Does ADHD Qualify for the NDIS? Eligibility and Evidence Explained
NDIS Pricing Schedule · 2026–27
NDIS Specialist Behaviour Support Rates 2026–27: Practitioner Codes and Registration
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 • Allied health and specialist supports • Table 36
Specialist behaviour intervention includes functional assessment, behaviour support planning and training in safe, evidence-informed behaviour strategies. The schedule separates specialist intervention from behaviour management plan implementation.
Based on NDIS Pricing Schedule 2026–27, effective 24 September 2026, Table 36, pages 64–65. Rates are maximum amounts for the unit shown; updated if the official schedule changes. Reviewed 20 October 2026.
The short answer
Where a suitably registered specialist provider delivers a planned behaviour intervention or implementation service to address the participant's behaviours of concern, within the legal and clinical requirements.
What does this professional service involve?
Specialist behaviour intervention includes functional assessment, behaviour support planning and training in safe, evidence-informed behaviour strategies. The schedule separates specialist intervention from behaviour management plan implementation.
A person may need several types of disability support, but that does not mean their providers are interchangeable. What matters is the professional task being delivered, the participant's functional need, who undertook it and the scope of the agreed service. Professional therapy may involve assessment, planning, evidence-based intervention, training and measurable progress against practical daily life goals.
When should this support code be used?
Where a suitably registered specialist provider delivers a planned behaviour intervention or implementation service to address the participant's behaviours of concern, within the legal and clinical requirements.
When it should not be used
Do not claim specialist behaviour intervention for ordinary support worker shifts. Restrictive practices demand lawful authorisation, monitoring and safeguards; a pricing code is not permission to apply them.
The 2026–27 schedule is a price document; the existence of a code does not authorise charging an NDIS plan for any related activity. Confirm participant funding, goals, the current rules and what actually happened before selecting a code.
Who is qualified to deliver it?
The service must be delivered by providers registered under the NDIS Quality and Safeguards Commission's Specialised Positive Behaviour Supports registration group, as the schedule explicitly requires.
Before agreeing to a service, ask for the practitioner's full name and relevant professional status. Where the title is registered or accredited, verify current registration or membership with the named Australian body. Also check the person's competence for the particular intervention. A provider's business registration is not evidence that every staff member holds the profession's qualifications.
Every item code and 2026–27 maximum rate
The following 12 code entries cover 2 main item families shown in this section of the attached schedule. The unit is an hour unless otherwise displayed. The support item's initial number and category are important: some professions appear under different Core, employment, improved health or capacity building purposes. Select the item that corresponds to the actual work and funding category, even where multiple codes show the same hourly price.
| Exact 2026–27 code | Claim situation and official description | Unit | National | Remote | Very remote |
|---|---|---|---|---|---|
11_022_0110_7_3 |
Specialist Behavioural Intervention Support - Direct Service Direct delivery of the described professional service. |
Hour | $252.99 | $354.19 | $379.49 |
11_022_0110_7_3_CA |
Specialist Behavioural Intervention Support - Cancellation Cancellation only where the relevant notice, agreement and claim conditions allow. |
Hour | $252.99 | $354.19 | $379.49 |
11_022_0110_7_3_NF |
Specialist Behavioural Intervention Support - Non-Face-to- Face Eligible non-face-to-face professional work directly related to this participant. |
Hour | $252.99 | $354.19 | $379.49 |
11_022_0110_7_3_PT |
Specialist Behavioural Intervention Support - Provider Travel Provider travel time only where travel is claimable and agreed. This is not a kilometre charge. |
Hour | $126.50 | $177.10 | $189.75 |
11_022_0110_7_3_RR |
Specialist Behavioural Intervention Support - NDIA Requested Reports An actual NDIA-requested report under the applicable rules. |
Hour | $252.99 | $354.19 | $379.49 |
11_022_0110_7_3_TH |
Specialist Behavioural Intervention Support - Telehealth Delivered through an appropriate telehealth consultation. |
Hour | $252.99 | $354.19 | $379.49 |
11_023_0110_7_3 |
Behaviour Management Plan Implementation - Direct Service Direct delivery of the described professional service. |
Hour | $252.99 | $354.19 | $379.49 |
11_023_0110_7_3_CA |
Behaviour Management Plan Implementation - Cancellation Cancellation only where the relevant notice, agreement and claim conditions allow. |
Hour | $252.99 | $354.19 | $379.49 |
11_023_0110_7_3_NF |
Behaviour Management Plan Implementation - Non-Face- to-Face Eligible non-face-to-face professional work directly related to this participant. |
Hour | $252.99 | $354.19 | $379.49 |
11_023_0110_7_3_PT |
Behaviour Management Plan Implementation - Provider Travel Provider travel time only where travel is claimable and agreed. This is not a kilometre charge. |
Hour | $126.50 | $177.10 | $189.75 |
11_023_0110_7_3_RR |
Behaviour Management Plan Implementation - NDIA Requested Reports An actual NDIA-requested report under the applicable rules. |
Hour | $252.99 | $354.19 | $379.49 |
11_023_0110_7_3_TH |
Behaviour Management Plan Implementation - Telehealth Delivered through an appropriate telehealth consultation. |
Hour | $252.99 | $354.19 | $379.49 |
How do provider travel, reports, telehealth and cancellations work?
