NDIA Update Payment Terms and Process
Disability Intermediaries Australia (DIA) is aware that the NDIA will soon update they way payments of NDIS Claims are made. The NDIA state that they are taking some steps to strengthen the NDIS, by reducing fraud and non-compliant behaviour.
This means from March 2024, the NDIA will take more time to check claims before funds are released.
Valid claims will be paid within 2 to 3 business days. Some payments may take up to 10 days. This is a change to current processes where generally funds are released overnight.
Claims review process:
Duplicate claims submitted within 14 days of the first claim will be reviewed for fraud and non-compliant behaviour. If invoicing via a Plan Manager and a duplicate invoice is submitted within 14 days this will also be reviewed for fraud and non-compliant behaviour.
If a payment within a bulk claim is being reviewed, only the claim under review will be held. All other claims will be paid according to NDIA payment terms, noting that this will now be at least 24 hours slower than current processing.
Valid claims will have funds released around 6pm 2 business days after the claim is lodged for example:
- a Claim lodged on Tuesday before midnight will now have funds released on Thursday around 6pm
- a Claim lodged on Friday, Saturday or Sunday before midnight will now have funds released on Tuesday around 6pm
If a claim is being reviewed, the NDIA will send plan managers:
- a request for information
- a fact sheet with instructions on how to resolve the specific claiming issue.
They funds will not be released by the NDIA for these claims in review until they receive the right information. Once the payment is approved it will be added to the next payment run.
If the information is not satisfactory (or if we receive no response), the claim will stay on hold. It will not be paid until the NDIA receive the right information.
For more information about NDIA provider payment terms, please visit the NDIS website.
DIA is actively discussing and engaging with the NDIA on this matter to ensure the best possible and workable solution for our Plan Management members. DIA is disappointed in the lack of stratification and efficiency of NDIA business systems including PACE that has required this slow down in payment processing.
DIA recognises that this will lead to impacts on Plan Managers and increase workloads for our members as this program is rolled out. DIA is committed to ensure that previous poor NDIA practice around payment processes are not re-introduced through this program.
DIA is a members-based organisation. We are only able to do the work that we do because of the ongoing support of our members. Thank you to all DIA members that continue to support the work we do. If you’re a provider delivering Support Coordination or Plan Management are not yet a member, you should consider joining. Click here to join from our homepage.