| Support item number | 04_049_0133_5_1 |
|---|---|
| Support item name | Establishment Fee For Personal Care/Participation |
| Unit | Each |
| National price limit | $735.80 |
| Remote | $1,030.12 |
| Very remote | $1,103.70 |
| Schedule | Schedule 1: Disability Support Workers |
| Table | Disability Support Worker Level 1 |
| Support category | 04 – Assistance with Social, Economic and Community Participation |
| Registration group | 0133 – Specialised supported employment |
| Effective | 1 July 2026 (Pricing Schedule 2026-27, version 1.2) |
This item covers establishment fee for personal care/participation. It is claimed once for each occurrence and is listed in Schedule 1 (Disability Support Workers), Disability Support Worker Level 1. It sits in support category 04 (Assistance with Social, Economic and Community Participation) and registration group 0133 (Specialised supported employment).
These rules are from the NDIS Pricing Arrangements and Price Limits 2025-26, version 1.1 (valid from 24 November 2025), which the NDIS pricing page (current as of 24 September 2026) still lists as the claiming guidance alongside the 2026-27 Pricing Schedule.
Use a different support item in these situations.
The price limit applies to NDIA-managed and plan-managed participants; self-managing participants are not bound by price limits. Providers cannot agree a price above the limit.
Claim against the support item that matches the service delivered, using the full number (04_049_0133_5_1) on invoices and payment requests.
The national price limit for 04_049_0133_5_1 went up by $33.50 (4.8%): from $702.30 in 2025-26 to $735.80 in 2026-27.
| Location | 2025-26 | 2026-27 | Change | Change % |
|---|---|---|---|---|
| National | $702.30 | $735.80 | +$33.50 | +4.8% |
| Remote | $983.22 | $1,030.12 | +$46.90 | +4.8% |
| Very remote | $1,053.45 | $1,103.70 | +$50.25 | +4.8% |
2025-26 figures are from the NDIS Pricing Arrangements and Price Limits 2025-26, version 1.1 (valid from 24 November 2025), page 35. 2026-27 figures are from the NDIS Pricing Schedule 2026-27, version 1.2.
These examples use the 2026-27 price limits: the most a provider can charge NDIA-managed or plan-managed participants. The price agreed with a provider can be lower. Part hours are claimed by the time spent (for example 45 minutes is 0.75 hours).
| Example | Worked out as | Price limit |
|---|---|---|
| Claimed once | 1 × $735.80 | $735.80 |
| Claimed once in a very remote area | 1 × $1,103.70 | $1,103.70 |
Building a whole plan? Add 04_049_0133_5_1 to the plan budget builder to mix it with other supports and email yourself the breakdown.
The result is the most a provider can charge NDIA-managed or plan-managed participants; the agreed price can be lower.
For 04_049_0133_5_1 the remote limit ($1,030.12) is 40% above the national limit and the very remote limit ($1,103.70) is 50% above it. Schedule 11 of the Pricing Schedule lists isolated towns that are re-classified as remote for planning and pricing purposes.
04_049_0133_5_1 is a Core support (support purpose 1) in support category 04 (Assistance with Social, Economic and Community Participation). Core budgets often give participants a lot of flexibility to choose specific supports, but Core funding cannot be moved to Capital or Capacity Building supports. Plan budgets are allocated at support category level and must be used towards the goals in the participant’s plan.
| How the plan is managed | Who can deliver it | Price limit applies |
|---|---|---|
| NDIA-managed | A registered NDIS provider, registered for registration group 0133 (Specialised supported employment). The provider must tell the participant its prices and conditions, including notice and cancellation terms, before delivering. | Yes |
| Plan-managed | Registered or unregistered providers. The plan manager pays the provider and checks the price. | Yes |
| Self-managed | Registered or unregistered providers. | No: self-managing participants are not bound by price limits |
An example invoice at the 2026-27 national price limit. Use the price you agreed with the participant, which can be lower.
| Date | Support item | Description | Qty | Unit price | Total |
|---|---|---|---|---|---|
| Tue 13/10/2026 | 04_049_0133_5_1 | Establishment Fee For Personal Care/Participation | 1 | $735.80 | $735.80 |
| Total | $735.80 | ||||
In the NDIS Pricing Schedule 2026-27 the national price limit for 04_049_0133_5_1 (Establishment Fee For Personal Care/Participation) is $735.80 each; $1,030.12 remote and $1,103.70 very remote.
The provider helps the participant put their plan in place and has an agreement to deliver at least 20 hours a month, for three or more consecutive months, of personal care supports (registration groups 0107 or 0104) or participation supports (0125, 0136, 0104 for community access or group supports, or 0133). Each provider can claim it once per participant across all plans, even if it delivers through more than one registration group or support category. More than one provider can claim it against the same plan if each meets the conditions.
The national price limit went up by $33.50 (4.8%): from $702.30 in 2025-26 to $735.80 in 2026-27.
Not for NDIA-managed or plan-managed participants: the price limit is the most a provider can charge them. Providers can charge less.