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

July 1, 2025

New GP Chronic Conditions Management (GPCCM) MBS items are now in effect (from 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  

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:

Need more support?

Please contact your Provider Support Officer for practice support and guidance, or email providersupport@semphn.org.au

You can also visit our Chronic Condition Management Items page, where we continue to upload our CCM Activation Series, providing your practice with easy-to-follow steps and guidance on the CCM item changes. 

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