What do the suffixes mean from 1 July 2026

The 2026–27 NDIS Pricing Schedule, effective 1 July 2026, creates separate support item numbers for different ways a support is delivered or claimed. For example, Occupational Therapy now has:

For this OT item, the national price is $193.99 per hour for direct service, CA, NF, RR and TH, while PT is $97.00 per hour—50% of the direct therapy rate.

When should each code be used?

1. `_CA` — Cancellation

Use `_CA` when the support would otherwise have been delivered under the corresponding direct-service item, but the participant cancelled within the applicable short-notice period or did not attend.

Under the latest detailed NDIA claiming rules, a provider may claim up to **100% of the agreed fee** where:

- the item permits cancellation claiming;
- the cancellation arrangement is documented in the service agreement;
- the participant gave less than the applicable notice or did not attend;
- the provider could not find alternative billable work; and
- where the provider employs the worker, the provider must still pay that worker for the cancelled time.

For therapy and most other non-disability-support-worker services, the applicable period is generally less than two clear business days. Disability support worker services generally use the seven-day rule.

Example: A one-hour OT appointment is cancelled the day before, the cancellation policy is in the service agreement, and the therapist cannot fill the appointment: 15_617_0128_1_3_CA

Do not use `_CA` merely because the participant rescheduled. The full cancellation conditions must still be satisfied.

2. `_NF` — Non-Face-to-Face

Use `_NF` for participant-specific indirect work that is genuinely part of delivering the relevant support and has been agreed with the participant in advance.

Possible examples include:

- analysing participant-specific assessment results;
- preparing an individualised intervention;
- participant-specific research linked to their goals;
- preparing information for another treating provider;
- completing an eligible progress summary not specifically requested by the NDIA.

The work must be connected to an identified participant and the support being delivered. The amount charged must reflect the actual work completed.

Do not use `_NF` for general administration such as preparing service agreements, entering client details, scheduling, rostering, monitoring travel, creating service bookings, processing claims, invoicing, staff training or supervision. Those costs are treated as overheads included in the support price.

Example: An OT spends 30 minutes analysing the participant’s assessment and preparing their individual therapy program:
15_617_0128_1_3_NF
Quantity: 0.50 hours

3. `_PT` — Provider Travel

Use `_PT` for the labour-time component of provider travel connected to an eligible face-to-face service.

Current detailed conditions include:

- the underlying item permits provider travel;
- the participant agreed to the travel charge in advance;
- the primary support is actually delivered face-to-face;
- the travel is required to deliver that specific support;
- an employed worker is paid for the travel time, or the provider is a travelling sole trader; and
- the travel is not already built into the support price.

For therapy and early childhood therapy, the travel-time price is generally capped at 50% of the direct-service price. Travel-time limits are generally up to 30 minutes each way in MMM1–3 locations and up to 60 minutes each way in MMM4–5 locations. Different arrangements apply in remote and very remote areas.

Example: An OT travels 20 minutes to deliver an in-person appointment:
15_617_0128_1_3_PT
Quantity: 0.33 hours


The direct therapy and travel should be separate invoice and claim lines:
15_617_0128_1_3       Direct therapy session
15_617_0128_1_3_PT    Travel time

The `_PT` item is for time, not vehicle expenses. Kilometres, tolls, parking, flights or accommodation—where claimable—must use the relevant separate provider-travel non-labour item, such as the appropriate `15_799_...` item.

4. `_RR` — NDIA Requested Reports

Use `_RR` only when the report has actually been requested or required by the NDIA.

The detailed NDIA guidance treats a report as NDIA-requested where it is:

- required at the commencement of a plan to outline objectives and goals;
- required for a plan review to measure functional outcomes or recommend future supports; or
- specifically stipulated by the NDIA as required in the participant’s plan.

The participant must also have agreed in advance that the cost of NDIA-requested reports may be charged to their plan.

Example: The NDIA requires an OT functional capacity report for the participant’s plan reassessment:
15_617_0128_1_3_RR

A report requested only by a support coordinator, plan manager, family member or another provider is not automatically `_RR`. It may be eligible as `_NF` if it is participant-specific, permitted under the item and agreed in advance.

5. `_TH` — Telehealth

Use `_TH` where the direct service itself is delivered remotely and in real time, rather than face-to-face.

Conditions include:

- telehealth is appropriate for the support and participant;
- it provides an appropriate standard of care;
- it is connected to the specific participant support, not general administration;
- the participant understands the proposed delivery method and charges; and
- telehealth claiming is agreed in advance through the service agreement.

Example: An OT conducts the participant’s therapy appointment by video conference:
15_617_0128_1_3_TH

The key distinction is:

- Live remote session with the participant: `_TH`
- Participant-specific work done without the participant: `_NF`
- In-person session: base item with no suffix

Recommended claiming logic for quickclaim

For a service delivered from 1 July 2026, the practical decision sequence should be:

Each component should normally be recorded as a separate invoice and claim line. Providers should use the exact item published in the schedule and should not generate a suffix merely because the activity sounds eligible; not every support item permits every claim type.