Chronic Conditions Management (CCM): MBS Item Reform

Changes to the MBS Chronic Disease Management (CCM) Framework

Information for Allied Health Providers

MBS Online published the Upcoming Changes to Chronic Disease Management Framework factsheet, confirming a new chronic condition management framework effective 1 July 2025.

These changes primarily affect medical practitioners, however, allied health professionals providing MBS services should be aware of the changes to plan and referral requirements.

Overview

  • The changes to the MBS Chronic Disease Management (CCM) Framework took effect on 1 July 2025
  • The main reform was to replace the existing GP Management Plan (GPMP) and Team Care Arrangements (TCA) framework with a single GP Chronic Condition Management Plan (GPCCMP).
  • These changes were aimed to simplify, modernise, and streamline chronic condition care, promote continuity, and encourage regular review
  • A transition period is in place through to 30 June 2027 to allow existing arrangements to “run out” without abruptly terminating access
  • Patients with a GPMP or TCA in place before 1 July 2025 can continue to access services consistent with those plans until 30 June 2027
  • From 1 July 2027, a GPCCMP will be required for ongoing access to allied health services.
  • The use of a prescribed referral form for allied health services is no longer be required. Allied health referrals are now provided via referral letters, consistent with the arrangements for referrals to medical specialists. See Referral Arrangement Factsheet for the minimum requirements for a valid referral
  • Allied health providers should be aware that referrals for allied health services written on or after 1 July 2025 must meet the new referral requirements

Summary of changes

What changed?

The referring GP or prescribed medical practitioner refers the patient directly to allied health services under the GPCCMP.

Under a GPCCMP, patients can access individual allied health services. For group allied health services, access is generally limited to patients with type 2 diabetes.

What has stayed the same?

The types of allied health services that can be delivered under CDM have not changed.

What changed?

The previous requirement for the GP to consult or collaborate with other multidisciplinary team members when preparing or reviewing the plan has been removed. Allied health providers do not need to confirm their agreement to be part of a team.

What has stayed the same?

The obligation to send reports back to the referring GP remains. Allied health professionals must provide a written report to the referring medical practitioner after the first and last service. They can provide the reports more often if clinically necessary.

What has changed?

Referrals to allied health services under the new framework must be via referral letters (similar to medical specialist referrals), rather than on the old referral form. See Referral Arrangement Factsheet for the minimum requirements for a valid referral.

What has stayed the same?

Referrals written before 1 July 2025 remain valid until all services under them have been delivered or until 30 June 2027.

What changed?

Unless otherwise stated by the referring medical practitioner, referrals under the new system will be valid for 18 months.

What has stayed the same?

Allied health providers need to check the date of the referral and whether it remains within the valid period.

What changed?

To access allied health services under the new GPCCMP, patients must have had their plan prepared or reviewed within the last 18 months.

What has stayed the same?

Patients who had a GPMP/TCA prior to 1 July 2025 may continue to use those plans until 30 June 2027. After 30 June 2027, a GPCCMP will be required for ongoing access to allied health services.

What changed?

New MBS item numbers were introduced for “Prepare GPCCMP” and “Review GPCCMP” (face-to-face and telehealth) for GPs and prescribed medical practitioners.

What has stayed the same?

The limit that a plan may be prepared no more often than every 12 months (unless needed) and reviews every 3 months (unless specified).

Patients continue to have access to five subsidised allied health visits per year under these arrangements.

Further information

For more information, MBS Online has released a selection of Factsheets here: MBS Online – Upcoming changes to the MBS Chronic Disease Management Framework

Allied Health Professionals Australia held a webinar: Changes to the Chronic Disease Management Framework – Implications for Allied Health Professionals. You can watch the recording here.

For additional queries, contact alliedhealth@gphn.org.au

Last modified: January 6, 2026