Whether a Patient is Eligible
A GP Chronic Condition Management Plan (GPCCMP) is for people with one or more chronic medical conditions who would benefit from a structured approach to their care. A chronic condition is one that has been, or is likely to be, present for at least six months, or that is terminal.
There is no fixed list of eligible conditions. Your GP decides whether you are eligible, based on your condition and care needs.
A few things to know:
- If you are registered with MyMedicare, your plan needs to go through the practice where you are registered.
- A GPCCMP is not available to people living in a residential aged care facility. Allied health services are available to them through a multidisciplinary care plan.
- To keep accessing allied health services under your plan, your GPCCMP must have been prepared or reviewed in the last 18 months.
Referrals for Allied Health Services
If your GP prepares a GPCCMP and refers you to us, you may be eligible for Medicare rebates on up to five individual allied health services per calendar year (ten for Aboriginal and Torres Strait Islander patients). The services must be related to your chronic condition and be part of your plan.
Your GP or prescribed medical practitioner will give you a referral letter. You don't need to fill in the older referral forms. If you have type 2 diabetes, your GP can also assess whether group exercise physiology services are suitable for you. Up to eight group services per calendar year are available.
If you had a GP Management Plan or Team Care Arrangements before 1 July 2025, your existing referral stays valid until the services on it are used, as long as they are completed by 30 June 2027. When your plan is next due for review, your GP will move you to a GPCCMP.
Your GP decides what is right for you, so speak to them about whether a plan would suit you. To learn more, read the Department of Health, Disability and Ageing factsheet.