GP chronic condition management plan

Steps to create and manage a GP chronic condition management plan (GPCCMP).

Create and manage a GPCCMP

Step 1. Find out the requirements for a GPCCMP.

We have information on:

  • health professional eligibility
  • patient eligibility
  • billing requirements
  • referrals to allied health professionals.

Step 2. Provide the service to your patient.

Step 3. Bill services using the correct Medicare Benefits Schedule (MBS) item number.

You can learn about billing chronic condition management plan items.

You can check eligibility and look up item numbers through the MBS items online checker in HPOS. Learn about the relevant MBS item descriptions on the MBS Online website.

You can view a patient’s care plan history in HPOS.

Step 4. Review and manage the plan.

Page last updated: 1 July 2025.
QC 71044