NDIA pricing review

Many of our members will be aware that the National Disability Insurance Agency (NDIA) recently received McKinsey’s Independent Pricing Review, which sets out a number of recommendations. The full report can be viewed here.

The NDIA posted a progress update on its website on April 5 relating to the implementation of the McKinsey & Co IPR recommendations. The APA is using the valuable member feedback provided to date to prepare our organisational response on behalf of the profession to McKinsey & Co. Further information is available here.


APA response to NDIA pricing review

The APA has serious concerns over several of these recommendations, which we believe will adversely impact the lives of vulnerable Australians who have a range of significant and permanent disabilities, as well as our members’ ability to effectively deliver quality care.

Specifically, our major concerns revolve around the recommendations for: 

  • the reform of the price-setting methodology
  • the definition of complexity and the role of the specialist planning teams
  • the way that travel is treated within the scheme.


The Australian Physiotherapy Association is vigorously pursuing a delay to the acceptance and implementation of these recommendations, so that more appropriate solutions can be secured. Our CEO Cris Massis has written a letter to the CEO of the NDIA requesting a halt to the implementation until wider consultation with peak bodies has occurred, and we are signatories to the AHPA letter which has been sent to the Minister for Social Services Dan Tehan, the Assistant Minister for Social Services and Disability Services Jan Prentice, and the CEO of the NDIA.

The APA has sent several updates to members over the past week seeking their involvement to communicate the deficiencies of the recommendations. Feedback on the specific deficiencies in these recommendations, participant case studies, and details of the potential unintended consequences (for example participant difficulties in accessing expert services when and where required) can be emailed to policy@physiotherapy.asn.au.

Additionally, the APA has prepared a draft letter for members to customise with their own concerns (or leave as is) that we ask you to send to both your local Federal MP and to Minister Tehan and/or Minister Prentice. This letter is attached here for your immediate action. Contact details for other Federal MPs can be found here.

The APA will update you on this issue as new information arises.


Navigating the Independent Pricing Review

It is 103 pages in total and provides a comprehensive overview of the methodology and outcomes of the pricing review. To help members navigate the review, the following information may be helpful.

The report’s executive summary is on pages 2 -7, with a short summary of the recommendations available on the bottom of page 5. McKinsey and Co’s methodology in respect to how the pricing review was conducted is on page 12.

The recommendations of most interest to APA members are recommendations 17 and 19.

Recommendation 17 on page 79 states: “The NDIA should develop differentiated price level for physical therapy and psychological therapy based on price levels being paid in comparable schemes.” Further information on how the benchmarking methodology was determined can be found on page 27 - 31.

Recommendation 19 on page 83 refers to the travel policy: “The NDIA should align the travel policy for therapy supports to the travel policy for attendant care by removing the $1000 travel cap, allowing providers to charge up to 20 minutes at the hourly rate when travelling between participants.”


NDIS Resources

The National Disability Insurance Scheme (NDIS) is transforming the way care is provided to people with disability. We have gathered a range of resources to help you find out more about the NDIS and explore how you can be part of the change.

If you have any comments, questions or would like to provide content for this page, please get in touch.

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NDIS website

NDIS homepage 

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Videos, stories, quotes and cameos that show how the NDIS is helping people with disability, their families and carers, and providers.

Information for your state

Watch the roll out of the NDIS in NSW and Victoria

APA and the NDIS

Advocacy and position statements

Feedback on the National Disability Insurance Scheme Rules Consultation Paper

Feedback on the NDIS Bill 2012 Exposure Draft

APA response to NDIS definition - Eligibility and Reasonable and Necessary Support

Health and wellbeing of children and young people

Physiotherapy for people with disability

Chronic disease and physiotherapy

Provision and access to aids and equipment for people with disabilities

Scope of practice





Professional Development

Member Value Webinar #9 Physiotherapy and the National Disability Insurance Scheme

Cpd4physios webinar

Peer Support

LinkedIn APA NDIS Physio Information exchange

Other resources

Ready4 provides information and resources about the NDIS for disability service providers in the ACT, and beyond. Check out the site and subscribe to the Ready4 newsletter for regular updates.

NDIS in the News

Dementia isn't just older people's disease

Parents and advocates welcome NDIS deal

How the NDIS is changing the lives of Hunter residents

Three-year wait for NDIS in Wyndham

Malcolm Turnbull signs NDIS agreements for Victoria and NSW

Other references, research and academic papers

AHPA 2013 Ensuring a better future for Australians with disability

Enhancing positive attitudes towards disability: evaluation of an integrated physiotherapy program

Attitudes of healthcare students and professionals toward patients with physical disability

The NDIA – Outcome 4 - Research

The Inclusion Hub, to guide people navigating the NDIS for Early Childhood Intervention

Links to other organisations



Evaluation of the NDIS trial

National Institute of Labour Studies NDIS Evaluation

General disability resources

Supporting People with Disability : The NSW Service Sector’s Expectations of Entry level Occupational Therapists, Physiotherapists and Speech Pathologists outlines the knowledge and skill requirements of entry level physiotherapists working with people with disability.

The Core Standards set out the recommended knowledge practitioners need to support people with disability. The core standards benefit people with disability and their families and carers by guiding practitioners to maintain standards of good, evidence based and contemporary practice.