For this table, the schedule lists a separate provider travel time item such as 11_022_0110_7_3_PT, capped at $126.50/hour nationally ($177.10 remote, $189.75 very remote). That is different from the direct professional service code 11_022_0110_7_3, which has a national limit of $252.99/hour. The half-rate travel limit does not mean every journey is automatically billable. Consent, relevant travel limits, actual travel and the currently applicable claim conditions still matter.
Non-face-to-face (_NF): may identify eligible participant-specific work conducted without the participant being present, such as relevant clinical preparation or documentation. It is not a blanket administration fee. Telehealth (_TH): describes a genuine remotely delivered service that is clinically appropriate for the task. NDIA requested report (_RR): is a specific report category and should not be selected for every clinician report. Cancellation (_CA): requires that a fee is allowed by current NDIS conditions and the agreement; an empty appointment slot does not by itself justify invoicing.
Behaviour support is regulated: a provider must have the required specialised positive behaviour support registration to deliver this specified support. A support worker implementing a plan and the specialist practitioner preparing or reviewing the plan have different roles. Restrictive practices are never authorised by a billing code alone.
_PT hourly rate. The September 2026 schedule does not itself reproduce all non-labour item numbers or claiming restrictions. Confirm them against the current NDIA support catalogue and updated official claiming guidance before charging.These therapies generally have a single professional direct-service maximum rather than different daytime, evening and weekend hourly prices. Do not copy disability support worker Sunday or night rates onto a therapy invoice. Geographic pricing is based on where the service is physically delivered; check the Modified Monash classification and the isolated-town modifications where relevant.
What does this look like in practice?
A qualified behaviour practitioner assesses the triggers and function of distress-related behaviours, develops a positive behaviour support plan and teaches staff proactive strategies.
Worked price example: the listed national direct-service limit for 11_022_0110_7_3 is $252.99/hour. A genuine, agreed 75-minute session would correspond to a mathematical hourly-limit ceiling of $316.24 for direct service alone; this is a calculation example and does not establish that every minute or additional component is claimable.
The progress note should identify what was assessed or practised, the participant's functional goals, the service duration, any preparation or reporting separately billed, and why the claimed item and provider level were appropriate.
Frequently asked questions
Can this service be billed just because it appears in the price schedule?
No. The participant must be able to use their NDIS funding for this support, and the particular claim must comply with the pricing determination and relevant rules.
Can I use a different item family with the same hourly rate?
No. The code prefix and support group relate to the nature and purpose of the support. A rate match is not a reason to switch between services or budgets.
Is the travel rate extra on every appointment?
No. The table supplies a maximum for eligible provider travel time. Whether a travel charge is permitted depends on the current rules, actual journey and prior agreement. Non-labour travel costs are a separate question.
Sources and further guidance
Official NDIS 2026–27 schedule · Official NDIS support catalogue · Understanding the NDIS price schedule.
Beyond Health Services independent information guide. This is not an official NDIA ruling or a guarantee of funding.
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
11_022_0110_7_3
Specialist Behavioural Intervention Support - Direct Service
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_022_0110_7_3_CA
Specialist Behavioural Intervention Support - Cancellation
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_022_0110_7_3_NF
Specialist Behavioural Intervention Support - Non-Face-to-Face
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_022_0110_7_3_PT
Specialist Behavioural Intervention Support - Provider Travel
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_022_0110_7_3_RR
Specialist Behavioural Intervention Support - NDIA Requested Reports
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_022_0110_7_3_TH
Specialist Behavioural Intervention Support - Telehealth
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_023_0110_7_3
Behaviour Management Plan Implementation - Direct Service
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_023_0110_7_3_CA
Behaviour Management Plan Implementation - Cancellation
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_023_0110_7_3_NF
Behaviour Management Plan Implementation - Non-Face-to-Face
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_023_0110_7_3_PT
Behaviour Management Plan Implementation - Provider Travel
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_023_0110_7_3_RR
Behaviour Management Plan Implementation - NDIA Requested Reports
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
11_023_0110_7_3_TH
Behaviour Management Plan Implementation - Telehealth
- Non-face-to-face
- No
- Provider travel flag
- No
- Short notice cancellation
- No
- NDIA-requested report
- No
- Irregular SIL
- No
Source: 2026–27 Support Catalogue and Pricing Schedule effective 24 September 2026. Confirm updates before invoicing.
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