Does each clinician's caseload still pay at the 2026–27 price limits?

The question it answers

On 1 July 2026, NDIS therapy claims moved to six separate line items, and some price limits changed.

The planner would answer one question for each clinician in your practice: does their NDIS-funded caseload cover what they cost, once travel caps, cancellations, report writing and unbilled time are counted? If it doesn't, how many billable hours a week would it take?

What changed on 1 July 2026:

• Each therapy discipline now claims through six line items: direct service, telehealth, non-face-to-face, provider travel, NDIA requested reports and cancellation.
• Provider travel has its own line at half the direct price limit. For occupational therapy, that's $97.00 an hour against $193.99.
• Occupational therapy and speech pathology stayed at $193.99 an hour, and physiotherapy at $183.99. Psychology rose to $252.99. Dietetics fell to $178.99, exercise physiology to $161.99, and Other Professional (outside early childhood) to $156.16.

These are national price limits in Australian dollars, from the NDIA's NDIS Pricing Schedule 2026–27. Sources are at the end of this page.

What it would show: an illustration

An occupational therapist sees a participant for 60 minutes and charges 10 minutes of non-face-to-face time. Another 10 minutes of admin isn't charged. Both cases assume the service agreement allows these charges.

• In the clinic: $226.32 for 80 minutes of the clinician's time. That's about $170 per hour worked.
• As a home visit with 40 minutes' travel each way in an MMM 1–3 area: under the travel cap in the NDIA's current published guidance, at most 30 minutes each way counts, at $97.00 an hour. That's $323.32 for 160 minutes of the clinician's time, or about $121 per hour worked.

Kilometre costs are left out. The planner would do this arithmetic for every clinician and caseload pattern you enter, with your own times, fees and costs. Your numbers will differ.

Who it's for

• Owners and practice managers of allied health practices that deliver NDIS-funded therapy: occupational therapy, speech pathology, physiotherapy, psychology, dietetics, exercise physiology, podiatry and other therapy disciplines.
• Sole practitioners who want to know whether their NDIS-funded work pays for their time.
• Practices with employees, contractors or both, registered or unregistered, working with agency-managed, plan-managed or self-managed participants.
• Practices that visit homes, schools or community settings and want to see what the travel costs them.

Who it's not for

• Participants, families, support coordinators or plan managers budgeting a plan. This is a business tool for providers.
• Providers of support work, supported independent living, support coordination or plan management. Their prices work differently.
• Anyone looking for a tool to claim, invoice or bulk upload. Your practice software does that.
• Anyone who wants a workbook to tell them what they're allowed to claim or charge.
• Anyone who only needs a quick break-even figure for one clinician at one hourly rate. A simple calculator does that.
• Larger organisations that need multi-site budgets, payroll or live data from other systems.

What it would do

If we build it, the planner will:

• Hold the 2026–27 national, remote and very remote price limits for each therapy discipline across all six line items, with the 2025–26 limits beside them. Every price shows its source and the date it was checked, and you can edit it.
• Take each clinician's paid hours, working weeks and costs: salary with super and on-costs, a contractor's share of fees, or the income an owner wants to draw.
• Take your caseload as clients or repeating patterns, identified by codes, not names: sessions a month, minutes per session, clinic, home or telehealth, travel time and distance, report hours and short-notice cancellations.
• Apply the travel caps you set, starting from the published caps, and show the travel time you absorb.
• Show for each clinician: revenue by line item, billed hours against paid hours, contribution after the clinician's pay and on-costs, contribution per hour worked, and the billable hours a week needed to cover those costs and a share of your overheads.
• Compare the same caseload at the 2025–26 and 2026–27 price limits.
• Test changes: fewer hours bought per participant, more cancellations, longer travel, or a different price table.
• Flag problems: a rate above the price limit for an agency-managed or plan-managed participant, travel over the cap, a missing price, or a clinician booked beyond their paid hours.
• Work in Excel 365 and Google Sheets, with no macros and nothing to connect.

What it won't do

• It won't claim, invoice, bulk upload, or connect to NDIA portals or your practice software.
• It won't manage plans or participant budgets.
• It won't tell you what you may claim, what to charge, what to put in a service agreement, or whether GST applies. It isn't financial, legal, tax or NDIS-compliance advice.
• It won't forecast NDIA decisions.
• It won't need participant names or health details. Use your own codes.

Status

In research. There's no release date and no price yet.

Two things decide whether we build it: how many practices join this list, and what the optional questions tell us. We'll also wait for the NDIA's updated 2026–27 claiming guidance, so the planner's travel, cancellation and report settings start from it.

If we build it, we'll test it against our published Testing Standard before it goes on sale, and you'll get one email. If we don't, you'll get one email saying so, and we'll delete the list within 30 days.

What joining the waitlist means

• One email when it's ready. If we decide not to build it, you get one email saying so instead. Nothing else: no newsletter and no other lists.
• Three optional questions in the form. Skip any of them.
• A person reads each sign-up. Sign-ups go through the same form service as our support page and arrive in Metricvalley's business inbox, where a person at Metricvalley reads them.
• What we keep: your email address, the date you joined, and your business type and answers if you give them. We use them only for this planner. We don't sell or share them, and we don't add you to any other list.
• When we delete it: within 30 days of that one email, and in any case within 12 months of signing up.
• Leaving early: write to [email protected] and we'll remove you.
• Totals only: we may share totals from the answers. We never share individual answers.

Our Privacy page has the details.

Questions

Will it tell me what I can claim?

No. It uses the prices and caps in its price table, and the times and fees you enter. What you claim, and what your service agreements allow, stay your decisions. The NDIA's pricing pages set out the claiming rules.

Does it work if I'm unregistered, or my clients self-manage?

Yes. Price limits apply to agency-managed and plan-managed participants. For self-managed participants, you can enter your own fee.

What if prices or rules change during the year?

Every price in the table has a source and a checked date, and you can edit it. The NDIA has said it will publish updated pricing and claiming guidance for 2026–27, and its pricing review for 2027–28 has started. If we release the planner, its changelog will list every change to the table.

How is this different from my practice software?

Your practice software records sessions and sends claims. The planner looks forward: it tests a caseload against the price limits before you commit to it. You can copy totals from your software into it.

How much will it cost?

We haven't set a price. The third question asks what you'd expect to pay.

Independence

Metricvalley is independent of the NDIA. This planner is not made, endorsed or funded by the NDIA, the NDIS Quality and Safeguards Commission, the Australian Government or any professional association. "NDIS" appears on this page only to say who the planner is for. Price limits on this page come from the NDIA's published NDIS Pricing Schedule 2026–27. Check ndis.gov.au for current prices and claiming rules. Nothing on this page is financial, legal, tax or NDIS-compliance advice.

Sources

Checked 30 September 2026.

• NDIA, NDIS Pricing Schedule 2026–27, effective 24 September 2026, on the pricing arrangements page.
• NDIA, Annual Pricing Review for 2026–27 prices (June 2026), on the pricing updates page.
• NDIA, Travel claiming rules, gap fees and other costs (23 July 2025): travel at half the price limit, capped at 30 minutes each way in MMM 1–3 and 60 minutes in MMM 4–5.