Review of MBS referred chronic condition management services

Learn about how the Medicare Benefits Schedule (MBS) Review Advisory Committee (MRAC) is reviewing MBS allied health chronic disease management services.

About the review

On 20 August 2024, the MRAC commenced a review of MBS referred chronic condition management services. These include allied health and Aboriginal and Torres Strait Islander primary health care professional services for patients with a GP chronic condition management plan. The MRAC will assess whether these services are adequately supporting patients with chronic conditions and whether individual and group MBS services could be improved to better support eligible patients.

The MBS GP planning items (including referral processes), case conferencing items, and item schedule fees will not be considered in the review.

An MRAC Working Group is considering the following questions:

  • What should the calendar year limit be for individual chronic condition management services?
  • Should the existing individual chronic condition management service ‘floor’ of 20 minutes be increased? If so, what is an appropriate ‘floor’ and should this vary (e.g., longer initial consult or time-tiering)?
  • Should the existing condition specific restriction on group services be expanded beyond type 2 diabetes? If so, which conditions would benefit from group services, and which of the existing eligible individual health provider services are appropriate for group settings?
  • Should the list of eligible individual health providers be expanded? If so, which health professions should be added?

The Working Group comprises a mix of MRAC members, allied health professionals, an Aboriginal and Torres Strait Islander health practitioner, medical practitioners and consumers.

The Allied Health Working Group comprises a mix of MRAC members, allied health professionals, medical practitioners and consumers

Who we work with

Allied Health Working Group (AHWG) members 
MemberArea of specialty or expertise
Associate Professor Beverley Rowbotham (Chair)Pathology
Dr Jason AgostinoGeneral Practice/Epidemiology/Indigenous Health
Ms Jan DonovanConsumer Representative
Ms Jade HansenAboriginal Health Practitioner
Mr Ray KellyExercise Physiology
Professor Raghu LingamPaediatrics
Ms Alison MarcusConsumer Representative
Dr Sue MaselRural General Practice
Professor Hylton MenzPodiatry
Dr Andrea MoslerSports and Exercise Physiotherapist
Mr Brady SchulzDietitian, Sports Dietitian, Exercise Physiology
Ms Robyn StephenPaediatric Speech Pathology
Ms Helen WhaitOccupational Therapy
Departmental Officers 
Ms Anita Hobson-PowellChief Allied Health Officer, Department of Health and Aged Care
Associate Professor Andrew SingerPrincipal Medical Adviser, Department of Health and Aged Care

Why the review is important

To ensure chronic condition management services adequately support patients with chronic conditions.

Consultation

Targeted and public consultation processes will be undertaken during the review.

To register your interest in participating in the consultation email: MRACAlliedHealth@health.gov.au

Status

The working group established for this review held its first meeting on 20 November 2024 at which the Terms of Reference and review questions were endorsed. The working group has met 5 times to date.

It is anticipated this review will take approximately 18 months to complete.

DateActivity
20 November 2025Fifth working group meeting held
8 May 2025Fourth working group meeting held
2 April 2025Third working group meeting held
4 February 2025Second working group meeting held
20 November 2024First working group meeting held
October 2024The Working Group was established
20 August 2024 The MRAC endorsed the scope of the review and establishment of a working group

Contact

MBS Continuous Review contact

Contact us with questions about the Medicare Benefits Schedule (MBS) Continuous Review.
Date last updated:

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