QUICK ANSWER
From 15 October 2026, NDIS claims submitted more than 90 days after a support was delivered may be subject to additional integrity checks before payment.
This change will have the biggest practical impact on self-managed participants, who lodge their own claims and may need to wait up to 28 days for an older claim to be reviewed.
A claim that is more than 90 days old is not automatically rejected, and the NDIA's guidance still allows claims to be made within two years of the support being delivered, but you may be asked for additional evidence such as a tax invoice, receipt, or proof of payment.
To avoid delays, self-managed participants should aim to lodge claims regularly, ideally as soon as they receive a product or service, and keep invoices and payment records together.
If you self-manage NDIS funding, you've probably got a small pile of receipts somewhere. It might be a folder on the kitchen bench or a run of emails you keep meaning to get to. When you're looking after someone's care, lodging claims tends to slip down the list, and until now a few months' delay usually didn't matter much.
From 15 October 2026, it matters a bit more. The NDIA is introducing additional checks for claims submitted more than 90 days after a support was delivered. Then, from 1 December 2026, the new 90-day claiming timeframe will come into effect.
If you self-manage your NDIS funding, that makes keeping up with claims more important than it has been. Here's what's changing, what the two dates mean, and a few simple habits that can keep your claims moving.
What's Changing With NDIS Claims From October 2026?
From 15 October 2026, any NDIS claim submitted more than 90 days after the support was delivered will go through extra integrity checks before it's paid. Claims lodged within 90 days will be processed as they are now.
Older claims can be held for up to 28 days while those checks happen, and the NDIA may ask for more information or evidence before paying. If a claim is rejected, they'll tell you why.
The NDIA's reasoning is that older claims are harder to check. Paperwork goes missing, details change, and the further you get from the date of purchase, the harder it is to confirm what happened. The extra checks are part of its broader work to make sure claims are accurate and participants' funds are protected from fraud.
Two Important NDIS Claim Dates
15 October 2026 — Extra checks begin
Claims submitted more than 90 days after a support was delivered will be subject to additional integrity checks. These claims may be held for up to 28 days while the NDIA checks the claim and may ask for supporting information or evidence.
1 December 2026 — The 90-day claiming timeframe begins
The new legislation introduces a 90-day timeframe for submitting claims after a support has been delivered. The NDIS reform page identifies December 2026 as the commencement period for this change.
How Is the New 90-Day Rule Different From the Current Rules?
Until now, the NDIA has been able to hold older claims for review once they pass the current six-month threshold. From 15 October 2026, that additional checking will start much earlier, at more than 90 days.
Then, from 1 December 2026, the new 90-day claiming timeframe will apply. So there are really two changes happening close together: the first changes how older claims are checked, while the second changes how long you generally have to submit a claim.
Here's how that plays out.
Say a box of continence supplies arrives on 10 July, and you lodge the claim on 20 October along with the rest of your quarterly paperwork. That's 102 days later. Under the old six month guide, the claim would have gone through as usual. Under the new rule, it's over 90 days, so it could be held for up to 28 days while the NDIA checks it.
If you've been claiming every quarter, or catching up a few times a year, this is the change to plan around.
Does the 90-Day NDIS Claim Rule Affect Me?
How much the change affects you depends on how your NDIS funding is managed.
- Self-managed: This is where the change is most directly relevant. You are responsible for submitting your own claims, so keeping track of when supports were delivered becomes particularly important.
- Plan-managed: You don't submit the claims yourself, but you still need to get invoices to your plan manager promptly. Your plan manager needs the information required to submit the claim. The NDIS confirms that plan managers process claims after receiving invoices and must keep records of the claims they submit.
- NDIA-managed: Your provider submits the claim to the NDIA. You generally don't need to lodge the claim yourself.
The 90-day changes aren't only relevant to self-managed participants. The additional integrity checks can apply to claims submitted by self-managed participants, plan managers and providers.
If you're plan-managed, don't be surprised if your plan manager starts asking for invoices sooner. Plan managers need a valid tax invoice for every claim they submit, and they're required to keep those invoices on record. Getting them across promptly helps them claim on time and keeps your funds tracking accurately.
When Does the 90 Days Start for Consumables and Products?
The NDIS says the claiming timeframe is based on when the support was delivered. For a service such as therapy, that is generally straightforward because the support happens on a particular date. For products delivered to a participant, keep the relevant invoice and delivery records so you can clearly identify what was supplied and when.
If the delivery date for a particular purchase is unclear, contact the NDIS before relying on an assumption about which date starts the clock.
The simplest way around this is to count from the earliest date on your paperwork, which is usually the order or invoice date. If you claim within 90 days of that, you'll be inside the window however the NDIA reads it. If you're unsure about a particular claim, the NDIA can help on 1800 800 110.
What Happens If I Submit an NDIS Claim After 90 Days?
Under the current rules, claims can be submitted within two years after an NDIS support has been delivered. However, the new 90-day claiming timeframe is scheduled to begin from 1 December 2026, so the two-year limit should not be treated as the future standard.
The difference is the wait. An older claim may be held for up to 28 days, and you might be asked to show evidence that the purchase happened as claimed.
What Evidence Do I Need for an NDIS Claim?
If the NDIA reviews your claim, you may be asked to provide evidence showing what support you received and what you paid for it. Self-managers should keep records such as invoices, receipts and bank statements. The NDIS says these records should generally be retained for at least five years.
