NDIS 90-day claiming rule: what participants, support coordinators and providers need to do

NDIS 90-day claiming rule what participants, support coordinators and providers need to do

From 1 December 2026, the NDIS is reducing the time allowed to submit claims from two years to just 90 days

This means claims for NDIS supports must be submitted within 90 days of the date the support was delivered.

Claims submitted after the 90-day deadline will not be paid by the NDIS unless an exception applies.

Whether you’re an NDIS participant, provider or support coordinator, here’s what you need to know.

What is changing?

Currently, NDIS claims can be submitted up to two years after a support is delivered.

From 1 December 2026, this timeframe will be reduced to 90 days.

There are four important things to remember:

  • The 90 days start from the date of service, not when an invoice is created or sent.

  • Claims must reach the NDIA within 90 days of the service date. Sending an invoice to your Plan Manager at 90 days is not enough.

  • Late claims will be rejected by the NDIS and will not be paid, unless an exception applies. Your plan manager cannot overrule this

  • Providers must send invoices early to allow enough time for processing and claiming, or any invoice errors to be fixed.

If an invoice includes multiple sessions, each session has its own 90-day deadline based on when that support was delivered.

Why Sending Your Invoices Early Matters

Here’s a simple example:

A provider delivers a support on 2 December 2026, but doesn’t send their invoice to Plan Hero until 20 February 2027.

By this point, 80 days have already passed, leaving only 10 days for Plan Hero to review the invoice, resolve any issues and submit the claim to the NDIA.

If there are missing details, funding issues or processing delays, the claim could fall outside the 90-day window.

Even if an invoice is sent before the 90-day deadline, the NDIS will not generally pay it if the claim is submitted late.

That’s why we strongly recommend sending invoices as soon as possible after delivering supports.

What Does This Mean for NDIS Providers?

If you’re a provider, don’t wait until the 90-day deadline to send your invoices.

Remember, the 90-day deadline doesn’t apply to when you send your invoice. It applies to when the claim is submitted to the NDIA

When you send an invoice to a Plan Manager, they need time to review it, check the participant’s funding and submit the claim to the NDIA.

To avoid delays or unpaid invoices:

  • Invoice regularly: Weekly or fortnightly is ideal.

  • Send invoices promptly: Allow plenty of time for your Plan Manager or participant to process and submit the claim to the NDIS, and for the NDIS to review.

  • Include correct details: Check participant information, support item numbers and service dates. Every invoice that comes back for a fix adds days to the clock, so a quick check of the participant’s details, support items and dates before you hit send is time well spent.

  • List each service date separately: Each support has its own 90-day deadline.

  • Review outstanding invoices: Send any invoices for past supports as soon as possible.

  • Keep excellent records: New laws will require providers to keep records of supports and payments for 7 years.

Remember, sending an invoice close to the 90-day deadline puts your payment at risk.

What Does This Mean for NDIS Participants?

Who submits your claims depends on how your NDIS plan is managed.

If You’re Plan Managed

Your Plan Manager submits claims to the NDIA on your behalf.

However, your providers need to send invoices promptly so there’s enough time for processing and claiming.

What you can do: Remind your providers to send invoices directly to your Plan Manager as soon as services are delivered.

If You’re Self Managed

You or your nominee are responsible for submitting claims and reimbursement requests.

What you can do: Submit claims through the NDIS participant portal as soon as possible, check for outstanding invoices and avoid leaving claims until the deadline.

If You’re NDIA Managed

Your registered providers submit claims directly to the NDIA.

What you can do: Check your claims through the my NDIS app or participant portal and follow up with providers if something doesn’t look right

What you can do now:

  • Gather any invoices or receipts you have not claimed yet and submit them for claiming before 1 December.
  • Check the claims on your plan every few weeks, so anything missing shows up early.
  • Keep your invoices and receipts, as new laws will require participants to keep records for 3 years and nominees for 5 years.
  • If something serious stops you from claiming on time, write down what happened and contact the NDIA as soon as you can.

What Does This Mean for Support Coordinators?

You are often the one person who can see the whole picture, which puts you in a great position to stop small delays from turning into unpaid supports.

Support Coordinators can help participants and providers avoid missed deadlines by:

  • Reminding providers to invoice regularly and promptly.

  • Making sure providers know where to send invoices.

  • Helping self-managed participants keep on top of their claims. A weekly claiming time, a phone reminder or a simple checklist can make a real difference for busy families.

  • Encouraging participants and providers to submit any outstanding invoices.

  • Checking that participants with a mix of funding management types understand who is responsible for claiming.

When you connect a participant with a new provider, check that the provider has the right plan manager details and agrees to invoice regularly.

A few simple reminders can help prevent delays and unpaid supports.

What About Supports Delivered Before 1 December 2026?

Until 1 December 2026, the current two-year claiming limit remains in place.

However, since 15 October 2026, the NDIA has introduced additional checks for claims submitted more than 90 days after the support was delivered.

These claims may be held for up to 28 days while the NDIA completes additional checks or requests further information.

The NDIA has not yet confirmed how the new deadline will apply to supports delivered before 1 December 2026.

Our advice? Don’t wait:

If you have outstanding invoices for supports already delivered, submit them now to reduce the risk of delays or unpaid claims.

Plan Hero makes claiming one less thing to worry about

With Plan Hero as your plan manager, you do not have to track invoices and deadlines on your own. We pay your providers, keep your invoices organised, track your budget and explain your funding in plain English, so you can spend less time on admin and more time on the things that matter to you and your family.

But we can only process an invoice once we receive it, so it’s important that providers send invoices promptly and well before the 90-day deadline.

If you’re a participant, provider or support coordinator with questions about the new claiming rules, we’re always happy to help.

Don’t risk missing the deadline. Send your invoices early to allow enough time for processing and payment.

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