04_049_0133_5_1
Establishment Fee For Personal Care/Participation - Specialised Supported Employment

Line Item Description

This NDIS line item allows providers to claim a one-time fee to cover the administrative costs of setting up substantial, ongoing employment supports for a participant. It falls under the Core Supports budget in the Assistance with Social, Economic and Community Participation support category.

Purpose of the Fee
The establishment fee recognizes the otherwise non-claimable costs that providers face when establishing service arrangements with a new participant. This fee is intended for situations where a provider commits to delivering a significant level of ongoing support.

Conditions for Claiming
A provider can only claim this establishment fee once per participant if they meet specific criteria. The provider must have a service agreement with the participant to supply a minimum of 20 hours of support per month for three or more consecutive months.

For this specific line item, the provider must be registered for and delivering supports under the following registration group: Specialised Supported Employment (0133)

Claiming Rules and Price Limits
A provider can only claim an Establishment Fee in respect of a participant once across all NDIS plans.

Even if a provider delivers multiple types of eligible supports, they can only claim one fee for that participant.

Multiple providers can each claim an establishment fee for the same participant, as long as each provider independently meets the required conditions.