New GP Chronic Conditions Management Framework and MBS Items in effect from 1 July 2025

New GP Chronic Conditions Management (GPCCM) MBS items commence from today, 1 July 2025.

What does this mean for your general practice?

• Existing Chronic Disease Management (CDM) Plans and referrals will remain valid until July 2027. There is no need to take immediate action to transition CDM patients to new GPCCMPs.
• Use the new GPCCM MBS item numbers (see table below) in place of the ceased CDM item numbers. When billing any new GPCCM plans or undertaking reviews of a Chronic Disease Management (CDM) plan, use the MBS item numbers for an initial GP Chronic Condition Management Plan (GPCCMP) [965, 392, 29029, 29060]. This is necessary as GPCCMP Review item numbers are not able to be claimed unless a new GPCCMP has been billed. 
• If you are a MyMedicare practice, encourage any patients with a CDM plan or GP Chronic Condition Management Plans (GPCCMPs) to register with your practice for MyMedicare.
  • Explain to them that MyMedicare establishes a unique link to the general practice they wish to see most of the time for ongoing care and management of their chronic health condition/s.
  • If a patient does not wish to register for MyMedicare, they should be reassured MyMedicare is voluntary and that they can continue to access GPCCMP care through their usual practice.
• Be sure to schedule regular CCM reviews at the conclusion of each CCM new or review appointment, and clearly explain the care planned for the next review to each patient.
• Practice nurses, Aboriginal and Torres Strait Islander Health Practitioners, and Aboriginal Health Workers can assist the GP or Prescribed Medical Practitioner to prepare or review a GPCCMP
• Team Care Arrangements are no longer required and referral arrangements to allied health providers have been simplified.
• Check MyMedicare registration of your patients prior to scheduling CCM plans. Patients registered for MyMedicare at another general practice are not eligible for CCM MBS items at your practice.
  

Table 1: GP Chronic Condition Management Items commencing 1 July 2025   

For more information on GPCCM changes, MBS Online has released a series of factsheets here:

• MBS Online – Upcoming changes to the MBS Chronic Disease Management Framework

For support on MyMedicare, GPCCM change queries, and quality improvement support, please contact CESPHNs Practice Support

Team at practicesupport@cesphn.com.au

See here for a link to the CESPHN webinar on the Upcoming changes to MBS Chronic Disease Management 19 June 2025 https://www.youtube.com/watch?v=ZaIJGuTXkkg