NDIS Funding for Therapy:
Your Complete Guide

Understanding how to use NDIS funding for psychology, counselling, and therapy services. Learn about price caps, plan management options, and how to access the mental health support you need through the National Disability Insurance Scheme.

NDIS therapy funding and mental health support

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.

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:

NDIS-Managed

Provider choice: Registered NDIS providers only

Payment: Direct billing to NDIS

Price caps: Strictly enforced

Best for: Those who prefer simple, hands-off management

Plan-Managed

Provider choice: Any provider (registered or unregistered)

Payment: Plan manager handles invoices

Price caps: Flexible within reason

Best for: Maximum choice with minimal admin

Self-Managed

Provider choice: Any provider (registered or unregistered)

Payment: You pay and claim reimbursement

Price caps: Flexible within reason

Best for: 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

NDIS Registered Providers

Advantages:

  • Can work with all plan management types
  • Pre-approved by NDIS
  • Familiar with NDIS processes
  • Direct billing available

Considerations:

  • Must charge within price caps
  • May have longer waiting lists
  • Limited choice in some areas

Unregistered Providers

Advantages:

  • More choice of therapists
  • Flexible pricing
  • Often shorter waiting times
  • May offer specialized approaches

Considerations:

  • Only for self/plan-managed participants
  • You need to verify qualifications
  • May require upfront payment
  • Must still be "reasonable and necessary"

Find NDIS-Experienced Therapists

Connect with qualified mental health professionals who understand NDIS funding and can support your goals.

Search for NDIS Therapists

Frequently Asked Questions

Q: Can I use NDIS funding for any type of therapy?

A: 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.

Q: Do I need a referral to see a therapist with NDIS funding?

A: No, you don't need a GP referral to use NDIS funding for therapy. However, the therapy must align with your NDIS plan goals.

Q: What if my therapist charges more than the NDIS price cap?

A: 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.

Q: How do I know if therapy is working for my NDIS goals?

A: Work with your therapist to set measurable goals and track progress. Keep records for plan reviews and discuss outcomes regularly with your support coordinator.

Q: Can I change therapists if I'm not happy with my current one?

A: 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.

Q: What happens if I run out of therapy funding in my plan?

A: 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

  1. NDIS Official Website - www.ndis.gov.au
  2. NDIS Price Guide 2024 - Pricing Arrangements
  3. NDIS My Place Portal - Participant Portal
  4. NDIS Contact Centre - 1800 800 110
  5. Disability Advocacy Network Australia - www.dana.org.au
Disclaimer: This article provides general information about NDIS funding for therapy services. NDIS policies and price caps may change. Always check current information with the NDIS or your support coordinator. This is not personal advice about your specific NDIS plan.