The National Disability Insurance Agency (NDIA) has announced increased integrity checks on older claims.
These changes may affect participants and providers, particularly if claims are submitted months after services are provided. Here’s what you need to know—and how to prepare.
What’s Changing?
From 18 June 2026, the NDIA has begun introducing additional checks on older claims. Initially, these checks apply to claims submitted more than 12 months after a support is delivered. Over time, the NDIA will also check claims 6 months or older.
The NDIA will review whether:
- The support being claimed is eligible under the NDIS.
- The claim includes enough evidence and documentation.
Read more about the change on the NDIS website.
What does this mean for you?
If you submit a claim later than usual, you may notice changes in how it’s processed:
- Processing delays: Older claims may be held by the NDIA for up to 28 days while checks are completed.
- Requests for information: The NDIA may contact you for additional evidence or clarification.
- Possible rejection: If a claim doesn’t meet requirements, it may be declined.
These steps are part of broader measures to ensure that NDIS funding is used appropriately and to protect participants from fraud and incorrect payments.
Practical Tips for Participants and Providers
To minimise disruption and ensure smooth payments, we suggest:
- Submit claims regularly. Aim to submit claims as soon as possible after service delivery—ideally weekly or fortnightly, rather than in large batches.
- Keep organised records. Make sure you have the following information included with your claim invoice or receipt:
NDIS Provider business name and ABN
Business address
Billing contact details
Unique invoice number
Invoice date
NDIS participant name and NDIS number
Service dates and descriptions
Correct NDIS support item codes
Bank details for payments
You should also keep any supporting documentation such as a service agreement, timesheet or support logs, however not necessary to submit with every claim.
For more information read: Invoicing and reimbursements: tips to reduce errors and delays. - Before you submit the claim confirm:
Alignment with the participant’s plan
NDIS funding criteria is met
All required details are included - Don’t let claims accumulate. Holding onto claims for months increases the risk of delays, missing information and rejections.
How MyIntegra Can Help
At MyIntegra, we’re here to support you in navigating these changes. Our team can help ensure your claims are:
- Accurate
- Submitted on time
- Supported with the right documentation
If you have questions or need help managing your claims, reach out to our team on 1800 696 347 or email [email protected].
