How to Become a Registered NDIS Provider for Module 1 - High Intensity Daily Personal Activities in 2026

How to Register as an NDIS Provider for Module 1 — High Intensity Daily Personal Activities in 2026

If you are considering registering as an NDIS provider for Module 1 — High Intensity Daily Personal Activities in 2026, there has never been a more important time to get it right. The NDIS Quality and Safeguards Commission has significantly tightened its oversight across all registration groups, auditor demand is at an all-time high, and the High Intensity Support Skills Descriptors — the document that governs exactly what your workers must know and how that knowledge must be documented — have been substantially revised and are now firmly embedded in every Module 1 audit.

This is not a registration group you can approach casually. It covers some of the highest risk supports in the entire NDIS, and the consequences of getting it wrong — for participants and for your business — are serious. This guide covers everything you need to know about registering for Module 1 in 2026, whether you are a new provider registering for the first time or an existing provider adding Module 1 to your current registration.

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What is Module 1 — High Intensity Daily Personal Activities?

Module 1 sits under registration group 104 in the NDIS and covers supports that go well beyond standard personal care. These are complex, health-related tasks that carry a higher level of risk for participants and require specialised training, clinical oversight and robust documentation systems.

The supports covered under Module 1 include complex bowel care, enteral feeding support, urinary catheter support, subcutaneous injections, tracheostomy support, ventilator support, complex wound care, epilepsy and seizure support, and dysphagia support. Each of these carries its own specific practice standards and skills descriptor requirements — and providers can only deliver the high intensity supports that are specifically listed on their certificate of registration.

This is an important point that many providers overlook. Being registered for Module 1 does not automatically mean you can deliver every high intensity support listed above. Your registration will specify which supports you are approved to deliver, and your documentation, training and clinical oversight arrangements must specifically address each one.

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Who Needs Module 1 Registration?

Any provider wanting to deliver high intensity daily personal activities to NDIS participants must hold Module 1 registration. This applies regardless of whether you are a sole trader, a small business or a larger organisation. If you are delivering — or planning to deliver — any of the supports listed above without Module 1 on your certificate of registration, you are in serious breach of your obligations as an NDIS provider.

In 2026 the NDIS Commission is actively increasing its oversight of providers delivering complex and high risk supports. The days of operating in grey areas are firmly over. If you are delivering high intensity supports without the right registration, the risk to your business — and to the participants in your care — is significant.

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New Provider vs Existing Provider — What's the Difference?

If you are registering for the first time:

Module 1 is a supplementary registration group — it cannot be registered for in isolation. If you are a new provider wanting to deliver high intensity supports from day one, you must register for both the Certification Core Modules and Module 1 simultaneously. This means your audit will assess you against both the Core Module Practice Standards and the Module 1 Practice Standards at the same time, and your documentation must cover both in full.

This is one of the most common mistakes new providers make — purchasing Module 1 documentation without realising they also need the full Certification pack to underpin it. At Provider One we see this regularly, which is why we always recommend new providers seeking Module 1 registration purchase both packs together before submitting their PRODA application.

If you are already registered:

If you hold current NDIS registration but do not have Module 1 on your certificate, you need to apply for a variation to your registration through PRODA. You will select registration group 104, complete the Module 1 self-assessment responses, prepare your Module 1 specific documentation and undergo a supplementary audit assessed against the Module 1 Practice Standards.

The good news is that you do not need to repeat your full Certification audit — your existing registration remains in place. However the Module 1 audit is still a Certification audit pathway, meaning it is a two stage process including a desktop audit and an on-site audit. Your existing documentation will need to be supplemented with Module 1 specific policies, procedures, forms and registers.

In 2026 auditor availability is tight — booking times are running several months out for many approved auditors. If you are planning to add Module 1 this year, start the process now. Waiting until you have a participant who needs high intensity support before getting your registration in order is a risk you cannot afford to take.

