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.

Why it is important

The framework supports patients with one or more chronic conditions that would benefit from a structured approach to their care. It also provides access to allied health and other services for patients that would benefit from multidisciplinary team care to manage their chronic condition.

These changes were recommended by the MBS Review Taskforce. It is the first major change to the framework in almost 20 years. In that time, we have seen changes to:

  • the burden of chronic disease

  • patient expectations 

  • technology to support communications between multidisciplinary care team members and their patients.


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Contact

Contact us at mymedicaresupport@mphn.org.au for further information.