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NDIS subcontracting for allied health clinics

NDIA-managed participants can only use registered providers. Subcontracting lets an unregistered clinic deliver their supports anyway, under a registered provider. Here is how it works, what the agreement covers and who is responsible for what.

Updated 2 November 2026 · General information for allied health practices

Quick answer: in NDIS subcontracting, a registered provider (such as Active Help) holds the service agreement with the NDIA-managed participant and claims from the NDIA. Your clinic delivers the therapy as its subcontractor, under the provider's registration, and is paid for each session. You don't need your own NDIS registration, and the clients stay yours.

New to this? Our step-by-step article explains why NDIA-managed participants need a registered provider. Read it here →

What NDIS subcontracting means

Participants manage their NDIS funding in one of three ways. Self-managed and plan-managed participants can use any provider, registered or not. NDIA-managed participants can only use registered providers, because the NDIA pays the provider directly.

Many good allied health practices aren't registered, because registration means audits, extra policies and ongoing costs. Subcontracting is the middle path: the registered provider carries the registration and the claiming, and your clinic delivers the support.

How it works, step by step

  1. Clinic agreement. Your clinic signs a subcontractor agreement with the registered provider.
  2. Your practitioners. Each practitioner has current professional registration (for example AHPRA), an NDIS Worker Screening Check and professional indemnity insurance.
  3. Participant agreement. The NDIA-managed participant (or their nominee) signs a service agreement with the registered provider.
  4. You deliver the support as usual, under your own clinical judgement, and send your invoice.
  5. The provider claims the session from the NDIA at the right item number and price limit.
  6. You're paid, less the provider's fee, with a remittance for each invoice.

What the subcontractor agreement should cover

Who is responsible for what

TaskYour clinicRegistered provider
Clinical decisions and therapy✓
Case notes and session records✓Can ask to see them
Practitioner registration, screening, insurance✓Checks them
Service agreement with the participant✓
Claiming from the NDIA✓
NDIS registration and audits✓
Incident reporting to the NDIS CommissionTells the provider✓

Active Help claims each session at the NDIS price limit for your profession (see our price guides). You're paid in our Wednesday or Friday pay run, usually 2–3 business days after the NDIA pays, less one simple percentage of each paid claim. There are no setup, monthly, audit or exit fees.

Be careful with wording: as a subcontractor you work under the provider's registration. Your clinic does not become a registered NDIS provider, and you shouldn't advertise yourself as one.

Why allied health practices work with Active Help

NDIA-managed participants can only use registered providers, so unregistered practices usually have to turn them away. Subcontracting is how many unregistered practices keep seeing these clients. Working under Active Help's registration lets you say yes, and the clients stay yours.

Free downloadFree guide: see NDIA-managed participants without your own registrationA 6-page PDF for new and small practices, with a checklist.Get the free guide →

See NDIA-managed participants without your own registration

Deliver physiotherapy, OT, podiatry, exercise physiology, speech pathology or psychology to NDIA-managed participants as a subcontractor under Active Help's registration. We prepare the agreements, claim these items from the NDIA and pay you twice a week, usually 2–3 business days after the NDIA pays. There are no setup, audit or exit fees.

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Frequently asked questions

Can an unregistered provider see NDIA-managed participants?

Not directly. NDIA-managed participants can only use registered providers, but an unregistered practice can deliver the support as a subcontractor under a registered provider, which then claims from the NDIA.

Do I need my own NDIS registration to subcontract?

No. The registered provider holds the registration. Your practitioners still need their professional registration, an NDIS Worker Screening Check and insurance.

Who claims from the NDIA?

The registered provider claims each session from the NDIA and then pays your clinic, less its fee.

Do the clients stay mine?

With Active Help, yes. You keep your own clients and your own clinical decisions. We don't refer clients to you, so this works for NDIA-managed clients you already see or who come to you.

How quickly am I paid?

Active Help pays in Wednesday or Friday pay runs, usually 2–3 business days after the NDIA pays, with a remittance for every invoice.

General information only, not legal advice. See the NDIS Quality and Safeguards Commission and the NDIS Pricing Arrangements for the current rules.