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The Revised High Intensity Support Skills Descriptors — What You Must Know in 2026

The High Intensity Support Skills Descriptors (HISSD) are the single most important document governing Module 1 compliance in 2026, and every provider seeking or holding Module 1 registration needs to understand them in detail.

The NDIS Commission revised the HISSD to reflect contemporary practice and expert advice, and these updated descriptors are now firmly embedded in how auditors assess Module 1 compliance. The revisions introduced several significant changes that directly affect how you train your workers and how you document that training.

The key changes providers need to be across in 2026 include:

A new dysphagia skills descriptor — dysphagia support has been added as a formal skills descriptor under Module 1, meaning providers delivering mealtime management supports to participants with swallowing difficulties now have specific documented training and competency requirements to meet.

Elevation of wound care — complex wound care has been elevated to a full skills descriptor, increasing the documentation and training requirements for providers delivering wound management supports.

Addition of diabetes management — diabetes management has been incorporated within the subcutaneous injections skills descriptor, reflecting the growing number of NDIS participants who require this support.

Stronger emphasis on currency of skills — this is perhaps the most significant change for providers who are already registered. The revised HISSD place a much stronger emphasis on the ongoing currency of worker skills and knowledge. It is no longer sufficient to train a worker once and consider the obligation met. Workers must be reassessed and potentially retrained if they have been inactive in delivering a specific high intensity support for more than three months, or if a participant's support needs change. Annual competency assessments and refresher training are now the expected standard.

Competency based approach — the HISSD are firmly competency based. Attending training is not enough — workers must be assessed as competent in each specific high intensity support activity they deliver. That competency must be assessed by an appropriately qualified health practitioner, and the assessment must be documented.

All training and competency reviews must be properly documented — this is non-negotiable. Auditors in 2026 are specifically looking for evidence of documented competency assessments, not just training attendance records. If your workers have been trained but there is no documented competency assessment on file, you will receive a finding.

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What Your Module 1 Documentation Must Cover in 2026

Your documentation is the foundation of your Module 1 registration and your ongoing compliance. In 2026 auditors are assessing documentation against the current HISSD, which means any Module 1 documentation that was written before the HISSD revisions came into effect may no longer fully meet current requirements.

Your Module 1 documentation must specifically address:

Policies and procedures for each high intensity support you are registered to deliver — these must be specific to each support type, not generic. A policy that says "we provide high intensity supports in line with the NDIS Practice Standards" will not satisfy an auditor. You need documented procedures for each specific support activity.

Worker training and competency framework — your documentation must outline how workers are trained, by whom, against which skills descriptor, how competency is assessed and how that assessment is recorded. It must also outline your process for annual reassessment and for reassessment when a participant's needs change or when a worker has been inactive for more than three months.

Clinical oversight arrangements — you must be able to demonstrate that your high intensity support delivery is overseen by an appropriately qualified health practitioner. This arrangement must be documented, including who provides clinical oversight, what their qualifications are, how oversight is delivered and how it is recorded.

Participant specific support plans — every participant receiving high intensity supports must have a support plan developed and overseen by a relevant health practitioner, specific to each high intensity support activity they receive. These plans must be current, regularly reviewed and accessible to the workers delivering the support.

Risk assessment and management — specific risk assessment processes and documentation for high intensity support delivery, including how risks are identified, assessed, managed and reviewed.

Incident management — your incident management documentation must specifically address incidents occurring in the context of high intensity support delivery, including escalation processes and NDIS Commission reporting obligations.

Training registers and records — you need a comprehensive training register that records every worker's training and competency assessment against each skills descriptor, including the date of training, who delivered it, the outcome of the competency assessment and the date of next scheduled reassessment.

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The Audit Process for Module 1 in 2026

Module 1 is a Certification audit pathway — this means it involves a two stage process regardless of whether you are a new provider or an existing provider adding Module 1 to your registration.

