This article is for clinics with agency-managed NDIS participants who use PracSuite's NDIS Bulk Export feature to upload claims directly to the NDIA.

If you invoice self-managed or plan-managed participants, this change does not affect you. Those invoices are sent directly to the participant or their plan manager, not submitted to the NDIA via bulk export, so the Claim Type handling described below does not apply to your workflow.

As of 1 July 2026, the NDIA introduced new item codes for a number of professions, with a suffix added to identify the type of claim being made. For example, you may now see separate item codes ending in suffixes such as _CA (Cancellation), _NF (Non-Face-to-Face), _PT (Provider Travel), and _TH (Telehealth), instead of a single item code being shared across claim types.

Previously, one item code was often used for multiple claim types, and the NDIS Claim Type field (for example, Cancellation Charges or Travel Charges) was used to tell the NDIA which type of service was being claimed for that item code.

With the new suffixed item codes, the claim type is now built into the item code itself. This means the NDIS Claim Type field is no longer required to distinguish between claim types when using one of these new item codes, for agency-managed claims submitted via NDIS Bulk Export.

We contacted the NDIA directly for clarification and received the following confirmation:

"When the line item contains a service modifier (Non face to face, cancellation etc) the claim type would be direct service, as the type of service is being specified within the line item and would therefore be left blank."

In other words, when using a new suffixed item code for an agency-managed claim submitted via Bulk Export, the NDIS Claim Type should be left as Standard Service Charges (the default), not set to Cancellation Charges, Travel Charges, or another claim type.

If you invoice agency-managed participants directly to the NDIA, and your profession has moved to using the new suffixed item codes since 1 July 2026, you should:

If your profession has not yet moved to the new item codes, and you are still using the previous shared item code, continue setting the NDIS Claim Type as you have been.

You can check the current NDIS item code list, including which item codes now have dedicated suffixes, on the NDIA Pricing Arrangements page.

For a full guide on where and how the NDIS Claim Type is set in PracSuite, including on invoices and per Appointment Type, see our existing article: Managing NDIS Item Codes.

For a full guide on creating and submitting an NDIS Bulk Export, see: Creating an NDIS Bulk Export.

If you're not sure whether your profession's item codes have changed, or which item code to use, we'd recommend checking the NDIA pricing page above or contacting the NDIA directly, as PracSuite is not able to confirm profession specific claiming rules on the NDIA's behalf.