Establishment Fee For Personal Care/Participation
04_049_0104_1_1
When a new provider starts delivering high intensity personal care or participation support for you, they may charge a one-off establishment fee to cover the administrative and planning work involved in setting up your services. This includes things like reviewing your support plan, completing risk assessments, and coordinating with your care team before support begins. This fee is a one-time charge and is funded from your NDIS plan under High Intensity Daily Personal Activities.
Establishment Fee For Personal Care/Participation — Support Category 4: Assistance with Social, Economic and Community Participation. 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 2025-26.
Price Limits (2025-26)
Maximum prices NDIS providers can charge
For Support Coordinators
Refer participants to verified NDIS providers offering supports under this line item, with registration confirmed 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
- 04_049_0104_1_1
- Registration Group
- High Intensity Daily Personal Activities (0104)
- Support Category
- Assistance with Social, Economic and Community Participation
- Unit of Measure
- Each (E)
- Support Type
- Price Limited Supports
- Effective From
- 1 July 2025
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
- This is a Core support, which means participants can generally use their Core funding flexibly across different Core categories (unless their plan states otherwise). Check with the participant’s plan manager if you are unsure about flexibility.
- 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
When a new provider starts delivering high intensity personal care or participation support for you, they may charge a one-off establishment fee to cover the administrative and planning work involved in setting up your services. This includes things like reviewing your support plan, completing risk assessments, and coordinating with your care team before support begins. This fee is a one-time charge and is funded from your NDIS plan under High Intensity Daily Personal Activities.
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.
NDIS participants who have funding allocated in the Assistance with Social, Economic and Community Participation budget category of their NDIS plan can claim this support. The price shown is the maximum that registered NDIS providers can charge.
Related Search Terms
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 PlannerPrices verified against the NDIS Pricing Arrangements and Price Limits 2025-26. Page last reviewed 4 June 2026.
Effective from 1 July 2025. Source: NDIS Pricing Arrangements