Here’s a summary of the changes: the MBS items 721 (GP Management Plan) and 723 (Team Care Arrangement) (and their associated review items) are being replaced under a new framework as of 1 July 2025.
What’s changing
- From 1 July 2025, existing items for GP Management Plans (including 721, 92024, 92055) and Team Care Arrangements (including 723, 92025, 92056), as well as review items (233, 732, 92028, 92059), will cease.
- These will be replaced by a single streamlined model called the GP Chronic Condition Management Plan (GPCCMP). Follow the link for full details.
- The objective is to simplify chronic condition management, reduce administrative burden, and promote continuity of care.
Key features of the new GPCCMP model
| Aspect | New Arrangement / Rule |
|---|---|
| New item numbers | For GPs: • Prepare face-to-face plan: 965 • Prepare via video: 92029 • Review face-to-face: 967 • Review via video: 92030 |
| Fee / rebate | The preparation and review items will carry equal rebates: $156.55 for GPs, and $125.30 for prescribed medical practitioners. |
| Eligibility / criteria | The GPCCMP is available to patients with at least one medical condition that is (or is likely to be) present for ≥ 6 months, or terminal. |
| Referral to allied health | • No longer required to use the old EPC referral form — referral letters (consistent with specialist referrals) will be used. • The requirement to consult with at least two other providers under a TCA is removed. • Allied health referrals typically remain valid for 18 months unless stated otherwise. • Allied health providers must send a written report back (especially after the first and final session). |
| Review / ongoing access rules | • A plan may be prepared once every 12 months (if needed) and reviews may occur every 3 months (where clinically justified). • To access allied health under the plan, a patient’s plan must have been prepared or reviewed within the previous 18 months. • Plans do not need to be freshly created each year if still valid (i.e., clinical justification). |
| Who can assist in preparing/reviewing | Practice nurses, Aboriginal and Torres Strait Islander health practitioners, and Aboriginal health workers will be able to assist the GP or prescribed medical practitioner in preparing / reviewing the plan. |
| Transition / grandfathering | • A 2‑year transition period (1 July 2025 to 30 June 2027) is in place so that patients with existing GPMPs / TCAs may continue under their current arrangements. • After 1 July 2027, the GPCCMP will be required for ongoing access to allied health services. • For patients with existing GPMP/TCA, existing referrals under those plans remain valid during transition. |
| Unaffected items | The changes do not affect multidisciplinary care plan items (e.g. 231, 232, 729, 731, and their telehealth equivalents). |
Some caveats & considerations
Software systems (practice management software) will need updating/templates adapted to reflect the new GPCCMP items, etc
Because the total combined rebate under the old GPMP + TCA model was larger (e.g. ~$294.60 under some circumstances), some GPs feel the net remuneration is decreasing under the new model despite simplification.
Patients will need to be registered under MyMedicare to access the planning/review items through their registered practice; non-MyMedicare patients may still access through their usual GP.
Item 721
A comprehensive written plan must be prepared describing: (NGATSAR)
- the patient’s health care needs, health problems and relevant conditions;
- management goals with which the patient agrees;
- actions to be taken by the patient;
- treatment and services the patient is likely to need;
- arrangements for providing this treatment and these services; and
- arrangements to review the plan by a date specified in the plan.
In preparing the plan, the provider must: (ERACA)
- explain to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees) the steps involved in preparing the plan; and
- record the plan; and
- record the patient’s agreement to the preparation of the plan; and
- offer a copy of the plan to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
- add a copy of the plan to the patient’s medical records.
A copy of the written plan must be retained for 2 years.
Item 723
When coordinating the development of Team Care Arrangements (TCAs), the general practitioner must:
- consult with at least two collaborating providers, each of whom will provide a different kind of treatment or service to the patient, and one of whom may be another medical practitioner, when making arrangements for the multidisciplinary care of the patient; and
- prepare a document that describes GATSAR:
- treatment and service goals for the patient;
- actions to be taken by the patient;
- treatment and services that collaborating providers will provide to the patient; and
- arrangements to review (i), (ii) and (iii) by a date specified in the document; and
- explain the steps involved in the development of the arrangements to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees);
- discuss with the patient the collaborating providers who will contribute to the development of the TCAs and provide treatment and services to the patient under those arrangements; and
- record the patient’s agreement to the development of TCAs;
- give copies of the relevant parts of the document to the collaborating providers;
- offer a copy of the document to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
- add a copy of the document to the patient’s medical records.
The document described above must be retained for 2 years.
One of the minimum two service providers collaborating with the GP can be another medical practitioner. The patient’s informal or family carer can be included in the collaborative process but does not count towards the minimum of three collaborating providers.