Chronic condition allied health and other primary health care items

Find the relevant item descriptions, fact sheets and explanatory notes on the MBS Online website.

A general practitioner (GP) or prescribed medical practitioner (PMP) can refer an eligible patient with a chronic condition for some services provided by:

• allied health professionals
• Aboriginal and Torres Strait Islander primary health care professionals.

An eligible health professional can bill and claim Medicare benefits for these health services, only when they:

• provide the service to an eligible patient
• use the correct MBS item number for the service delivered
• send required reports back to the referring GP or PMP.

Eligible patients

A patient can get individual and group health services if they have a chronic condition and complex care needs being managed by a GP or PMP under a:

• GP chronic condition management plan (GPCCMP) that has been prepared or reviewed in the last 18 months
• multidisciplinary care plan.

Patients with a GP management plan or team care arrangement in place before 1 July 2025, can continue to access services consistent with those plans until 30 June 2027.

Hospital in-patients are not eligible for these services.

Individual allied health and Aboriginal and Torres Strait Islander health and wellbeing services

An eligible health professional can provide individual health services to a patient with a GPCCMP or a multidisciplinary care plan.

To claim these items the health professional must treat the patient:

• for at least 20 minutes
• individually and in person.

A GP or PMP must refer the patient.

Eligible patients can use up to 5 services per calendar year. The services can be either:

• one type of service, for example, 5 physiotherapy services
• a combination of different types of services, for example one dietetic and 4 podiatry services.

Find more information about individual allied health and Aboriginal and Torres Strait Islander health and wellbeing services on the MBS Online website.

Group allied health services for patients with type 2 diabetes

Patients diagnosed with type 2 diabetes, who have a GPCCMP or a multidisciplinary care plan in place, can access the following group allied health services:

To claim these items, the group session must:

• last at least 60 minutes
• have a minimum of 2 and maximum of 12 patients in attendance.

A patient is eligible to get these services if they’ve been:

• diagnosed with type 2 diabetes
• assessed as suitable for group health services under items 81100, 81110, 81120 or 93284
• A GP or PMP must refer the patient.

Eligible patients can access up to 8 group allied health services per calendar year, in addition to any individual health services.

Find more information about group allied health services for patients with type 2 diabetes on the MBS Online website.