When you lodge a claim, you'll also enter the provider's name and ABN, the dates of the support, the support category, a short description and the amount. If those details match your invoice and bank statement, there's very little for the NDIA to question.
It's worth saving your bank statement alongside each invoice as you go. Finding one transaction from four months ago is a lot harder than taking a screenshot on the day you pay.
Can I Avoid Paying Out of Pocket While I Wait?
Yes. Self-managers have two ways to pay for supports once they've received them. You can pay the provider yourself and claim the money back, or you can claim from the NDIA first and then pay the provider once the money lands in your account.
Many families default to the first option without realising the second exists. If waiting for reimbursements puts pressure on your budget, claiming first and paying second means you're never out of pocket. Just check that the provider's payment terms give you enough time. The NDIA's guidance says valid claims are usually paid within a few business days, though checks can take longer.
Whichever option you use, the 90 day rule still applies. The sooner you claim, the sooner the money arrives.
How Can I Avoid Delays With My NDIS Claims?
A few small habits will keep almost every claim well inside the 90 day window.
- Clear any backlog before 15 October. The new checks apply to claims submitted from 15 October 2026. If you've got older receipts waiting, lodging them in the next week or so keeps them out of the new process.
- Choose a regular claiming day. Once a month is plenty. The first weekend of the month works well for a lot of families, and it keeps every claim far from the 90 day mark.
- Group purchases to save time. You can put several purchases from the same provider into one claim, as long as they all come from the same support category. You'll need a separate claim for each provider and for each category, so sorting your receipts that way before you start makes the job quicker.
- Claim when the order arrives. For regular deliveries, it's easiest to lodge the claim as soon as you unpack the box. The my NDIS app lets you upload a photo of your invoice and save a claim as a favourite, which makes repeat orders quicker.
- Keep your records in one place. The NDIA asks self-managers to keep receipts, invoices and dates for five years. A simple folder for each month, on paper or on your phone, makes it easy to find anything you're asked for.
- Check your invoices have the right details. Your Platinum Health Supply tax invoice includes our ABN, a description of each product, quantities and prices, so you can upload it straight into your claim.
If you're plan-managed, forward invoices straight away. Better still, ask us to send your invoices directly to your plan manager so nothing waits on you.
How to Stay on Top of NDIS Claims
For most people, this change means a small shift in routine rather than anything complicated. Claim monthly, keep each invoice with its bank statement, and lodge any older receipts before 15 October. If out-of-pocket costs are a strain, consider claiming before you pay. With those habits in place, your reimbursements should keep arriving on time.
Make Your NDIS Claims Easier to Manage
If you regularly order continence supplies through your self-managed NDIS funding, getting into a monthly claiming routine can make this much easier.
Platinum Health Supply provides a wide range of NDIS consumables and everyday health products, with delivery straight to your door.
This article is general information based on NDIA announcements and guidance as of October 2026. Claiming rules can change, so check the NDIS website or call the NDIA on 1800 800 110 for advice about your own plan.
References:
- NDIS — Increasing integrity checks on older claims
- NDIS — Securing the NDIS for future generations
- NDIS — How to make a claim
- NDIS — How to self-manage your funding
- NDIS — Keeping records as a self-manager
- NDIS — How to pay for your NDIS supports
FAQs About the New NDIS 90-Day Claim Rule
What is the new NDIS 90-day claim rule?
From 15 October 2026, NDIS claims submitted more than 90 days after a support was delivered may go through additional integrity checks before they are paid. The NDIA may hold these claims for up to 28 days and may ask for additional information or evidence. Claims submitted within 90 days continue to be processed as usual.
Does the 90-day NDIS claim rule affect self-managed participants?
Yes. Self-managed participants are likely to notice the change most because they are responsible for lodging their own claims. A claim submitted more than 90 days after a support was delivered may take longer to process, which can delay reimbursement if you have already paid for the support.
What happens if I submit an NDIS claim after 90 days?
A claim submitted more than 90 days after the support was delivered is not automatically rejected. It may be held for additional checks for up to 28 days, and the NDIA may ask you for evidence such as an invoice, receipt or proof of payment before making a decision.
How long do I have to submit an NDIS claim?
The NDIA's guidance allows claims to be made for up to two years from when a support was delivered. However, claims submitted more than 90 days after the support may be subject to additional checks and take longer to process. Lodging claims regularly can help you avoid these delays.
What documents do I need to keep for NDIS claims?
Self-managed participants should keep records such as tax invoices, receipts, payment records and information about the support being claimed. If a claim is selected for checking, the NDIA may ask for evidence of what was purchased and proof that it was paid for. Keeping invoices and bank records together makes this much easier.
Does the 90-day rule apply to NDIS consumables?
The new checks apply to claims submitted more than 90 days after a support was delivered. For products such as continence supplies and other consumables, the article notes that the NDIA has not specified whether the relevant date is the order date, invoice date or delivery date. To stay safely within the 90-day window, it's sensible to claim as soon as the order arrives and to keep your supporting paperwork.
Can I avoid paying for NDIS supports out of pocket while waiting for reimbursement?
Self-managed participants may be able to claim from the NDIA before paying the provider, rather than paying first and claiming reimbursement afterwards. This can help reduce the pressure of upfront costs, but you should check that the provider's payment terms allow enough time for the claim to be processed.
Managing NDIS consumables doesn't have to mean keeping track of a pile of paperwork. If you regularly order continence, personal care or other everyday supplies, the Platinum Health Supply team can help make the ordering side simpler.
