Pathways to Care

What Pathways to Care does

Pathways to Care is a Bendigo-based, registered NDIS plan management provider operating nationwide across Australia. Founded in 2014, the company serves National Disability Insurance Scheme participants by handling invoice processing, payments, budget tracking, and monthly financial reporting on their behalf. Services are delivered at no direct cost to participants, with revenue generated through NDIS plan management funding allocations under managed service arrangements with the National Disability Insurance Scheme.

The company operates a technology stack anchored by Kismet Healthcare's plan management software, which powers an online portal and mobile-accessible dashboard used by participants, support coordinators, and NDIS-registered providers. The platform delivers real-time budget visibility, automated invoice processing, monthly statement generation, and a five-step onboarding workflow that includes online self-registration, NDIA endorsement setup, and direct provider invoicing. The Kismet integration is described as the core operational infrastructure for the service.

Pathways to Care employs a community-led, direct-to-consumer go-to-market motion combining online self-registration with referral-based acquisition from existing participants, support coordinators, and health professionals. The customer base spans three segments: NDIS participants (primary, receiving free plan management), support coordinators needing budget visibility, and NDIS-registered providers requiring reliable, timely payment processing. Support is delivered through phone (9am–5pm AEST, Monday–Friday), email, live chat, and the self-serve dashboard, with the firm holding full registration with the NDIS Quality and Safeguards Commission (Provider No. 4050006460).

Name

Pathways to Care

Legal name

Pathways to Care

Website

https://www.pathwaystocare.com.au/

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

Pathways to Care is a registered NDIS plan management provider based in Bendigo, Australia, serving participants nationwide by processing invoices, payments, and monthly budget reporting at no cost to participants, funded through NDIS arrangements.

Ownership category

akta.pro rank

Product category

NDIS Plan Management

NAICS

Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (624190), Health and Welfare Funds (525120)

SIC

Services-Social Services (8300), Services-Health Services (8000), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

akta.pro secondary industries

Care Navigation, Advocacy & Benefits Guidance Platforms (HLALADAJ), Care Coordination, Referral Management & Transitions-of-Care Pathways (HLACAGAL)

Keywords

• NDIS plan management
• Disability support services
• Invoice processing services
• NDIS budget management
• Disability funding administration

Headquarters

HQ city

Bendigo

HQ country

Australia

HQ region

Oceania

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. NDIS Plan Management Services: Pathways to Care operates as a registered NDIS plan manager. Plan management services are funded by the NDIS (National Disability Insurance Scheme) at no cost to participants. The company handles invoice processing, payments, and reporting on behalf of NDIS participants, with revenue coming from NDIS funding arrangements.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

Pathways to Care is a registered NDIS plan manager that handles invoice processing, payments to providers, budget tracking, and monthly financial reporting on behalf of NDIS participants across Australia. The service is provided free of charge to participants and is funded through NDIS plan management funding allocations, with participants gaining access to a real-time online portal and mobile dashboard powered by Kismet healthcare software.

Product overview

Pathways to Care offers a unified NDIS Plan Management service built around its core plan management platform. The primary offering is the NDIS Plan Management Service, which handles invoice processing, payments, budget tracking, and monthly reporting for participants at no cost. This core service is augmented by an Online Portal/Dashboard (powered by Kismet software) that provides participants, support coordinators, and providers with real-time budget visibility and account management. The platform serves three customer segments: Participants (who receive free plan management), Support Coordinators (who get budget visibility and reporting tools), and Providers (who benefit from reliable, timely payments).

Differentiator

Problem solved

Functional benefit

Products and services

• NDIS Plan Management Service A registered NDIS plan management service for Australian NDIS participants that processes all provider invoices, pays providers, tracks funding balances across NDIS categories, and issues monthly statements. The service is provided at no cost to the participant and is funded through NDIS plan management funding allocations.
• Online Participant Portal and Dashboard A web and mobile dashboard, powered by Kismet healthcare software, that gives NDIS participants real-time visibility into their plan budgets, funding balances, and monthly statements. Also accessible to support coordinators and providers for account management and reporting.

Quantifiable outcome

• Participants report being able to use NDIS funds that were previously unspent (e.g., 'For the first three months I tried to do it myself and got nowhere, didn't spend a cent')

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• Kismet HealthcarecoreTechnology or IntegrationPathways to Care uses Kismet plan management software as the technology platform powering their plan management services. This includes the online dashboard and portal that participants use to track their budgets and funding. The partnership enables Pathways to Care to deliver their plan management services through Kismet's software infrastructure.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• My Plan Manager: One of Australia's largest dedicated NDIS plan managers, offering invoice processing, budget tracking, and provider payments to participants nationwide. Directly comparable to Pathways to Care on service scope, customer base, and regulatory positioning.
• Leap in!: Major NDIS plan manager providing free plan management, an online portal, and app-based budget visibility to participants across Australia. Comparable on business model, customer segments (participants, providers, coordinators), and technology-enabled service delivery.
• Plan Partners: NDIS plan manager offering free plan management services including invoice processing, budget tracking, and provider payments. Similar in operating model, target customer, and value proposition to Pathways to Care.
• NDSP Plan Managers: NDIS-registered plan manager providing invoice processing, financial reporting, and budget management to participants. Closely comparable service scope and customer base to Pathways to Care.
• Open Minds: Australian disability and mental health services provider with NDIS plan management as one of its offerings. Comparable as an NDIS-registered provider serving similar participant populations, though operating at larger scale across multiple service lines.

Emerging players

• Aeterna Health: Smaller Australian NDIS plan manager offering similar free plan management services with online portal access. Comparable in scope and customer segment but likely at smaller scale, positioning it as a direct competitor at the local level.
• Hireup: Australian digital platform connecting NDIS participants with support workers. Overlaps with the NDIS participant ecosystem and uses similar software-mediated, free-to-participant economics, though the offering is support-worker matching rather than plan management.
• Mable: Australian online marketplace platform that enables NDIS participants to find and engage support workers. Serves the same NDIS participant base as Pathways to Care and operates on similar digital, two-sided platform economics.

Broad incumbents

• Northcott: Large established Australian disability services organization offering NDIS plan management alongside accommodation, therapy, and recreation services. Comparable on the plan management offering, though much broader in overall service portfolio.

Others

• Kismet Healthcare: Technology partner providing the plan management software platform that powers Pathways to Care's dashboard, invoicing, and reporting. Included as an ecosystem participant — not a competitor, but a critical infrastructure provider whose trajectory directly affects Pathways to Care.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Pathways to Care