapy services that support their goals and improve their daily functioning. If you're an NDIS participant, you may be able to use your funding for psychology, counselling, or other therapeutic supports.
Understanding how NDIS funding works for therapy services can help you make informed decisions about your mental health support. This guide covers everything from checking your plan to finding the right therapist and understanding the different management options available to you.
Table of Contents
What is NDIS Therapy Funding?
NDIS therapy funding supports participants to access mental health and therapeutic services that help them achieve their goals and improve their quality of life. This funding can be used for various types of therapy including:
- Clinical psychology services
- Registered psychology services
- Counselling services
- Psychotherapy
- Art therapy, music therapy, and other specialized approaches
- Family therapy and relationship counselling
The key requirement is that therapy services must be directly related to your disability and support the goals outlined in your NDIS plan.
Eligibility and Funding Categories
Therapy funding typically falls under these NDIS budget categories:
Core Supports - Improved Daily Living
Covers therapy that helps with day-to-day activities and personal care. This might include:
- Managing anxiety or depression
- Developing coping strategies
- Improving emotional regulation
- Building life skills
Capacity Building - Therapeutic Supports
Focuses on building skills and independence. This category often includes:
- Psychology and counselling services
- Behaviour support and intervention
- Social skills development
- Communication and interaction support
Capacity Building - Improved Relationships
Supports that help improve social connections and relationships:
- Family therapy
- Relationship counselling
- Social skills training
- Peer support programs
How to Access NDIS Therapy Funding
Step 1: Check Your NDIS Plan
Review your NDIS plan to see if you have funding allocated for therapeutic supports. Look for categories like "Improved Daily Living" or "Capacity Building - Therapeutic Supports".
Step 2: Identify Your Goals
Consider how therapy relates to your NDIS goals. The therapy must be "reasonable and necessary" and directly support your plan objectives.
Step 3: Choose Your Provider
Select a therapist who understands NDIS requirements. You can choose registered or unregistered providers depending on your plan management type.
Step 4: Discuss Therapy Approach
Work with your therapist to ensure sessions align with your NDIS goals and will contribute to measurable outcomes.
Step 5: Start Your Sessions
Begin therapy and track your progress. Keep records of how sessions support your NDIS goals for plan reviews.
NDIS Price Caps and Rates (2024)
The NDIS sets maximum price caps for different types of therapy services. These rates apply to registered providers and serve as a guide for self and plan-managed participants:
| Service Type | NDIS Price Cap (hourly) | Registration Required | Typical Session Length |
|---|---|---|---|
| Clinical Psychologist | $214.41 | NDIS-managed only | 50-60 minutes |
| Registered Psychologist | $193.99 | NDIS-managed only | 50-60 minutes |
| Counsellor | $164.73 | Self/Plan-managed | 50-60 minutes |
| Psychotherapist | $164.73 | Self/Plan-managed | 50-60 minutes |
| Art/Music Therapist | $164.73 | Varies | 50-60 minutes |
Note: These are maximum rates. Many providers charge below these caps, and rates may vary based on location and provider experience.
Plan Management Options
How you manage your NDIS plan affects which providers you can choose and how you pay for services:
| Management Type | Provider Choice | Payment | Price Caps | Best For |
|---|---|---|---|---|
| NDIS-Managed | Registered NDIS providers only | Direct billing to NDIS | Strictly enforced | Those who prefer simple, hands-off management |
| Plan-Managed | Any provider (registered or unregistered) | Plan manager handles invoices | Flexible within reason | Maximum choice with minimal admin |
| Self-Managed | Any provider (registered or unregistered) | You pay and claim reimbursement | Flexible within reason | Those who want full control |
Choosing the Right Provider
Key Factors to Consider
- NDIS Experience: Look for providers familiar with NDIS requirements and reporting
- Specialization: Choose therapists who specialize in your specific needs or condition
- Location: Consider whether you prefer face-to-face or telehealth sessions
- Cost: Compare fees, especially if you're self or plan-managed
- Approach: Ensure their therapy style aligns with your preferences and goals
- Availability: Check if they have appointments that suit your schedule
Questions to Ask Potential Providers
- Do you have experience working with NDIS participants?
- How do you ensure therapy aligns with NDIS goals?
- What are your fees and how do you handle NDIS billing?
- Can you provide progress reports for plan reviews?
- What is your approach to therapy for my specific needs?
How to Claim Your Funding
For NDIS-Managed Plans
Your provider bills the NDIS directly. You don't need to handle any payments or claims.
For Plan-Managed Plans
Send your invoice to your plan manager. They will pay the provider directly from your NDIS funds. Make sure to:
- Get detailed invoices with NDIS line items
- Send invoices promptly to your plan manager
- Keep copies for your records
For Self-Managed Plans
You pay the provider and claim reimbursement through the NDIS portal or app. You'll need:
- Detailed invoices with provider information
- Bank account details for reimbursement
- To submit claims through myplace portal or app
- To track your budget spending
Registered vs Unregistered Providers
| Provider Type | Advantages | Considerations |
|---|---|---|
| NDIS Registered Providers |
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| Unregistered Providers |
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Find NDIS-Experienced Therapists
Connect with qualified mental health professionals who understand NDIS funding and can support your goals.
Search for NDIS TherapistsFrequently Asked Questions
Therapy must be "reasonable and necessary" and relate to your disability and NDIS goals. Most psychology, counselling, and specialized therapies are covered if they support your plan objectives.
No, you don't need a GP referral to use NDIS funding for therapy. However, the therapy must align with your NDIS plan goals.
If you're self or plan-managed, you can choose to pay the difference. If you're NDIS-managed, you must use providers who charge within the price caps.
Work with your therapist to set measurable goals and track progress. Keep records for plan reviews and discuss outcomes regularly with your support coordinator.
Yes, you have the right to choose your providers. If you're not satisfied, you can find a new therapist that better meets your needs.
You can request a plan review if you need additional funding, or pay privately for additional sessions. Some people also access Medicare psychology sessions with a Mental Health Treatment Plan.
Resources and Support
- NDIS Official Website - www.ndis.gov.au
- NDIS Price Guide 2024 - Pricing Arrangements
- NDIS My Place Portal - Participant Portal
- NDIS Contact Centre - 1800 800 110
- Disability Advocacy Network Australia - www.dana.org.au