Specialist Behavioural Intervention Support

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 $232.99.
• 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.
• Provider travel can be claimed under this code. You can bill for reasonable travel time to reach the participant, but only for the portion of travel that exceeds normal commuting. Travel costs should be shared proportionally if you are seeing multiple participants in one trip.
• 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.
• Capacity Building funding is time-limited and goal-oriented. Document how the support contributes to the participant’s plan goals, as this will be reviewed at plan reassessment. Unlike Core funding, Capacity Building budgets are usually not flexible across categories.
• Behaviour support practitioners must be registered with the NDIS Quality and Safeguards Commission if the participant has regulated restrictive practices in their plan. All Behaviour Support Plans involving restrictive practices must be lodged with the Commission.