MyMedicare – Chronic Conditions Management
From 1 July 2025, Medicare Benefits Schedule (MBS) items will be changing to:
replace the current GP Management Plan and Team Care Arrangements with a single GP Chronic Condition Management Plan
support continuity of care by requiring patients registered for MyMedicare to access management plans through the practice where they are registered. Patients who aren’t registered will be able to access management plans through their usual GP
encourage management plan reviews by:
equalising the fees for developing and reviewing plans
requiring patients to have their plan established or reviewed in the last 18 months so they can retain access to allied health and other services
formalise referral processes for allied health services so they are more consistent with other referral arrangements
ensure patients do not lose access to their current services through transition arrangements for existing patients with GP Management Plans and Team Care Arrangements.
Subject to the passing of legislation, MyMedicare is an important element of planned changes to existing Chronic Disease Management in 2025.
‘Chronic Conditions Management (CCM) MBS item changes recommended by the MBS Review Taskforce are ‘the first major change to chronic disease management in 20 years, and are scheduled to come into effect 1 July 2025’.
Previously, changes to Chronic Conditions Management were due to occur on 1 November 2024. The additional time is intended to support all practices and providers, including GPs and allied health providers, to be ready for the changes to these important services.
New Chronic Conditions Management items will leverage MyMedicare and are likely to drive a wave of MyMedicare registrations by patients. To support continuity of care, patients registered with MyMedicare will only be able to access GP chronic condition management plan and review items through the practice where they are registered (patients not registered for MyMedicare will be able to access the items through their usual GP).
Primary Health Networks will be working with general practice teams to prepare by encouraging practices to:
Register for MyMedicare
Communicate and register their patients for MyMedicare
Review processes, workflows and team roles to support more regular reviews
Build the confidence and capability of Practice Nurses and Aboriginal and Torres Strait Islander Health Practitioners in contributing to Chronic Conditions Management Plans and Reviews
Use data in practice systems to identify and action Quality Improvement activities related to
Subject to the passage of legislation, from 1 July 2025, existing chronic disease management items will cease from 30 June 2025 including:
GP management plans (229, 721, 92024, 92055),
Team care arrangements (230, 723, 92025, 92056), and
Reviews (233, 732, 920278, 92059)
These items will be replaced with streamlined MBS items for GP chronic condition management plans and reviews. New CCM MBS items and care model will:
Encourage more regular reviews and ongoing care, by equalising MBS fees for CCM planning and review items.
Strengthen the role of practice nurses and Aboriginal and Torres Strait Islander health practitioners in assisting GPs in the preparation of chronic conditions management plans and reviews.
Streamline referral and communication with the patient’s multidisciplinary team and allied health providers.
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Contact us at mymedicaresupport@mphn.org.au for further information.