Care Planning
General practitioners (GPs) and prescribed medical practitioners (PMP) can offer additional support to patients with chronic conditions through a General Practitioner Chronic Condition Management Plan (GPCCMP), also referred to as care planning. GPs or PMPs can prepare a GPCCMP if they determine a patient would benefit from coordinated support, providing the patient meets the eligibility criteria.
Please note, all information on this page is relevant at the time of publishing (December 2025). This information is provided to assist general practices in understanding Care Plans and Medicare Benefits Schedule (MBS) items. Western Victoria Primary Health Network is not responsible for the compliant use of MBS items. Each provider is responsible for their billing compliance with Medicare.
General Practitioner Chronic Condition Management Plan
A General Practitioner Chronic Condition Management Plan (GPCCMP) is available to patients with a chronic or terminal condition and who would benefit from a structured approach and ongoing care from a multi-disciplinary team.
According to MBS online, patients are eligible for a GP chronic condition management plan if they have at least one medical condition that has been (or is likely to be) present for at least 6 months or is terminal. Noting that there is no list of eligible conditions. It is up to the GP or prescribed medical practitioner’s clinical judgment to determine whether an individual patient with a chronic condition would benefit from a GP chronic condition management plan.
According to MBS online, a practice nurse, Aboriginal and Torres Strait Islander health practitioner or Aboriginal and Torres Strait Islander health worker can assist with the preparation or review of the plan as appropriate. However, the GPCCMP is a plan between the GP/PMP and their patient. It is a requirement that the GP/PMP sees the patient as part of the service, and they are responsible for the service.
MBS Item Numers
Name of Item | GP item number | PMP item number |
| Prepare a GP chronic condition management plan – face to face | 965 | 392 |
| Prepare a GP chronic condition management plan - telehealth | 92029 | 92060 |
| Review a GP chronic condition management plan – face to face | 967 | 393 |
| Review a GP chronic condition management plan – telehealth | 92030 | 92061 |
A GPCCMP can be prepared no more than once every 12 months, and that any new plan must be at least 3 months after the last review and reviewed no more than once every 3 months.
GPs or PMPs can only provide patients with chronic condition management services more frequently in exceptional circumstances.
Allied Health Services
The MBS can provide up to 5 individual health services to per calendar year, or, up to 10 individual health services per calendar year for patients of Aboriginal or Torres Strait Islander descent.
According to Services Australia, services are claimable from the following allied health providers:
- Aboriginal and Torres Strait Islander Health Workers or Aboriginal and Torres Strait Islander Health Practitioners - item 10950
- Audiologists - item 10952
- Chiropractors - item 10964
- Diabetes educators - item 10951
- Dietitians - item 10954
- Exercise physiologists - item 10953
- Mental health workers - item 10956
- Occupational therapists - item 10958
- Osteopaths - item 10966
- Physiotherapists - item 10960
- Podiatrists - item 10962
- Psychologists - item 10968
- Speech pathologists - item 10970.
Please note, in order to claim these items, the health professional must attend the appointment in-person for at least 20 minutes and treat the patient face-to-face (not including group treatments).