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Chronic Conditions Management

Chronic Conditions Management (CCM)

Starting 1 July 2025, significant changes to Chronic Conditions Management (CCM) MBS items are set to take effect, marking the first major update in 20 years.  

The changes aim to simplify, streamline, and modernise the arrangements for health care professionals and patients, promote continuity of care, encourage the regular review of CCM plans, support communication between a patient’s multidisciplinary care team and ensure existing patients can continue to access the care they need. 

Transition arrangements will be in place for 2 years to ensure current patients do not lose access to services.  

What are the changes:  

See MBS Online for the following factsheets, which provides guidance on the revised MBS framework for managing patients with chronic conditions in primary care.  

For General Practice:  

For Allied Health Providers:  

Activation Series for your Practice

CCM Activation Series: Activities for Your practices

CCM Management Plan Template – Sample Template

GP CHRONIC CONDITION MANAGEMENT PLAN

Further Resources

CCM QI Workbook

CCM Practice Readiness Checklist

CCM MBS User Guide

If you require support for your practice on MyMedicare or (CCM) Chronic Conditions Management, please contact: 

Health Referral Forms

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General Practice Support

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MyMedicare

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Chronic Conditions Management – Change Activities for Your General Practice

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Bulk Billing Practice Incentive Program (BBPIP)

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General Practice in Aged Care Incentive (GPACI)

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