Does ADHD Qualify for the NDIS? Eligibility and Evidence Explained
NDIS Pricing Schedule · 2026–27
NDIS Nurse Practitioner Fees 2026–27: Approved Practitioner Codes and Rates
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 · Pricing Table 14
Nurse practitioner items cover eligible disability-related clinical care delivered by a nurse with formal nurse practitioner endorsement and advanced practice capability.
Source: NDIS Pricing Schedule 2026–27, effective 24 September 2026, Appendix table 14, pages 32–33. Reviewed 20 October 2026. All amounts in AUD, GST-inclusive where applicable. May change.
The short answer
Use the specific nurse practitioner item where the service falls within the NDIS rather than Medicare or another mainstream system and requires an endorsed practitioner's clinical scope.
What does this support actually cover?
Nurse practitioner items cover eligible disability-related clinical care delivered by a nurse with formal nurse practitioner endorsement and advanced practice capability.
Start with the activity or professional service the participant received, not the funding amount remaining in the plan. For each invoice, identify the specific aim of the support, where it took place, what the worker actually did and the appropriate item family. The schedule sets the maximum prices; it does not give blanket approval for every participant to purchase every listed service.
When can this item be used—and when can't it?
Situations it is intended for
Use the specific nurse practitioner item where the service falls within the NDIS rather than Medicare or another mainstream system and requires an endorsed practitioner's clinical scope.
Situations that require a different approach
Do not claim this item for work delivered by an RN or CNC who lacks nurse practitioner endorsement. Avoid claiming the same service across NDIS and Medicare or another payer.
Who is allowed to deliver this support?
The clinician must be a nurse practitioner endorsed by the Nursing and Midwifery Board of Australia and practise within their lawful endorsed scope under the Health Practitioner Regulation National Law.
Worker qualifications, NDIS provider registration and permission to claim a particular item are related but different questions. Where a professional registration or a defined higher-intensity standard applies, verify the actual person delivering the work meets it. Employer classifications used to build a price limit do not replace professional practice rules.
All 12 support codes and 2026–27 maximum prices
The tables below reproduce the codes, billing units and national, remote and very remote maximum amounts for this pricing-table group from the supplied official schedule. Individual support item names distinguish service setting, worker level, activity and/or time of delivery. On narrow screens, each pricing row is displayed as a labelled card.
Full 2026–27 code list
| Exact item code | Official support item description | Unit | National | Remote | Very remote |
|---|---|---|---|---|---|
01_624_0114_1_1 |
Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime Applies: Mon–Fri (not public holidays): starts at or after 6:00 am, ends by 6:00 pm on the same weekday. |
Hour | $183.15 | $256.41 | $274.73 |
01_625_0114_1_1 |
Delivery of Health Supports by a Nurse Practitioner - Weekday Evening Applies: Nursing evening: begins at or after 12:00 noon and finishes after 6:00 pm on the same weekday (not public holiday). |
Hour | $202.04 | $282.86 | $303.06 |
01_626_0114_1_1 |
Delivery of Health Supports by a Nurse Practitioner – Saturday Applies: Saturday support: 12:00 am to midnight Saturday at the location of service, unless a public holiday or eligible sleepover takes precedence. |
Hour | $261.50 | $366.10 | $392.25 |
01_627_0114_1_1 |
Delivery of Health Supports by a Nurse Practitioner - Sunday Applies: Sunday support: 12:00 am to midnight Sunday at the location of service, unless a public holiday or eligible sleepover takes precedence. |
Hour | $300.67 | $420.94 | $451.01 |
01_628_0114_1_1 |
Delivery of Health Supports by a Nurse Practitioner - Public Holiday Applies: Declared public holiday at the service location: midnight at the start of the holiday until midnight at its end; sleepovers have separate rules. |
Hour | $339.84 | $475.78 | $509.76 |
01_629_0114_1_1 |
Delivery of Health Supports by a Nurse Practitioner - Weekday Night Applies: Nursing night: begins at or after 6:00 pm and ends before 7:30 am the following day, unless weekend or public-holiday rules override. |
Hour | $205.83 | $288.16 | $308.75 |
15_424_0114_1_3 |
Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime Applies: Mon–Fri (not public holidays): starts at or after 6:00 am, ends by 6:00 pm on the same weekday. |
Hour | $183.15 | $256.41 | $274.73 |
15_425_0114_1_3 |
Delivery of Health Supports by a Nurse Practitioner - Weekday Evening Applies: Nursing evening: begins at or after 12:00 noon and finishes after 6:00 pm on the same weekday (not public holiday). |
Hour | $202.04 | $282.86 | $303.06 |
15_426_0114_1_3 |
Delivery of Health Supports by a Nurse Practitioner – Saturday Applies: Saturday support: 12:00 am to midnight Saturday at the location of service, unless a public holiday or eligible sleepover takes precedence. |
Hour | $261.50 | $366.10 | $392.25 |
15_427_0114_1_3 |
Delivery of Health Supports by a Nurse Practitioner - Sunday Applies: Sunday support: 12:00 am to midnight Sunday at the location of service, unless a public holiday or eligible sleepover takes precedence. |
Hour | $300.67 | $420.94 | $451.01 |
15_428_0114_1_3 |
Delivery of Health Supports by a Nurse Practitioner - Public Holiday Applies: Declared public holiday at the service location: midnight at the start of the holiday until midnight at its end; sleepovers have separate rules. |
Hour | $339.84 | $475.78 | $509.76 |
15_429_0114_1_3 |
Delivery of Health Supports by a Nurse Practitioner - Weekday Night Applies: Nursing night: begins at or after 6:00 pm and ends before 7:30 am the following day, unless weekend or public-holiday rules override. |
Hour | $205.83 | $288.16 | $308.75 |
Travel, time-of-day, cancellation and extra costs
Nursing time-of-day definitions
The September 2026 schedule defines nursing weekday daytime as support beginning at or after 6 am and finishing no later than 6 pm on one weekday. Nursing evening covers support beginning at or after noon and finishing after 6 pm that day. Nursing night includes qualifying shifts commencing at or after 6 pm and finishing before 7:30 am the following day. Check the full definitions and public holiday priority before selecting a code.
