cost & ndis funding options for behaviour therapy

Introduction

Understanding the cost and NDIS funding options for behaviour therapy and speech pathology and speech therapy for autism spectrum disorder is crucial for many Australians seeking support through the National Disability Insurance Scheme. Whether you require psychology services or specialist intervention, knowing how funding works and what fees you might encounter can help you make informed choices for yourself or a loved one. This article explains the pricing structure, eligibility, and practical steps for accessing behaviour therapy and speech therapy under the NDIS, enabling you to improve independence, quality of life, and overall wellbeing.

Key Highlights

• NDIS funding for behaviour therapy in Australia follows strict price guides, ensuring transparent costs for all participants.

• Hourly rates for NDIS-funded therapy are capped, with recent increases reflected in the latest NDIS Price Guide.

• Eligibility for behaviour therapy funding requires meeting the National Disability Insurance Scheme criteria and demonstrating need linked to disability or mental health conditions.

• Out-of-pocket expenses depend on your plan management style—self-managed, plan-managed, or NDIA-managed.

• Navigating NDIS claims is easier with a clear understanding of your plan, required documentation, and approved service providers.

• Strategic planning and open discussions during your NDIS review can maximize your therapy budget and outcomes.

How Much Does Behaviour Therapy Cost Under the NDIS?

Behavior therapy funded by the National Disability Insurance Scheme (NDIS) is priced according to the NDIS Price Guide, which sets maximum hourly rates for different services. For 2025–26, the price for Behaviour Support is capped at $232.99 per hour—a $10 increase from the previous year. Psychology services are standardized at $223.99 per hour across all states. These rates are designed to protect participants from unexpected fees and ensure consistent access to qualified professionals.

Estimating your out-of-pocket expenses starts with looking at your NDIS plan’s funding for therapeutic supports from a range of service providers. If you are self-managed or plan-managed, you may be able to negotiate below the price limit, potentially reducing your costs. However, if your support needs exceed your plan’s allocation, you could be responsible for the gap. It's essential to review your plan annually and communicate with your service providers about their fees to avoid surprises.

Typical Costs of Behaviour Therapy in Australia

In Australia, the cost of behaviour therapy outside of NDIS funding can range widely depending on the type of therapy, service provider, and delivery mode. NDIS-funded rates offer a transparent fee structure, but private rates may vary and often exceed the capped prices set by the NDIS Price Guide. For example, private behaviour therapy may cost anywhere from $150 to $250 per hour, while group programs or telehealth sessions might be less expensive. Always confirm pricing with your chosen provider to plan effectively.

Pricing Arrangements and Fee Structure

NDIS pricing arrangements ensure that participants and providers operate within a structured, fair framework. The NDIS Price Guide sets the maximum hourly rates for each type of therapeutic support, including behaviour therapy and psychology services. Providers can charge less than the cap, particularly for plan-managed participants who are able to negotiate, but cannot exceed these price limits.

The following table outlines current NDIS price limits for different types of behaviour therapy:

Individual sessions tend to cost more than group therapy, and while telehealth and in-person rates are currently aligned, this could change with future price guide updates. Always confirm the latest pricing with your provider.

Factors Affecting Costs (Type, Duration, Delivery Mode)

Several elements significantly shape the costs associated with behaviour therapy under the NDIS. The types of therapy selected, such as cognitive behavioural therapy (CBT) or occupational therapists providing occupational therapy, can influence pricing due to differing methodologies and resource requirements. Additionally, the duration of therapy sessions plays a crucial role; extended sessions may incur higher costs. Delivery mode, whether in-person or via telehealth, can also affect overall expenses, with service providers typically adjusting their fees based on these factors. Curious about online options? Read Can My Child Do Behavioural Therapy Online? to compare in-clinic vs. telehealth formats and find what’s right for your family.

Eligibility Criteria for NDIS Behaviour Therapy Funding

To access NDIS-funded behaviour therapy, you must:

1. Be an NDIS participant with a plan that includes “Improved Daily Living” or “Capacity Building – Improved Relationships.”

2. Demonstrate need through assessments that show challenging behaviours impacting your child’s daily functioning.

3. Have behavioural goals written into your plan (e.g., reducing aggression or improving communication).
   If your plan doesn’t already include behaviour support, you can request a plan review and submit clinical evidence (e.g., psychologist report) to justify adding it.

If you’re wondering what actually happens in those sessions, head over to our guide on What to Expect in Your Child’s First Behaviour Therapy Session for a step-by-step walkthrough.”

