Capital Health Network

Chronic Disease Management MBS item changes effective 1 July 2025 

Chronic Conditions Management MBS item changes will take effect 1 July 2025, with current GP management plans (GPMPs) and team care arrangements (TCAs) being replaced with a single GP chronic condition management plan (GPCCMP). From 1 July 2025, existing item numbers will cease for: 

• Initial GP management plans (229, 721, 92024, 92055) 
• Team care arrangements (230, 723, 92025, 92056)  
• GP management plan reviews (233, 732, 92028, 92059) 

These item numbers will be replaced by: 

To support continuity of care, patients registered through MyMedicare will be required to access their GP chronic condition management plan and review items through the practice where they are registered. Other patients will be able to access the items through their usual GP. 

Patients can access the following MBS-supported services where they are consistent with their GPCCMP:  

• Up to 5 individual allied health services per calendar year (10 services for patients of Aboriginal or Torres Strait Islander descent).  
• Up to 5 services provided on behalf of a medical practitioner by a practice nurse or Aboriginal and Torres Strait Islander Health Practitioner.  
• For patients with type 2 diabetes, an assessment of their suitability for group dietetics, diabetes education or exercise physiology services and, if they are suitable, up to 8 group services for the management of diabetes per calendar year. 

Allied health referrals: 

• The requirement to consult with at least two collaborating providers, as described under the current team care arrangements will be removed. 
• There is no requirement for allied health providers to confirm acceptance of the referral or otherwise provide input into the preparation of the GPCCMP. 
• The requirements for allied health providers to provide a written report back to the GP after the provision of certain services (e.g. the first service under a referral) are unchanged. 

Other considerations: 

• Items for the preparation or review of a GPCCMP cannot be co-claimed on the same day as general attendance items. 
• GPCCMP items may be claimed with single bulk billing incentives when eligible patients are bulk billed and will be included in the Bulk Billing Practice Incentive Program from 1 November 2025. 
• Items for preparing a GPCCMP can be claimed every 12 months if clinically relevant; GPCCMP reviews are available every 3 months if clinically relevant. Plans may be prepared or reviewed earlier if exceptional circumstances apply.  
• While GPCCMPs do not expire, patients must have had a GPCCMP prepared or reviewed in the previous 18 months to continue to access allied health and other services under the plan. 

Transition arrangements for existing patients: 

For patients that have a GPMP and/or TCA in place prior 1 July 2025 there is no immediate action required.  

• Patients can continue to access allied health and other services under their existing plans until 30 June 2027. 
• Referrals written prior to 1 July 2025 will continue to be valid until all services under that referral have been provided.  
• Patients that require a review of their GPMP and/or TCA after 1 July 2025 can be transitioned to the new GPCCMP at that time.  
• From 1 July 2027 patients will require a GPCCMP to continue to access allied health and other services. 

Steps your practice can take to prepare 

Here are some ideas you might like to consider starting to prepare your practice team for Chronic Conditions Management and MyMedicare patient registration: 

• Discuss what these changes mean with your practice team and identify any activities or processes you need to review or update (e.g. incorporating MyMedicare registration in your workflows for chronic disease/conditions management). 
• Register your practice for MyMedicare if you have not done so already. 
• Engage your patients to encourage them to register with MyMedicare, particularly those with a chronic condition or existing care plan: 
• Prepare your practice team to speak with patients about MyMedicare. 
• Discuss MyMedicare at a practice meeting or print off copies of the MyMedicare brochures and MyMedicare patient registration frequently asked questions for your practice team to have on hand to support conversations with patients. 
• Include the MyMedicare Registration form and brochure with your patient consent and data collection form. 
• Update your practice website to include links to MyMedicare brochures, MyMedicare patient registration information and MyMedicare patient registration frequently asked questions 
• Place MyMedicare posters and brochures in your practice waiting room/reception and display MyMedicare Patient videos in your waiting room screens. 
• Post information about MyMedicare in your practice Facebook or social media page using the following Social Media Tiles. 

The MyMedicare communication resources for General Practice includes social media tiles, videos, brochures and posters. 

Where can I find more information?  

The full item descriptor(s) and information on other changes to the MBS can be found on the MBS Online website. You can also subscribe to future MBS updates by visiting ‘Subscribe to the MBS’ on the MBS Online website. For further details about the changes access the Upcoming changes to the MBS Chronic Disease Management Factsheets here.