support-coordination-item-code-architecture

Support Coordination Item Code Architecture at EYC

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_3Level 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, which would enable cross-category claiming strategies:

  • 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

Open Questions

  • What are the confirmed rates for 07_001_0106_8_3 (Level 1 Support Connection) per the current PAPL?

Entity Tags

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

Change History

Date Change Context
2026-05-02 v1.0 — Initial article created Ingest / NbLM preprocessed source RS-10 T1
2026-05-02 v1.1 — Stale open question resolved: 07_799_0132_8_3 and 01_799_0132_1_1 confirmed by Brian against PAPL 2025-26 V1.1 and added to Price Codes Master Sonnet Phase E post-confirmation