Support Coordination Item Code Architecture at EYC

Status Page

Grounding Summary

EYC's billing structure for Support Coordination and related services centres on four primary item codes covering Level 1, Level 2, Level 3 (Specialist), and Psychosocial Recovery Coaching. Travel time (labour) is billed under the same code as the support itself, not under a separate travel code. Non-labour travel costs (kilometres, parking, tolls) require distinct codes — either from Category 07 or Category 01 — and were absent from EYC's iinsight setup prior to the rebuild. The strategic choice between Cat 07 and Cat 01 non-labour travel codes is a key lever for preserving participant Capacity Building budgets.

Detail

The Four Primary SC/PRC Codes at EYC

EYC uses four item codes as the foundation of its Support Coordination and PRC billing:

  • 07_002_0106_8_3 — Level 2 Coordination of Supports (R106). Rate: $100.14/hr. Used for face-to-face meetings, non-face-to-face tasks, report writing, and cancellations. 2 clear business days cancellation rule.
  • 07_004_0132_8_3 — Level 3 Specialist Support Coordination (R132). Rate: $190.54/hr. Requires separate registration. 2 clear business days cancellation rule.
  • 07_001_0106_8_3 — Level 1 Support Connection (R106). Rate not specified in source. 7-day cancellation rule.
  • 07_101_0106_6_3 — Psychosocial Recovery Coaching (R106, Outcome 6). Rate: $105.43/hr. Direct support. 7-day cancellation rule.

Travel Time Billing (Labour Costs)

When coordinators travel to a face-to-face meeting, the labour time is billed under the same item code as the support itself — not under a separate travel code. The claim type TRAN is applied to distinguish travel time entries in the Bulk File Upload. Caps apply:

  • Metro areas (MMM1-3): up to 30 minutes travel time billable.
  • Regional areas (MMM4-5): up to 60 minutes billable.

For Level 2 SC: 07_002_0106_8_3 at $100.14, claim type TRAN.
For Level 3 SC: 07_004_0132_8_3 at $190.54, claim type TRAN.

Non-Labour Travel Costs — The Gap Identified

EYC's iinsight system was configured only for labour travel time. It did not capture non-labour costs (kilometres at $1.00/km, parking, tolls). The specific codes absent from the system:

  • 07_799_0106_6_3 — Level 2 SC/PRC non-labour travel (Cat 07). Rate: $1.00/unit.
  • 07_799_0132_8_3 — Level 3 SC non-labour travel (Cat 07). Rate: $1.00/unit.
  • 01_799_0106_1_1 — Level 2 SC/PRC non-labour travel (Core bypass, Cat 01). Rate: $1.00/unit.
  • 01_799_0132_1_1 — Level 3 SC non-labour travel (Core bypass, Cat 01). Rate: $1.00/unit.

The Internal Placeholder Code

00_000_0000_0_0 is an internal iinsight system placeholder used for tracking non-billable administrative instances (e.g. duplicate kilometre cases, logging cancellation records without submitting a fee claim). This code does not exist in the NDIS Support Catalogue — it is iinsight-internal only.

Legislative Connections

Document Reference Relevance
NDIS Pricing Arrangements and Price Limits 2025-26 V1.1 pp.73–76 SC and PRC item codes, cancellation rules, travel caps
NDIS Pricing Arrangements and Price Limits 2025-26 V1.1 p.74 Level 2 SC rate ($100.14/hr), non-labour travel codes
NDIS Pricing Arrangements and Price Limits 2025-26 V1.1 Level 3 SC $190.54/hr rate, R132 requirement

Confidence

High. RS-10 is a practical operational document directly derived from EYC's iinsight rebuild process. Item codes and rates are drawn from the NDIS Pricing Arrangements and verified against the Price Codes Master (with two new Level 3 SC travel codes to be added — see Item Code Scan in Type A index).

Open Questions

  • What are the confirmed rates for 07_001_0106_8_3 (Level 1 Support Connection) per the current PAPL?
  • Are 07_799_0132_8_3 and 01_799_0132_1_1 confirmed in PAPL 2025-26 V1.1? These are not yet in the Price Codes Master.

Support Coordination, Level 2 Coordination of Supports, Level 3 Specialist Support Coordination, Psychosocial Recovery Coaching, Level 1 Support Connection, Provider Travel Non-Labour Costs, Category 07 Funding, Core Budget, Registration Group R106, Registration Group R132, MMM Classification, Bulk File Upload, Claim Type TRAN, iinsight

Entity Tags

  • Provider: EYC (Essentially Your Choice)
  • System: iinsight, NDIS Bulk File Upload
  • Role: Support Coordinator, Psychosocial Recovery Coach

Change History

Date Change
2026-05-02 v1.0 — Source article created from RS-10 Phase B NbLM query. T1 theme.