Chronic condition management and health assessment billing
The 2025 care-plan changes, and how your team bills for them in virtual care.
What this is: a guide to billing chronic condition management and Aboriginal and Torres Strait Islander health assessments in virtual care.
Who it's for: GPs, practice managers, nurses, Aboriginal Health Workers and Practitioners, and ACCHO leaders.
Verify before you bill. This guidance is current as at June 2026. Items and rebates change, and are indexed on 1 July. Confirm the current detail on MBS Online at mbsonline.gov.au and Services Australia before you rely on it.
The big change: one plan replaced two
On 1 July 2025, the chronic disease management framework changed. GP Management Plans and Team Care Arrangements were abolished and replaced by a single plan, the GP Chronic Condition Management Plan (GPCCMP). The old preparation and review items ceased, including items 721, 723, 732, 92024, 92025 and 92028. If you still see these in templates or old guidance, they are out of date.
There is a transition period. Patients who had a GP Management Plan or Team Care Arrangement in place before 1 July 2025 can keep using services linked to those plans until 30 June 2027. After that, only a GPCCMP will do. If a patient needs a review of an old plan now, prepare a new GPCCMP instead.
The new GPCCMP items
A GPCCMP is for a patient with at least one chronic condition that has lasted, or is likely to last, at least six months, or is terminal. There is no fixed list of conditions. It is a clinical judgement. Each item below has a face-to-face version and a video version.
| Service | GP face-to-face | GP video | Indicative GP rebate |
|---|---|---|---|
| Prepare a GPCCMP | 965 | 92029 | $156.55 |
| Review a GPCCMP | 967 | 92030 | $156.55 |
Prescribed medical practitioners use a parallel set of items: prepare 392 (face-to-face) or 92060 (video), and review 393 (face-to-face) or 92061 (video), with an indicative rebate of $125.30. Preparation can generally be claimed once every 12 months, and a review every three months, where clinically appropriate. Confirm current items and rebates on MBS Online.
Your team's role in the plan
This is where virtual care and a team model pay off. Practice nurses, Aboriginal and Torres Strait Islander Health Practitioners and Aboriginal Health Workers can assist the GP to prepare or review a GPCCMP. They can also deliver follow-up services on behalf of the GP between visits.
| Follow-up for a patient with a GPCCMP | Face-to-face | Video | Phone |
|---|---|---|---|
| Practice nurse or Health Practitioner, on behalf of a GP | 10997 | 93201 | 93203 |
These follow-up services can be claimed up to five times per year for a patient with a GPCCMP. See the scope of practice article for how working on behalf of a GP is set up safely.
Aboriginal and Torres Strait Islander health assessment
The annual health assessment is one of the most valuable items for this audience, and it has a video version.
| Service | Face-to-face | Video | Indicative rebate | Frequency |
|---|---|---|---|---|
| Health assessment | 715 | 92004 | about $247.65 | once every 9 months |
After a health assessment, a practice nurse or Aboriginal and Torres Strait Islander Health Practitioner can provide follow-up services on behalf of the GP, using item 10987 face-to-face, 93200 by video or 93202 by phone, up to ten times per year. If your service holds a section 19(2) exemption, salaried or contracted practitioners may be able to claim the health assessment. Confirm your arrangements with Services Australia.
MyMedicare and these items
Chronic condition management items are not subject to the eligible telehealth practitioner rule, so a recent in-person visit is not required to bill them. However, a patient registered through MyMedicare must access their chronic condition management plan and reviews at the practice where they are registered. Check a patient's MyMedicare registration before you schedule plan work, because a patient registered at another practice is not eligible for these items at yours.
Need help?
- Visionflex support: visionflex.com/support | support@visionflex.com | +61 2 8914 4000 (9am to 5pm AEST)
- See also: The eligible telehealth practitioner rule and its exemptions, Scope of practice and working on behalf of a GP, MBS telehealth items: what you can bill now, Chronic disease monitoring and care
Visionflex acknowledges the Traditional Custodians of Country throughout Australia and pays respect to Elders past, present and emerging.