GPMP & TCA Replaced by GPCCMP — CDM Changes July 2025
📋 Sources:
MBS Online AN.0.47 — GP Chronic Condition Management Plans (mbsonline.gov.au).
MBS Online AN.15.5 — Transition arrangements for existing GPMP/TCA patients.
Department of Health, Disability and Ageing — MyMedicare and CDM factsheet (last updated August 2025) — health.gov.au.
RACGP — CDM Changes FAQs (December 2025) — racgp.org.au.
MBS Online — Upcoming Changes to Chronic Disease Management Framework factsheets (updated May 2025).
Health Insurance (Section 3C General Medical Services – Allied Health and other Primary Health Care Services) Determination 2024 — referral requirements.
MBS Book July 2026 — item fees verified.
This page is a decision-support reference. Verify specific item requirements and transition arrangements at mbsonline.gov.au before claiming. Rules may have been updated since this page was last reviewed.
From 1 July 2025, GP Management Plans and Team Care Arrangements were replaced by a single GP Chronic Condition Management Plan. The biggest change to CDM in 20 years.
MBS July 2025CliniciansAU
What changed at a glance
✖ Before 1 July 2025
GPMP (items 229, 721) — prepare plan
TCA (items 230, 723) — team care arrangements
Reviews (items 233, 732) — review plan or TCA
Required 2 collaborating providers for TCA
Referral forms (Services Australia forms) for allied health
GPMP and TCA were separate plans
No 18-month review requirement
✔ From 1 July 2025
GPCCMP (item 965) — prepare plan or review
GPCCMP review (item 967) — review of existing plan
Single unified plan replaces both GPMP and TCA
No longer need 2 collaborating providers
Referral letters for allied health (like specialists)
Plan must be prepared or reviewed within 18 months for allied health access
MyMedicare patients: GPCCMP must be done at registered practice
GPCCMP prepare — VR GP. Prepare a new GP Chronic Condition Management Plan.
$160.60
967
GPCCMP review — VR GP. Review of an existing GPCCMP.
$160.60
392
GPCCMP prepare — non-VR GP / prescribed medical practitioner.
$128.55
393
GPCCMP review — non-VR GP / prescribed medical practitioner.
$128.55
Telehealth
Prepare (video only): 92029 (VR GP) / 92060 (non-VR GP / PMP). Review (video only): 92030 (VR GP) / 92061 (non-VR GP / PMP). No phone equivalent is published for CDM telehealth items. MBS Telehealth Services factsheet, Dept of Health, 23 Oct 2025
ℹ️ Fee equalised: Preparation and review are now the same fee ($160.60 for VR GPs) — previously the GPMP preparation and review items attracted different fees. MBS Book July 2026
What stayed the same
✅ Eligibility unchanged — any chronic condition present or likely present for ≥6 months, or terminal. No specific list of eligible conditions. GP clinical judgement applies. AN.0.47
✅ Consult cannot be billed same day as GPCCMP — items 965/967 cannot be co-claimed with attendance items (23, 36, 44, telehealth equivalents). The GPCCMP item includes the attendance component. AN.0.47
✅ 5 allied health services per year — (10 for Aboriginal and Torres Strait Islander patients). Same range of services as before. AN.15.4
✅ Item 10997 (practice nurse CDM) — still available under GPCCMP. Note: 10997 cannot be claimed when a practice nurse assists with preparing or reviewing the plan itself — only for ongoing management services. MN.12.4
✅ Multidisciplinary care plan items unchanged — items 231, 232, 729, 731 and their telehealth equivalents are not affected by these changes. MBS Online
✅ Prepare once per 12 months if necessary — same timing restriction as before. Reviews available every 3 months if clinically relevant. Plans do not expire. AN.0.47
✅ Practice nurse can assist — nurse, ATSI health practitioner, or ATSI health worker can assist in preparing or reviewing the plan. GP must still see the patient and is responsible for the service. AN.0.47
New rules you need to know
⏰ 18-month review ruleAN.0.47
To retain access to allied health services, a patient must have had their GPCCMP prepared or reviewed within the last 18 months. Plans do not expire, but access to allied health does lapse if no review occurs. Clinically relevant reviews can occur every 3 months.
🏥 MyMedicare registered patients: registered practice onlyhealth.gov.au CDM factsheet · MBS Online item 965
From 1 July 2025, if a patient is registered with MyMedicare, they can only access GPCCMP preparation and review from the practice location where they are registered — not another practice or location, even if their preferred GP works there. Any eligible provider at the registered practice location can provide the service, not just the preferred GP.
Practical tip: Check MyMedicare status via My Health Record or by asking the patient. If they are registered elsewhere, they cannot access GPCCMP items at your practice.
