Intensive and Complex Behaviour Supports - Saturday

When to use this code

Use this code for specialist positive behaviour support. A qualified behaviour support practitioner assesses the participant’s needs, develops a Behaviour Support Plan (BSP), and works with the support team to implement strategies. This is particularly relevant for participants with behaviours of concern that require a structured, evidence-based approach.

Common billing scenarios

• A behaviour support practitioner conducts a 2-hour functional behaviour assessment with a participant. The provider claims 2 hours at $106.93.
• A practitioner develops a Behaviour Support Plan over 8 hours of combined assessment, consultation, and report writing. The total hours are claimed against this code, split across face-to-face and non-face-to-face time.

Provider notes

• Non-face-to-face delivery is allowed for this code. This means you can bill for activities like report writing, care coordination calls, or progress notes, provided your service agreement with the participant covers these activities. Keep clear records of what non-face-to-face work was done and how long it took.
• This code allows provider travel claims. Travel time to the participant can be billed, but keep in mind the NDIA expects travel to be reasonable. If you are seeing multiple participants in one area, split the travel cost across their plans.
• Short notice cancellation fees apply. If a participant cancels with less than 7 clear days notice (or 2 clear business days for some supports), you can charge up to 90% of the agreed fee. You must document the cancellation and have the cancellation policy in your service agreement.
• 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.