Does ADHD Qualify for the NDIS? Eligibility and Evidence Explained
NDIS Pricing Schedule · 2026–27
High-Intensity Care vs Complex Behaviour Support
Support explained in plain English · Official 2026–27 item codes and maximum prices, with examples and qualification requirements where applicable.
Prices effective from 24 September 2026 and subject to changesNDIS Funding Guide • 2026–27 support and claiming guidance
High-intensity care and intensive and complex behaviour support are different concepts, even though some 2026–27 worker rates are identical. A participant's diagnosis alone does not determine which code is appropriate.
The short answer
High-intensity care and intensive and complex behaviour support are different concepts, even though some 2026–27 worker rates are identical. A participant's diagnosis alone does not determine which code is appropriate.
High-intensity daily activities: a skills-based definition
Part 4 defines a high-intensity support as one requiring support from a worker with one or more of the High Intensity Supports Skills set out in Schedule 2, Module 1 of the NDIS (Provider Registration and Practice Standards) Rules 2018. The need arises from what the worker has to perform safely, not merely from the participant's overall level of disability.
Appropriate records should identify the specific skill set, the participant's individual plan, training/competency, supervision, incident response and the actual task delivered. A routine self-care visit should not be upgraded because a participant happens to have a complex medical history.
Intensive and complex behaviour support: a behavioural definition
The schedule describes participants who display frequent behaviours of concern significantly affecting safety or wellbeing and require intensive proactive and responsive strategies, often daily or very frequently, with possible other circumstances increasing complexity. Behaviour support must be individualised, proactive and consistent with applicable restrictive practice safeguards. A behaviour support plan does not automatically mean all support worker shifts qualify for the intensive and complex behaviour rate.
Comparing standard and Level 2 support prices
| National hourly item | Code | Price | What supports the choice |
|---|---|---|---|
| Standard self-care weekday daytime | 01_011_0107_1_1 |
$73.58 | Ordinary qualifying self-care. |
| High-intensity self-care weekday daytime | 01_400_0104_1_1 |
$79.60 | Relevant high-intensity skill requirements. |
| Intensive and complex behaviour support weekday daytime | 01_450_0107_1_1 |
$79.60 | Behaviour definition, intensive response requirements. |
| Standard self-care Saturday | 01_013_0107_1_1 |
$103.54 | Standard support and qualifying Saturday time. |
| High-intensity self-care Saturday | 01_402_0104_1_1 |
$112.01 | High-intensity care delivered Saturday. |
How does specialist behaviour intervention differ from support worker care?
Specialist positive behaviour support is a separately priced professional service. Table 36 includes 11_022_0110_7_3 for specialist behavioural intervention at $252.99/hour nationally. The schedule requires providers to be registered in the specialised positive behaviour supports registration group for this work. That is distinct from an intensive behaviour support worker code. Neither item independently authorises a restrictive practice.
What should a final clinical review verify?
Determine whether the support activity genuinely meets the applicable high-intensity or behavioural definition; verify individual needs and risks, recorded worker competence, correct support plans and evidence the service is delivered. Document why standard support would not be appropriate, and ensure any more restrictive strategies comply with separate legal requirements.
Common questions
Can I charge this just because a code appears in the schedule?
No. The support must meet the participant's disability-related need, applicable funding rules and the permitted claim type. The schedule tells you the price limits, not whether this individual participant can claim every listed item.
Are 2026–27 prices fixed for the whole year?
The schedule is effective 24 September 2026 but may be amended. Check the latest official version and the new claiming documents as they are published.
Official sources
2026–27 NDIS Pricing Schedule · 2026–27 Support Catalogue · Pricing Guide Overview.
Independent educational guide by Beyond Health Services; not an official NDIA publication or a guarantee of funding.
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