This table does not establish the right to add a therapy-style half-rate provider-travel code. Travel and non-labour costs must be separately checked against the applicable support catalogue and up-to-date claiming rules. Do not copy a transport code from another profession onto a nursing invoice.
Cancellation charges are not automatic. Check the service agreement and the currently applicable cancellation rules before claiming a cancelled session. Similarly, an extra charge cannot be inferred merely from a blank or differently worded line elsewhere in the schedule.
National rates generally apply in MM 1–5 locations; remote in MM 6; very remote in MM 7, taking account of the isolated-town modifications listed in Part 3. The service's physical location determines the applicable column. Some items may have no geographic loading.
A real-world example
An endorsed practitioner reviews a complex disability-related nursing problem, uses advanced clinical decision-making within scope and documents how the intervention relates to the participant's funded supports.
Price calculation example: the national maximum for Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime is $183.15 per hour. For a genuinely delivered 90-minute service, the pro-rata mathematical maximum is $274.73 before any other claim limits or separate eligible charges are considered. That is an illustration of the unit calculation, not a recommendation to book or claim a particular duration.
What documentation should be available?
Check endorsement, scope, clinical notes, payer responsibility, time band and consent.
Common questions
Does the highest listed price have to be charged?
No. The column shows a maximum payable for plan-managed and NDIA-managed supports, not a fixed fee. A lower rate can be agreed, and a participant's plan still needs to permit the support.
Can a different item with the same price be used instead?
No. Matching prices do not mean matching eligibility. The code must accurately identify what was delivered, the funding context, and any day, setting, profession or complexity requirements.
When should I ask for more evidence?
Ask whenever the claim includes a special qualification, higher intensity, non-standard time, remote loading, overnight support or an additional charge. An itemised invoice and clear service record make it easier to understand the basis of the charge.
Official sources and related guides
NDIS 2026–27 pricing schedules · NDIS support catalogue · Complete 2026–27 pricing overview.
Prepared by Beyond Health Services as independent educational guidance. The 2026–27 schedule should be read alongside the applicable pricing determination and current claiming instructions. This article does not replace participant-specific advice.
2026–27 claiming flags for the 12 listed codes
Checked against the official NDIS Support Catalogue. These are item-specific flags, not authorisations to claim.
_PT (provider travel), _NF (non-face-to-face), _CA (cancellation), _RR (report) or _TH (telehealth) item is not cancelled by a No against a different item. Check the applicable rules, participant agreement, notice periods, travel limits and actual service before billing.View all 12 codes and their catalogue claim flags
01_624_0114_1_1
Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
01_625_0114_1_1
Delivery of Health Supports by a Nurse Practitioner - Weekday Evening
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
01_626_0114_1_1
Delivery of Health Supports by a Nurse Practitioner - Saturday
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
01_627_0114_1_1
Delivery of Health Supports by a Nurse Practitioner - Sunday
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
01_628_0114_1_1
Delivery of Health Supports by a Nurse Practitioner - Public Holiday
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
01_629_0114_1_1
Delivery of Health Supports by a Nurse Practitioner - Weekday Night
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
15_424_0114_1_3
Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
15_425_0114_1_3
Delivery of Health Supports by a Nurse Practitioner - Weekday Evening
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
15_426_0114_1_3
Delivery of Health Supports by a Nurse Practitioner - Saturday
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
15_427_0114_1_3
Delivery of Health Supports by a Nurse Practitioner - Sunday
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
15_428_0114_1_3
Delivery of Health Supports by a Nurse Practitioner - Public Holiday
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
15_429_0114_1_3
Delivery of Health Supports by a Nurse Practitioner - Weekday Night
- Non-face-to-face
- Yes
- Provider travel flag
- Yes
- Short notice cancellation
- Yes
- NDIA-requested report
- Yes
- Irregular SIL
- No
Source: 2026–27 Support Catalogue and Pricing Schedule effective 24 September 2026. Confirm updates before invoicing.
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