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Chronic Disease Management MBS item changes effective 1 July 2025
Chronic Condition Management MBS item changes came into 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 ceased 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 were replaced by:
| Name of Item | GP item number | Prescribed medical practitioner item number |
| Prepare a GPCCMP – face to face | 965 | 392 |
| Prepare a GPCCMP – video | 92029 | 92060 |
| Review a GPCCMP – face to face | 967 | 393 |
| Review a GPCCMP – video | 92030 | 92061 |
For assistance with MBS item error codes, visit the Services Australia | Look up a Medicare reason code webpage
To support continuity of care, patients registered through MyMedicare are required to access their GP to access their GP chronic condition management plan and review items through the practice where they are registered. Other patients are 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.
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.
Chronic Condition Management: Quality Improvement Workbook
The Chronic Condition Management (CCM) Quality Improvement (QI) Workbook, available in our QuIK Library, is a simplified and practical guide for implementing CCM through continuous Quality Improvement (QI) activities. It focuses on enhancing continuity of care, improving patient outcomes and increasing practice efficiency by shifting from volume-based care towards structured, regular care planning and preventative care model. It recognises that this is a substantial behaviour change for patients and practices, requiring a change in perspective, models, systems and attitudes toward care.
The QI workbook links to existing resources related to MyMedicare and the Chronic Condition Management and seeks to enable general practice to determine readiness for participation in the CCM, complete the registration process (if needed) and sets out actionable steps to improve your practice’s model of care people with a chronic condition.
Practices may wish to view and complete the workbook in whole or choose specific modules that are most relevant for your practice.
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.