Stage 1 — Desktop Audit

Your auditor will review your documentation against the Module 1 Practice Standards and the current HISSD. In 2026 auditors are specifically scrutinising worker training and competency documentation, clinical oversight arrangements and participant specific support plans. Documentation that is generic, outdated or does not specifically reference the revised HISSD requirements is likely to generate findings at Stage 1.

Stage 2 — On-Site Audit

Your auditor will visit your premises and assess your actual operational systems. They will want to speak with key personnel, review your training registers, inspect participant files and assess whether your business is genuinely operating in the way your documentation describes. For Module 1 the on-site audit is particularly thorough — auditors will look for evidence that your clinical oversight arrangements are real and functional, that your workers can demonstrate knowledge of the specific supports they deliver, and that your incident management systems are operational.

Common reasons providers fail their Module 1 audit in 2026:

Outdated documentation that does not reflect the revised HISSD requirements, missing or incomplete competency assessment records, clinical oversight arrangements that are documented but cannot be demonstrated in practice, generic policies that do not specifically address each high intensity support activity, and participant support plans that are not current or not specific to each support type.

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How Long Does the Process Take in 2026?

This is the question every provider asks — and the honest answer is that in 2026 you need to factor in more time than you might expect.

From the point of submitting your PRODA application to receiving your approved registration, the typical timeframe is currently running at three to six months depending on auditor availability, the complexity of your registration and how quickly your documentation is prepared and approved. Auditor availability in 2026 is constrained — there are a significant number of providers working through registration and re-registration processes, and booking times with many approved auditors are running several months out.

The practical implication of this is clear — if you need Module 1 registration by a specific date, whether that is because you have a participant already lined up or because you want to be operational by a certain point in 2026, you need to start the process significantly earlier than you think. Start your documentation now, submit your PRODA application as soon as your documentation is ready, and contact approved auditors immediately to understand their current booking availability.

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How to Complete Your PRODA Application for Module 1

Whether you are applying for the first time or varying an existing registration, you will need to complete your Module 1 self-assessment responses in PRODA. These are a series of questions that require you to demonstrate your understanding of the Module 1 Practice Standards and how your business meets them.

The self-assessment responses are not a formality — they form part of your audit evidence and auditors do review them. Your responses should be specific to your business, reflect your actual policies and procedures and demonstrate genuine understanding of your obligations under Module 1. Generic responses copied from any source without adaptation to your specific business context will be apparent to an auditor.

Our Module 1 Pack includes a PRODA self-assessment responses handbook with eight guided responses to assist you in completing this component of your application — these are designed to show you the type of information the NDIS Commission is looking for and must be rewritten in your own words to reflect your business.

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How Provider One Can Help

At Provider One we have helped hundreds of NDIS providers get registered for Module 1 — including new providers registering for the first time and existing providers adding Module 1 to their current registration. Our Module 1 — High Intensity Daily Personal Activities Pack has been fully updated to reflect the current HISSD requirements and the 2025 NDIS Practice Standards, so you can be confident your documentation meets what auditors are assessing against right now in 2026.

The pack includes all documentation templates in Microsoft Word format, a PRODA self-assessment responses handbook with eight guided responses, a step-by-step user manual for personalising your documentation, free documentation updates for 12 months, and delivery of any additional documentation requested by your auditor within 24 hours at no extra cost.

Available in two options:

Do-It-Yourself — $750 Instant download, personalise at your own pace using the included user manual.

Done-For-You — $1,050 Our team customises every document with your business name, logo and details and delivers your completed pack within 48 hours.

If you are registering for the first time and need both the Certification Pack and Module 1, both are available on our website and should be purchased together before submitting your PRODA application.

👉 [Purchase the Module 1 — High Intensity Daily Personal Activities Pack here]

If you have any questions about whether Module 1 is right for your business, what the process looks like for your specific situation or what documentation you need, get in touch with our team — we are here to help you get registered with confidence.