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Upcoming changes to MBS Chronic Disease Management Arrangements

Upcoming changes to MBS Chronic Disease Management Arrangements

On 1 November 2024, we will make major changes to the Medicare Benefits Schedule (MBS) items for chronic disease management. This is the first major change to the framework since 2005.

About the changes

From 1 November 2024, MBS items will be changing to:

  • replace the current GP Management Plan and Team Care Arrangements with a single GP Chronic Condition Management Plan
  • support continuity of care by requiring patients enrolled in MyMedicare to access management plans through the practice where they are enrolled. Patients who aren’t enrolled will be able to access management plans through their usual GP
  • encourage management plan reviews  by:
    • equalising the fees for developing and reviewing plans
    • requiring patients to have their plan established or reviewed in the last 18 months so they can retain access to allied health and other services
  • formalise referral processes for allied health services so they are more consistent with other referral arrangements
  • ensure patients do not lose access to their current services through transition arrangements for existing patients with GP Management Plans and Team Care Arrangements.

Why it is important

The framework 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.

These changes were recommended by the MBS Review Taskforce. It is the first major change to the framework in almost 20 years. In that time, we have seen changes to:

  • the burden of chronic disease
  • patient expectations 
  • technology to support communications between multidisciplinary care team members and their patients.

Goals

The changes aim to:

  • simplify, streamline, and modernise the arrangements for health care professionals and patients
  • promote continuity of care
  • encourage the regular review of chronic condition management plans
  • support communications between a patient’s multidisciplinary care team
  • ensure existing patients can continue to access the care they need.


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