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Writer's pictureJosh Sigley

Invoicing for Therapy using Core Line Items - Providers

 Many providers will be aware that some therapy support item codes have been present within Assistance with Daily Life in the flexible Core budget for several years. These are classed as Disability-Related Health Supports and exist to respond to the disability-related health needs of a participant where that care is not the usual responsibility of the health system.  


These items are: 

  • 01_760_0128_3_3 - Assessment Recommendation Therapy or Training Supports – Dietitian 

  • 01_661_0128_1_3 - Assessment Recommendation Therapy or Training Supports - Occupational Therapist 

  • 01_721_0128_1_3 - Assessment Recommendation Therapy or Training Supports – Physiotherapist 

  • 01_663_0128_1_3 - Assessment Recommendation Therapy or Training Supports – Podiatrist 

  • 01_701_0128_1_3 - Assessment Recommendation Therapy or Training Supports – Psychologist 

  • 01_665_0128_1_3 - Assessment Recommendation Therapy or Training Supports - Speech Pathologist 

  • 01_741_0128_1_3 - Assessment Recommendation Therapy or Training Supports - Other Professional 




The NDIA have published a list of Disability-Related Health Supports that these support items may be used in relation to: 

Dysphagia 

Respiratory  

Nutrition 

Diabetes 

Continence 

Wound & Pressure Care 

Podiatry 

Epilepsy 

 

In addition, the list of qualified professionals who may deliver these supports is limited compared to the standard therapies supports in the Improved Daily Living Budget. Only the following types of therapists and therapy assistants can claim from the core support items: 

Dietitian 

Occupational Therapist 

Physiotherapist 

Podiatrist 

Psychologist 

Speech Pathologist 

Other Professional (must be delivering Disability-Related Health Supports in line with the NDIS Quality and Safeguarding Commission’s requirements for the Therapeutic Supports Registration Group) 


 

In short, service providers should only use these support items if you are delivering one of the listed Disability-Related Health Supports AND you are one of the listed qualified practitioners. 


For fast, compliant NDIS claiming it is important to ensure that the item code being billed matches the service provided. Using a core line item for therapy, whether on an invoice or in a service agreement is something that should only be done after careful consideration of the qualifications of the therapist, the type of service being delivered, and the arrangements in place with the participant. 


Full details can be found in the NDIA’s Operational Guideline on Disability-Related Health Supports: Disability-related health supports | NDIS

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