Average Hourly Rates for NDIS-Funded Behaviour Therapy

The hourly rates for NDIS-funded behaviour therapy and related supports are strictly capped by the latest NDIA pricing arrangements. For 2025–26:

These rates are standard across Australia, regardless of provider or location. If your NDIS plan is self-managed or plan-managed, you may negotiate lower rates, thus stretching your funding further. To estimate your personal out-of-pocket expenses, review the funding allocated for therapy in your NDIS plan and compare it against the number of sessions and rate charged by your provider. Remember that effective plan management and regular reviews can help ensure your therapy needs are met within your budget.

Step-by-Step Guide to Submitting NDIS Claims for Behaviour Therapy

• Attend your session and collect the provider’s invoice or service agreement.

• Log into the NDIS portal (MyPlace) and navigate to “Manage My Plan.”

• Upload your invoice under the “Claims” section—choose “Behaviour Support” as the service category.

• Submit supporting documents if required (e.g., assessment reports).

• Review payment status: most claims process within 10 business days.
  Keeping clear records and uploading on time ensures you stay fully reimbursed and avoids unplanned out-of-pocket expenses.

NDIS vs Private Behaviour Therapy

Even with NDIS funding, families sometimes face co-payments when:

• Providers charge above the NDIS price cap.

• You request extended session lengths (e.g., 90 min).

• You book emergency or weekend appointments.
  By contrast, private (non-NDIS) therapy can run AUD 200–300 per hour. When you compare, even a small NDIS co-contribution often costs far less than private rates—making your plan funding a powerful subsidy.

While NDIS plans favor cost control and consistency, private options might suit those seeking providers outside the NDIS registration system, or more immediate access. Always weigh up quality, cost, and your own needs before deciding.

For insight on who should deliver your child’s support, check out What Makes a Good Behaviour Support Practitioner? to learn the key qualifications and qualities to look for.

Top Tips to Stretch Your NDIS Budget for Behaviour Therapy

• Group Sessions & Workshops: Attend parent-training groups, which share costs among participants.

• Combine Services: Bundle behaviour support with allied therapies (speech or OT) in a coordinated block to minimize travel fees.

• Use Plan Management: A registered plan manager can track spending, negotiate rates, and flag budget overruns.

• Negotiate Longer Sessions: Some providers offer package rates for multiple hours—check if a 5-session block comes at a discounted rate.

• Review Regularly: At each plan review, compare actual spend versus allocated budget and request adjustments if your child’s support needs are growing.

Example Plan Structures for Comprehensive Therapy Support

Designing your NDIS plan to maximize funding for behaviour therapy is about clarity and flexibility. Here’s how some participants structure their plans:

• Allocate a specific budget to ‘Improved Relationships’ or ‘Improved Daily Living’ for therapy.

• Include both individual and group therapy options for a balanced approach.

• Schedule regular reviews with allied health professionals to reassess therapy needs.

• Set aside funding for non-face-to-face supports, such as report writing or team meetings.

• Combine therapies (e.g., psychology, occupational therapy, exercise physiology) for holistic support.

Conclusion

In conclusion, understanding the costs and NDIS therapeutic supports funding options for behaviour therapy under the NDIS is essential for accessing the support you need from various organisations. By knowing the typical costs, eligibility criteria, and how to effectively submit claims, you can make informed decisions about your therapy options, including a range of therapies. Additionally, exploring strategies to maximize your NDIS budget ensures that you receive the best possible care without breaking the bank. Remember, taking advantage of available resources can empower you on your journey towards improved mental health and well-being.

Ready to understand your exact funding and next steps?
Book your consultation now to review your plan and design a behaviour therapy package that maximizes your NDIS funding.

Frequently Asked Questions

Can I use NDIS funding for non-registered behaviour therapy providers?

You may use NDIS funding for non-registered providers if your plan is self-managed or plan-managed, but not if your plan is NDIA-managed. Always ensure the provider is a suitably qualified allied health professional, such as physiotherapists for physiotherapy, and behaviour therapy, and clarify invoicing arrangements in advance with your plan manager or the National Disability Insurance Scheme.

How do the costs compare between in-person and telehealth behaviour therapy options under NDIS?

According to the latest NDIS Price Guide, both in-person and telehealth sessions for behaviour therapy are capped at the same hourly rate. Your total cost depends on the type of therapy, delivery mode, and session length, but there’s currently no price difference in the NDIS fee structure.

What should I do if my behaviour therapy needs are not being met with my current plan?

If your current NDIS plan doesn’t meet your therapy needs, request a plan review with the National Disability Insurance Agency. Bring supporting evidence from your therapist about your changing needs and ask for adjustments to your funding or services to better align with your goals for better health.