General practitioners (GP) and prescribed medical practitioners (PMP) can refer eligible patients with chronic conditions to allied health and primary care professionals.
Patients with a GPCCMP may be able to access a range of services if the services are consistent with the 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.
Allied health and primary care professionals can claim Medicare benefits for some individual and group treatment services.
Learn more about billing chronic condition allied health and other primary health care items.
These allied health professionals can provide services under a GP chronic condition management plan:
- audiologists
- chiropractors
- diabetes educators
- dietitians
- exercise physiologists
- mental health workers
- occupational therapists
- osteopaths
- physiotherapists
- podiatrists
- psychologists
- speech pathologists.
These primary care professionals can also provide services under a GP chronic condition management plan:
- Aboriginal and Torres Strait Islander health workers
- Aboriginal and Torres Strait Islander health practitioners.
Some professional groups require specific qualifications, accreditation or credentialing to provide these services.
A patient with a GPCCMP may be eligible for the following services per calendar year:
- up to 5 individual allied health and Aboriginal and Torres Strait Islander health and wellbeing services
- up to 10 individual services for Aboriginal or Torres Strait Islander patients
- up to 5 services provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner
- one assessment of their suitability for group allied health services and up to 8 group sessions, if they have type 2 diabetes.
Learn more about group allied health services for patients with type 2 diabetes.
Patients living in residential aged care who have a multidisciplinary care plan can also access these services.
Hospital in-patients are not eligible for these services.
You can check eligibility and look up item numbers through the MBS items online checker in HPOS, or by calling Medicare.
Learn more about patient eligibility for these services on MBS Online.
The referring GP or PMP decides whether a patient’s chronic condition would benefit from allied health or Aboriginal and Torres Strait Islander health and wellbeing services.
It’s not appropriate for allied health or primary care professionals to:
- provide a partly completed referral to a GP or PMP for signing
- pre-empt the decision about the services that the patient requires.
Referrals under a GPCCMP are valid for the timeframe stated in the referral. If no timeframe is stated, the referral is valid for 18 months from the date of the first service provided under the referral.
Learn more about referral requirements on MBS Online.
The allied health or primary care professional must provide a written report to the referring GP or PMP after the first and last service. They can provide reports more often if clinically necessary.
Reports should include all the following:
- investigations, tests and assessments carried out
- treatment provided
- recommendations for future management of the patient’s condition.