Allied health in schools: an NDIS guide
For occupational therapists, speech pathologists, physios and exercise physiologists who visit schools to work with NDIS-funded kids. The boundary rules, the dual-goal problem, the invoicing trap, and how to fix the admin.
The Section 34 boundary, in plain English
NDIS can fund therapy delivered at school when the therapy is addressing disability-specific goals beyond what the school is required to provide as reasonable adjustment under the DDA. Curriculum support and teacher aides are the school's responsibility. Disability-specific OT, speech, physio and EP work - AAC setup, sensory regulation strategies, fine motor for life skills, mobility - is NDIS.
In practice: if the goal in the NDIS plan reads "Sam will independently use his AAC device to make 5 choices a day," that's NDIS funded, even if you deliver it in a classroom. If the goal is "Sam will complete Year 2 maths," that's the school.
The dual-goal documentation problem
Every session you deliver has to satisfy two readers: the NDIS auditor and the school. Both want notes, but they want different things. The auditor wants the NDIS goal code, hours, support item number, participant response. The school wants the learning context, the strategies the teacher should keep using, and outcomes against the school's IEP.
Writing two sets of notes is what eats your weekends. CareLogging lets you write one structured note that splits cleanly: NDIS-facing claim and report on one side, school/teacher communication on the other.
Term-based invoicing without losing your mind
Schools work in terms; the NDIS works in weeks. Most plan managers want monthly invoices; some parents want a clean term summary. Practitioner tools built for medical clinics don't get this - they invoice every appointment.
What you actually want: log every session as you go, generate the monthly bulk claim for plan managers, and produce a term summary report for parents and the school SENCO without re-typing anything.
2025-26 NDIS rates for allied health
- Occupational therapy, speech pathology, physiotherapy, dietitian, exercise physiology: $193.99/hr (MMM 1-3).
- Psychology: $214.41/hr.
- Counselling / mental health social work: $157.84/hr.
- Early childhood (under 9) therapy: $166.99/hr.
- Remote loadings: +25% (MMM 4) to +40% (MMM 5).
The travel claim everyone gets wrong
Driving between schools is claimable as Provider Travel - Non-Labour Costs, but the limits are strict. Maximum 30 minutes one way in MMM 1-3, 60 minutes in MMM 4-5. The km rate is the ATO cents-per-km rate. Get the support item code right (the line item differs from the therapy item) or the claim bounces.
What CareLogging does for school-visiting clinicians
- Visit log per school, per child - date, time, room, who was present.
- Dual-output notes: NDIS-compliant on one side, teacher-friendly on the other.
- Term summary report you can hand to the SENCO or email to parents.
- Travel auto-calculated between consecutive visits, with the right support item code.
- Bulk monthly invoice to the plan manager, with line items split per child per session.
