Chronic Condition Management Plans (CCMP)

The following items are no longer claimable from the 1st of July 2025:

These replace GPMP + TCA with a single structured plan and corresponding review:

Service Type	GP Item No.	PMP Item No.
Prepare plan (face-to-face)	965	392
Prepare plan (video/telehealth)	92029	92060
Review plan (face-to-face)	967	393
Review plan (video/telehealth)	92030	92061

Unified Framework: GPMPs and TCAs are now merged into one streamlined plan – no need for separate team care documentation.
Frequency:
- New plans: once every 12 months (or sooner if clinically justified)
- Reviews: every 3 months (up to 3/year if strictly spaced)
Billing Value: Both plan preparation (965) and review (967) are valued at $156.55 each for GPs.
Allied Health Referrals:
- Up to 5 individual services per year (10 for Aboriginal or Torres Strait Islander patients)
- No need for provider consent; referral is GP-determined.
Eligibility: Chronic condition (≥6 months or terminal); based on clinical judgement
MyMedicare Linkage: Patients registered with MyMedicare must receive GPCCMP services through their registered practice.
No Expiry: Plans don’t expire, but reviews must occur at least once every 18 months to maintain access to allied health items.

Transition Period: Existing CDM plans remain valid until July 2027.
Nursing Support: Practice nurses and Aboriginal Health Practitioners can assist in plan preparation/review, but GP must be involved in both the preparation and reviews. Item number 10997 can not be co-claimed when a nursing staff assist with commencing or reviewing the plan.
Schedule Ahead: Encourage patients to book follow-up reviews at the time of plan creation or previous review.
Billing Adjustments: Expect a shift in revenue pattern; multiple reviews may offset the loss of dual billing for 721/723 under the old model.

What are the principles of GP Chronic Condition Management Plans