Establishment Fee For Personal Care/Participation
01_049_0104_1_1
This is a one-time setup fee that covers the administrative and planning work required before high-intensity personal care or participation supports begin. It allows your provider to set up your care plan, coordinate with other services, and ensure everything is in place before your support starts. You can only claim this fee once per provider relationship.
Establishment Fee For Personal Care/Participation — Support Category 1: Assistance with Daily Life (Includes SIL). Registration Group: 0104 – High Intensity Daily Personal Activities. Pricing Type: Price Limited Supports. Unit of Measure: Each (E). As defined in the NDIS Pricing Arrangements and Price Limits 2026-27.
Price Limits (2026-27)
Maximum prices NDIS providers can charge
For Support Coordinators
Refer participants to registered NDIS providers offering supports under this line item, with registration you can confirm and pricing aligned to the per each rate above.
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This is the maximum price limit. Your provider may charge less.
Support Rules & Flags
Item Details
- Item Code
- 01_049_0104_1_1
- Registration Group
- High Intensity Daily Personal Activities (0104)
- Support Category
- Assistance with Daily Life (Includes SIL)
- Unit of Measure
- Each (E)
- Support Type
- Price Limited Supports
- Effective From
- 1 July 2026
When to use this code
Use this code when a participant has been approved for high-intensity daily personal activities. These supports are for people with complex care needs requiring workers who have specialised training. The higher price reflects the additional skills and qualifications required. Standard personal care codes should not be used for participants approved at this level.
Common billing scenarios
- A provider delivers this support and claims $702.30 per unit. The claim is submitted with documentation of the support provided.
- A participant receives this support on a regular basis. The provider submits claims after each service delivery with appropriate records.
Provider notes
- Core supports are the most commonly claimed category. Make sure your service agreements clearly state the code, rate, and cancellation terms. This reduces disputes at claiming time.
- When billing under this code, make sure the support delivered matches the description in the NDIS Support Catalogue. Mismatched codes are a common audit finding. Keep records of the date, time, duration, and nature of each support session.
Related Support Items
Frequently Asked Questions
What is NDIS code 01_049_0104_1_1?
This is a one-time setup fee that covers the administrative and planning work required before high-intensity personal care or participation supports begin. It allows your provider to set up your care plan, coordinate with other services, and ensure everything is in place before your support starts. You can only claim this fee once per provider relationship.
How much does 01_049_0104_1_1 cost?
The standard price limit is $702.30 per each. Remote areas (MMM 6): $983.22 per each. Very remote areas (MMM 7): $1053.45 per each. These are maximum prices, providers may charge less.
Who can claim this support?
NDIS participants who have funding allocated in the Assistance with Daily Life (Includes SIL) budget category of their NDIS plan can claim this support. The price shown is the maximum that registered NDIS providers can charge.
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Plan Your NDIS Budget
Use our free NDIS Budget Planner to calculate how many units of support you can get with your plan funding.
Open Budget PlannerHow we source this: price limits are taken directly from the NDIS Pricing Arrangements and Price Limits 2026-27, published by the NDIA and effective 1 July 2026. For 2026-27, support worker and self-care limits are held at their 2025-26 levels; therapy rates were rebalanced in the Annual Pricing Review. Page last reviewed 18 July 2026.
Estimate only, not advice: the figures above are maximum price limits. Your provider may charge less. Confirm current pricing against the NDIS Pricing Arrangements or with your plan manager.
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