MBS Primary Care Items
Chronic Disease Management (CDM) Medicare Items
Information on Chronic Disease Management (CDM) items, including MBS item descriptors, explanatory notes, questions and answers, an overview fact sheet and example scenarios regarding the use of CDM items.
The Chronic Disease Management (CDM) Medicare items on the Medicare Benefits Schedule (MBS) enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers. The items are designed for patients who require a structured approach to their care.
A ‘chronic medical condition’ is one that has been or is likely to be present for at least six months, including but not limited to asthma, cancer, cardiovascular disease, diabetes mellitus, musculoskeletal conditions and stroke.
Whether a patient is eligible for CDM services is a clinical judgement for the GP, taking into account the patient’s medical condition and care needs, as well as the general guidance set out in the MBS.
GP Mental Health Treatment Plans apply to patients with mental disorders.
Patients who have a chronic medical condition and complex care needs and are being managed by their GP under a GP Management Plan (item 721) and Team Care Arrangements (item 723) are eligible for Medicare rebates for certain allied health services on referral from their GP.
The CDM itemsMedicare rebates are available to GPs for the following services: [links to item descriptors for each item at MBS online].
- Preparing a management plan for a patient who has a chronic or terminal medical condition with or without multidisciplinary care needs (Item 721)
- Coordinating the preparation of Team Care Arrangements for a patient who has a chronic or terminal medical condition and requires ongoing care from a multidisciplinary team of at least three health or care providers (Item 723)
- Reviewing a GP Management Plan (Item 732)
- Coordinating a Review of Team Care Arrangements (Item 732)
- Contributing to a multidisciplinary care plan being prepared by another health or care provider, or to a review of such a plan (Item 729)
- Contributing to a multidisciplinary care plan being prepared for a resident of an aged care facility, or to a review of such a plan (Item 731)
Qs & As
Resources for patients
Resources for providers
- Medicare Australia Quick Reference Guide for general practitioners
- Sample forms. These can be customised to meet the needs of patients and practitioners in your practice.
- PDF printable version of CDM GPMP Sample Form for MBS Item 721(PDF 15 KB)
- RTF printable version of CDM GPMP Sample Form for MBS Items 721 (RTF 43 KB)
- PDF printable version of CDM GPMP (721) and TCA (723) Combined Sample Form (PDF 17 KB)
- RTF printable version of CDM GPMP (721) and TCA (723) Combine Sample Form (RTF 52 KB)
- PDF printable version of CDM Team Care Arrangements Sample Form for MBS Item 723 (PDF 14 KB)
- RTF printable version of CDM Team Care Arrangements Sample Form for MBS Item 723 (RTF 44 KB)
- Important reminders about key requirements:
- Consultant physician treatment and management plans - Questions and Answers for GPs
- Geriatrician assessment and management plans - Questions and Answers for GPs
- Expanded Medicare Healthy Kids Check
- Closing the Gap: Tackling Indigenous Chronic Disease Package
- Asthma cycle of care
- Asthma child and adolescent program
- ANDIAB2 2010: quality assurance of patient practices and diabetes centre care
- Australian Government response to Review of cardiovascular disease programs
- Evaluation of the National External Breast Prostheses Reimbursement Program
- Australian type 2 diabetes risk assessment tool (AUSDRISK)
- Review of cardiovascular disease programs
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