📝 Referral letters, not formsHealth Insurance (Section 3C) Determination 2024
The Services Australia TCA referral form is gone. Allied health referrals under a GPCCMP must now be referral letters, consistent with specialist referral requirements. The letter must include: patient name and date of birth, provider details and provider number, date of referral, reason for referral and relevant clinical information. No acceptance from the allied health provider is required.
🤝 No longer need 2 collaborating providersRACGP CDM FAQs · MBS Online AN.0.47
Under the old TCA, you needed input from at least 2 collaborating providers. The GPCCMP removes this requirement. GPs can refer directly to relevant allied health services — no multi-disciplinary confirmation needed upfront. Allied health providers still report back to the GP after the first service.
No immediate action required for patients with a GPMP or TCA in place before 1 July 2025. They can continue to access services under those plans until 30 June 2027. MBS Online AN.15.5
1
Existing referrals remain valid — referrals written before 1 July 2025 remain valid until all services under that referral have been provided. No need to reissue.
2
When a patient comes in for a review — if a patient with an existing GPMP or TCA needs a review after 1 July 2025, transition them to a GPCCMP at that point (item 965). The old review items (233, 732) have ceased.
3
From 1 July 2027 — all patients requiring ongoing allied health access under MBS will need a GPCCMP. Start transitioning patients proactively before the deadline.
4
If a patient changes practices — a new GPCCMP does not have to be prepared at the new practice. The new practice must have access to the original plan (e.g. via medical record transfer) to review it. RACGP CDM FAQs
What to do now
🔴
Stop using items 229, 721, 723, 732, 233. These are ceased. Claiming them after 1 July 2025 will result in Medicare rejecting the claim.
🔴
Update your PMS templates. Replace GPMP/TCA templates with GPCCMP templates using items 965/967. Check with Best Practice or your PMS vendor for updated templates.
🟡
Replace TCA referral forms with referral letters. The old Services Australia referral form is no longer required. Ensure your practice has a GPCCMP referral letter template.
🟡
Check MyMedicare status for patients needing a new plan. If a patient is MyMedicare-registered, confirm they are registered at your practice before providing GPCCMP services. Check via My Health Record or ask the patient directly.
🔵
Identify patients with GPMPs not reviewed in the last 18 months. Run a recall list — any patient whose GPMP or GPCCMP has not been reviewed in 18 months will lose allied health access until a new plan is done.
🔵
Brief your practice team. Practice nurses, admin, and any clinical staff involved in CDM management need to understand the new referral process and item numbers.
Common questions
No. This was always the rule and has not changed. Items 965 and 967 cannot be co-claimed with general attendance items (23, 36, 44, or telehealth equivalents) on the same day. The GPCCMP item includes the attendance component. AN.0.47 However, you can bill a GPCCMP on the same day as a MHTP (2715) if both are genuinely distinct services. Use the billing conflict checker for specific combinations.
No. GPCCMPs do not expire. You can prepare a new plan once every 12 months if necessary, but you do not have to. Reviews (item 967) are available every 3 months if clinically relevant. The key requirement is that a review must have occurred within the last 18 months for the patient to retain allied health access. AN.0.47
No immediate action required. Patients with existing GPMPs and TCAs can continue to access services under those plans until 30 June 2027. However, when the patient comes in for a review, use that opportunity to transition them to a GPCCMP (item 965 or 967). The old review items (233, 732) have ceased and cannot be claimed. MBS Online AN.15.5
No. The GPCCMP is intended to be a comprehensive plan covering all of the patient’s relevant chronic conditions in a single plan. Include a summary of the most clinically relevant conditions. You do not need separate plans for each condition. RACGP CDM FAQs
If a patient is registered with MyMedicare at another practice, they cannot access GPCCMP preparation or review services at your practice from 1 July 2025. The patient would need to either access those services at their registered practice, or update their MyMedicare registration to your practice first. Patients not registered with MyMedicare can still access GPCCMP services from their usual GP as before. health.gov.au CDM factsheet · MBS item 965
Yes — the requirement for allied health providers to send a written report back to the GP after providing certain services (e.g. the first service under a referral) is unchanged. Allied health providers do not need to confirm acceptance of a referral, but the reporting-back obligation remains. Health Insurance (Section 3C) Determination 2024
The GPCCMP can only be done at the specific practice location where the patient is registered in MyMedicare — not at any other location, even if the same GP works there and even if it is the same practice entity. If your GP works at two separate accredited practice locations (i.e. two Organisation Sites in the Organisation Register), the GPCCMP must be done at the registered location. The service can be delivered by any eligible provider at that location, not just the preferred GP. health.gov.au CDM factsheet