NDIS Changes 2025–26: What Providers and Families Need to Know

The National Disability Insurance Scheme (NDIS) is entering a period of significant reform. Over the next two years, families, participants, and providers will see changes that reshape how the scheme operates. Some reforms are already in motion, while others will roll out gradually from 2026.

This blog breaks down the key updates and what they mean for you.

1. The New 2-Year Claim Limit

Since October 2024, NDIS participants and providers have faced a new deadline: all claims for payment must be submitted within two years of the support start date.

For families, this means keeping closer track of invoices, receipts, and payment requests. For providers, it raises the importance of timely billing systems to ensure funds aren’t lost.

Tip: Regularly review your plan usage and keep a monthly check-in with your plan manager or provider. Waiting too long could mean missing out on payments you’re entitled to.

2. Planning Reforms Coming in 2026

The NDIA has confirmed that from mid-2026, a new planning framework will be introduced. The aim is to:

• Make plans more flexible,
• Reduce unnecessary red tape, and
• Ensure support budgets better reflect participant goals.

While the intent is positive, many in the sector are asking whether these reforms will simplify the process — or create new layers of complexity. Families should expect more consultation, goal-oriented planning, and potentially new tools for measuring needs.

3. “Thriving Kids” and the Future of Autism Supports

One of the biggest changes under discussion is the move to create a “Thriving Kids” program. This initiative is designed for children with mild to moderate autism or developmental delays, with support provided outside the NDIS.

The concern? Families are worried that children who no longer qualify for the NDIS will fall into a support gap while the Thriving Kids program is still being designed. Advocacy groups are pushing for clarity around eligibility, funding, and integration with mainstream services such as schools and health providers.

If you’re a parent, this is a space to watch closely — especially if your child’s current NDIS supports are under review.

4. Therapy Services: Reassurance for Families

There was speculation earlier this year that therapies such as art and music therapy might be cut from the scheme. A recent review has confirmed they will continue to be funded, where there is evidence of benefit.

For families who rely on these supports, this is welcome news and provides much-needed stability during a time of change.

5. Compliance and Safeguards Are Tightening

Alongside participant reforms, the NDIS Quality and Safeguards Commission has stepped up compliance action:

• Crescent Disability Services and its director have been permanently banned from operating under the NDIS.
• New priorities for 2025–26 emphasise participant rights, stronger governance, and safer services.

For providers, this is a reminder that compliance obligations are only increasing. For participants, it’s reassurance that regulators are acting against unsafe or unethical practices.

6. What Families and Providers Should Do Now

• Stay informed: These reforms will roll out gradually, but being aware early means fewer surprises.
• Review your systems: Whether it’s billing, plan reviews, or compliance records, make sure your processes are tight.
• Seek advice: If you’re uncertain about how changes affect you, reach out to plan managers, advocacy groups, or the NDIA directly.

Final Thoughts

The NDIS remains one of Australia’s most significant social programs, but it’s entering a period of transformation. From claim deadlines and planning reforms to the uncertainty around Thriving Kids, families and providers alike need to prepare for what’s ahead.

While there are still unanswered questions, staying proactive now will help ensure you don’t get caught out later.