Chronic Conditions Management
From 1 July 2025, Medicare Benefits Schedule (MBS) items will be changing to replace the current GP Management Plan (GPMP) and Team Care Arrangements (TCA) with a single GP Chronic Condition Management (CCM) Plan.
Changes to Chronic Conditions Management
As of 1 July 2025, MBS items for Chronic Disease Mangement (CDM) will be changing to replace the current GP Management Plan (GPMP) and Team Care Arrangements (TCA) with a single Chronic Conditions Management (CCM) plan.
This supports patients with one or more chronic conditions that would benefit from a structured approach to their care. It also provides access to allied health and other services for patients that would benefit from multidisciplinary team care to manage their chronic condition.
It’s time to prepare your general practice for changes to Chronic Conditions Management (CCM)
MBS items. Chronic Conditions Management (CCM) MBS item changes recommended by the MBS Review Taskforce are ‘the first major change to chronic disease management in 20 years, and are scheduled to come into effect 1 July 2025’.
Substantial changes are coming to how chronic conditions are managed in general practice. Starting from 1 July 2025, new CCM MBS items recommended by the MBS Review Taskforce will take effect.
Start preparing your general practice now, change can feel overwhelming, but breaking it down into small, practical steps makes it easier. Australian general practices already use great methods like Plan–Do–Study–Act cycles to adapt and improve while keeping things running smoothly.
To help your practice prepare, APHN is launching a CCM activation series. This series will guide your team and patients in implementing the new items and strengthening patient connections through MyMedicare.
The first two activities will focus on:
Focus on engaging patients with Chronic Disease Management Plans and team care arrangements, encouraging them to register with MyMedicare and return for regular reviews.
Build awareness among your team about MyMedicare and the CCM changes and explore how everyone can play a role in these updates.
Other steps your practice can take to prepare now
Here are some other ideas you might like to consider preparing for Chronic Conditions Management and MyMedicare patient registration:
- Discuss what these changes mean with your practice team. Identify any processes you need to review or update (e.g. incorporate MyMedicare registration in your chronic disease management workflows).
- Register your practice for MyMedicare if you have not done so already.
- Encourage your patients with a chronic condition or existing care plan to register with MyMedicare:
- frequently asked questions to use in conversations with patients.
- Include the MyMedicare Registration form and brochure with your patient consent form
- Update your practice website to include links to MyMedicare patient registration information.
- Place MyMedicare posters and brochures in your practice waiting room/reception and display MyMedicare Patient videos in your waiting room screens.
- Post information about MyMedicare in your practice social media page using Social Media Tiles.
For further information, please contact your Adelaide PHN Practice Support contact or email practicesupport@adelaidephn.com.au