Establishment Fee For Personal Care/Participation
04_049_0125_1_1
When a new provider starts delivering community participation support for you, they may charge a one-off establishment fee to cover the time spent setting up your services. This includes activities like reviewing your goals, completing intake paperwork, and coordinating supports before your program begins. This is a one-time charge funded from your NDIS plan under the Participation in Community, Social and Civic Activities registration group.
Establishment Fee For Personal Care/Participation — Support Category 4: Assistance with Social, Economic and Community Participation. Registration Group: 0125 – Participation In Community, Social And Civic 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
- 04_049_0125_1_1
- Registration Group
- Participation In Community, Social And Civic Activities (0125)
- Support Category
- Assistance with Social, Economic and Community Participation
- Unit of Measure
- Each (E)
- Support Type
- Price Limited Supports
- Effective From
- 1 July 2026
When to use this code
Use this code when claiming Establishment Fee For Personal Care/Participation under the Participation In Community, Social And Civic Activities registration group. It falls within the Assistance with Social, Economic and Community Participation budget category.
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 04_049_0125_1_1?
When a new provider starts delivering community participation support for you, they may charge a one-off establishment fee to cover the time spent setting up your services. This includes activities like reviewing your goals, completing intake paperwork, and coordinating supports before your program begins. This is a one-time charge funded from your NDIS plan under the Participation in Community, Social and Civic Activities registration group.
How much does 04_049_0125_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 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 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 11 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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