NDIA increases checks on older NDIS claims from 15 October 2026

Quick answer: From 15 October 2026, the NDIA will run extra integrity checks on older NDIS claims, meaning any claim lodged more than 90 days after the support was delivered. These claims may be held for up to 28 days, and the NDIA may ask for more information or evidence before paying. Claims lodged within 90 days carry on as normal. The formal 90-day claiming limit does not start until December 2026.

What is changing for older NDIS claims on 15 October 2026?

The NDIA announced on 5 October 2026 that it will apply extra checks to claims submitted more than 90 days after the support was delivered, from 15 October 2026 (NDIA).

In short:

• Claims lodged within 90 days of the support are paid through the usual claiming process.
• Older NDIS claims, lodged after 90 days, go through extra integrity checks and may be held for up to 28 days.
• The NDIA may ask for more information or evidence before it pays an older claim.
• The formal 90-day claiming limit is separate, and starts in December 2026.

Last reviewed: 14 October 2026. Written by Romina Torres, Marketing Manager, Wholii. General information only, not legal advice. Check the NDIA website for the latest requirements.

The NDIA’s reasoning is simple: older NDIS claims are harder to verify. Evidence can be harder to find, and details may no longer be correct.

Where do the extra checks fit in the NDIS claiming timeline?

The claiming window has been shrinking for two years, and 15 October 2026 is the step before the hard 90-day limit.

For the full picture of the December change, read our guide on how long NDIS providers have to submit a claim.

What does this mean for NDIS providers?

Older NDIS claims now cost you time, and soon late claims will cost you payment. There are three practical effects:

• Slower cash flow. Older NDIS claims can sit for up to 28 days while it is checked.
• More admin. The NDIA may ask for extra evidence, so your notes, sign-offs and records need to be easy to find.
• Less room for error. From December, a claim that misses the 90-day window may not be paid at all, and every rejection eats into the time left to fix it.

For most providers, the claim itself is not the hard part. It is everything that has to be done first: the shift note written, the details right, and the evidence in place. Keeping that evidence is also a legal duty, which our guide to NDIS record keeping requirements explains.

What should providers do now to avoid extra checks on older NDIS claims?

There are five practical steps. The first and third matter most, because they keep every claim inside the 90-day window.

1. Close shift notes the same day. A claim cannot go in until the record is done, so notes left until Friday or month end put every claim behind.

2. Check plan budgets before you deliver. Fewer surprises at claim time means fewer rejections to chase.

3. Claim weekly, not monthly. A weekly run keeps a buffer inside the 90 days for anything that bounces back.

4. Give rejections an owner and a due date. The clock keeps running while a rejected claim sits in someone’s inbox.

5. Keep evidence with every claim. Notes, sign-offs and records in one place, ready if the NDIA asks.

How does Wholii help providers claim within 90 days?

Wholii is NDIS compliance software for registered providers. It gets the record done fast, so your claims never have to wait on paperwork and never turn into older NDIS claims.

• Voice AI. Support workers speak their shift notes on the go, and the record is written before they leave.
• LiveLink. Participant details are updated once and flow to every active form, so the details on each record are right the first time.
• Audit-ready records. Every record is timestamped, signed and locked, so the evidence is ready if the NDIA asks for it. See Compliance Core and Staff & Credentials for how this fits together.

And you are not doing it alone. Wholii was built by a registered provider who has sat the audit, and our team sets it up alongside you.

The clock is already ticking. If shift notes are waiting until the end of the week, your claims are waiting too. Start a Wholii free trial and see how your team can get the record done on the go, before December. For wider context, read what the 2026 NDIS reforms mean for registered providers.

Frequently asked questions

What are older NDIS claims?

Older NDIS claims are claims lodged more than 90 days after the support was delivered. From 15 October 2026 the NDIA runs extra integrity checks on them.

Does the 90-day claiming limit start on 15 October 2026?

No. From 15 October, claims lodged after 90 days get extra checks but can still be paid. The 90-day limit itself starts in December 2026.

How long can older NDIS claims be held?

Up to 28 days while the NDIA completes its checks.

What will the NDIA ask for on older NDIS claims?

It may ask for more information or evidence before an older claim is paid. Having your notes, sign-offs and records in one place makes that much easier.

What happens if a claim is rejected?

The NDIA will tell you the reason why.

How do I avoid extra checks on older NDIS claims?

Submit claims within 90 days of delivering the support so they never become older NDIS claims. Those claims go through the usual process.

Sources

• Increasing integrity checks on older claims, NDIA, 5 October 2026
• Claim time limit starts soon, NDIA, 11 September 2025
• Securing the NDIS for future generations, NDIA, current as of 1 October 2026

Disclaimer: This article is general information only and is not legal, financial or professional advice. Dates and requirements reflect our understanding of NDIA announcements at the time of writing (14 October 2026) and may change. Always check the NDIA website for the latest requirements. References to Wholii products describe their general purpose only, and using Wholii does not guarantee that a claim will be paid.