02 — Eligibility / Claimability Matrix (v2)

Status: Stub. Replaces the support category table from §4.2 of the original. Do not draft until pricing has been verified against the current NDIS Support Catalogue 2025-26 v1.1.

Purpose

For each service the practice offers, document:

The service item name and description
The plausible NDIS support category (or categories)
The actual NDIS Support Catalogue line item code
The current price limit
Who can deliver it (qualifications/registration requirements)
The claim type allowed (face-to-face, non-face-to-face, travel, etc.)
What evidence may be required to claim
What is out of scope (reduces ambiguity for plan managers)

The original draft’s support category table reads like a marketing table. A claimability matrix reads like operational documentation. Plan managers, support coordinators, and compliance reviewers respond very differently to the two.

This is also where the AT-as-physical-supports issue gets resolved. Each digital service item gets mapped to the right category — Capacity Building (Improved Daily Living, most likely) rather than swept into low-cost AT.

Format suggestion

For each service, a structured block:

### Tool Design & Configuration

- Service description: ...
- Likely support category: Capacity Building — Improved Daily Living
- Line item code: [verify against current catalogue]
- Price limit: $[verify] / hour
- Delivered by: Adrian Wedd (specialist contractor) under James's practice
- Claim type: Non-face-to-face (typical), face-to-face (during Stage 3)
- Evidence: Design brief, tool specification, configuration log
- Out of scope: Hardware purchase (separate AT claim if applicable);
  ongoing software subscription costs (participant or family responsibility
  unless explicitly funded under low-cost AT)

Service items to map

From the original (verify each against the current catalogue):

Initial Assessment (2 hrs)
Tool Design & Configuration (3–5 hrs)
Implementation Session (2–3 hrs)
Training (2 hrs)
Weekly Check-in (30 min)
Monthly Review (1 hr)

Plus, for v2, possibly add:

AI tool safety review (per deployed tool, billed once)
Documentation deliverable (configuration manual, family-facing guide)
Plan manager liaison time (typically non-billable; flag if claimed)

Open dependencies

Current NDIS Support Catalogue 2025-26 v1.1 — pull and verify
Confirmation that all proposed service items have a defensible catalogue match
04-roles-and-scope.md — affects who delivers what

Caveat