Medicare Care Plan Changes from 1 July 2025: What GPs Need to Know
- Ash Van Leeuwestyn
- Jun 27
- 2 min read
Updated: Jun 30
From 1 July 2025, Medicare is rolling out a major overhaul of how care plans are managed and billed. The new framework—known as the GP Chronic Condition Management Plan (GPCCMP)—replaces the current system of separate GPMPs, TCAs, and reviews.
These changes are designed to simplify the process, promote continuity of care, and align with modern general practice workflows—but they also come with significant shifts in billing, referrals, and eligibility that every clinic needs to understand.
🔁 What’s Changing?
GPMPs (721), TCAs (723), and reviews (732) will be replaced with one integrated care plan
New MBS item numbers with equal rebates for planning and reviews
Referrals to allied health must now be made using referral letters (no more MBS forms)
No requirement to consult with two other providers to initiate allied health
MyMedicare registration becomes essential for item claiming
A two-year transition period (1 July 2025–30 June 2027) is in place
🧾 New MBS Item Numbers
Service | GP Item | Fee |
Prepare Plan (F2F) | 965 | $156.55 |
Prepare Plan (Video) | 92029 | $156.55 |
Review Plan (F2F) | 967 | $156.55 |
Review Plan (Video) | 92030 | $156.55 |
Prescribed medical practitioners use 392, 393, 92060, and 92061 ($125.30 each).
📋 The Referral Process
Standard referral letters replace MBS forms
Include diagnosis, goals, and planned interventions
No team care arrangement required
Allied health providers must still send a written report after the first service
📌 MyMedicare: A Key Link
Patients should be registered with your practice through MyMedicare to access the new planning/review items
If patients decline MyMedicare registration, they can still access GP CCMP through their regular GP.
Plans must be prepared or reviewed within the past 18 months to access allied health
Plan uploads to My Health Record are encouraged (with patient consent)
🗓️ Transition Period: 1 July 2025 to 30 June 2027
You can continue using existing GPMPs and TCAs until 30 June 2027, but:
You cannot bill old item numbers (721, 723, 732) after 1 July 2025
You can continue referring to allied health from these plans
Item 10997 and its telehealth equivalents remain billable under existing plans
Any reviews after 1 July 2025 must be done using the new GPCCMP items
❌ What’s Not Changing
Multidisciplinary care plan items (231, 232, 729, 731) stay in place
Patients still eligible for:
Up to 5 allied health sessions/year
Up to 10 for Aboriginal and Torres Strait Islander patients
Group diabetes education services (if assessed as suitable)
Need practical, clinic-ready support?
👉 See our in-depth course: Covers the new framework, item numbers, workflows, referral processes, MyMedicare claiming, compliance tips, and practical implementation strategies.
👉 Watch our webinar in the course: Get real-world guidance on how to roll out the changes, train your team, and plug the gap left by reduced care plan rebates.
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