What an NDIS claim is
Every NDIS support is paid for by a claim against a participant's plan. The NDIA calls it a payment request. The claim says what support was delivered, when, by whom and for how much, and the NDIA checks it against the plan's available funding before paying.
Who makes the claim depends on how that part of the plan is managed.
Who claims, by funding type
- Self managed: you or your nominee pay the provider (or pay them directly through the claim) and claim through the my NDIS app or participant portal. Plans in the older system use the myplace portal's My Payment Request
- Plan managed: your provider invoices your plan manager, who claims from your plan through the provider portal and pays the provider
- NDIA managed: a registered provider claims directly through the provider portal. For plans in the NDIA's newer system, providers claim by bulk payment request, a CSV file uploaded through the myplace provider portal
- Unregistered providers do not claim from the NDIA themselves. They invoice the participant or plan manager
What a claim needs
For a self managed claim, the NDIA asks for:
- The date the support began and ended
- The support category it falls under
- The amount
- The provider's or business's name and ABN
- A description of the support
- A copy of the invoice or receipt
Rules every claim must meet
- The support must be an NDIS support, in line with the participant's plan
- There must be enough funding in the right budget and in the current funding period
- For NDIA managed and plan managed funding, the price cannot be above the NDIS price limit for that support item. Self managed participants are not bound by price limits
- Some NDIA managed supports, such as SIL, are only paid if the provider is recorded as one of the participant's my providers
- Keep the evidence. Participants and plan managers must keep records for 3 years, providers for 7
The 90 day rule from 1 December 2026
Until now, claims could be made up to 2 years after a support was delivered. From 1 December 2026 that drops to 90 days. Participants and plan managers will need to claim within 90 days of the support, so invoices that sit in a drawer for months become a real risk.
Providers should invoice after each service or at least monthly. Self managed participants are safest with a weekly or fortnightly routine of paying and claiming. Plan managed participants should make sure invoices go straight to the plan manager.
What else is changing
Claims above a certain threshold will need supporting documents. From 1 July 2027 most providers must enrol with the NDIA and give a validated bank account for payments. By 30 June 2028 an improved NDIS app is due to let self managed participants use tap and go claiming.
If a claim is rejected
Check the dates, support item and budget first, and whether there is funding left in the current period. For NDIA managed plans, check the provider is recorded as a my provider where needed. Providers can raise claim enquiries in the provider portal, and anyone can call the NDIA on 1800 800 110.