From the start of the 2025-26 financial year, major changes to the Medicare Benefits Schedule (MBS) will come into effect.
The changes, announced by the Australian Government Department of Health, Disability and Ageing primarily affect medical practitioners, but will also impact allied health professionals providing MBS services.
The changes simplify, streamline, and modernise the arrangements for health care professionals and patients. Transition arrangements will be in place for two years to ensure current patients do not lose access to services.
Visit MBS Online to download fact sheets and share them with your practice team.
Practices can use our activation resources to prepare for these changes, and should monitor their clinical software for installation updates as soon as they are available.
For support on MyMedicare and upcoming CCM Changes, please contact primarycare@nwmphn.org.au
Summary of changes
|
Current items (these will cease from 1 July 2025) |
Items from 1 July 2025 |
MBS benefit |
Minimum claiming period |
|
Preparation of a GP management plan/coordination of team care arrangements |
Prepare a GP chronic condition management plan |
12 months, if a new plan is required | |
|
721,723, 92024, 92025 |
General practitioner Face-to-face: 965, Video: 92029 |
$156.55 | 12 months, if a new plan is required |
|
229, 230, 92055, 92056 |
Prescribed medical practitioner Face to face: 392, Video: 92060 |
$125.30 |
12 months, if a new plan is required |
|
GP management plan review or coordination of a team care arrangement review |
Review a GP chronic condition management plan |
3 months | |
| 732, 92028 |
General practitioner Face to face: 967, Video: 92030 |
$156.55 | 3 months |
| 233, 92059 |
Prescribed medical practitioner Face-to-face: 393, Video: 92061 |
$125.30 | 3 months |
Disclaimer: NWMPHN provides this information as a guide only and recommends general practitioners familiarise themselves with the detailed descriptions contained in the MBS, available at mbsonline.gov.au. Under the Health Insurance Act 1973 practitioners are legally responsible for services billed to Medicare under their Medicare provider number or in their name.
