Major changes to the Medicare Benefits Schedule (MBS) come into effect today, with MBS Online now displaying new Chronic Conditions Management item numbers.
What does this mean for general practices?
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 GP Chronic Conditions Management Plans (GPCCMP).
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.
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: GP Chronic Condition Management Items commencing 1 July 2025
| Name of item | GP MBS items | Prescribed medical practitioner MBS items |
| Prepare a GP chronic condition management plan – face to face | 965 | 392 |
| Prepare a GP chronic condition management plan – video | 92029 | 92060 |
| Review a GP chronic condition management plan – face to face | 967 | 393 |
| Review a GP chronic condition management plan – video | 92030 | 92061 |
For more information on GPCCM changes, MBS Online has released a series of factsheets here.
For support on MyMedicare, GPCCM change queries, and quality improvement support, please contact primarycare@nwmphn.org.au
