Care Plans

Chronic Condition Management Plans are structured plans for the care of patients with chronic conditions. These plans allow a Medicare rebate to be available to patients for referrals to allied health practitioners for up to 5 sessions a year.

Anyone who has a condition that lasts longer than six months (for example, diabetes, arthritis, intellectual disability or asthma), and would benefit from a structured management plan with their GP. People who require palliative care services, and people with chronic problems being discharged from hospital, may also benefit. There are no age restrictions. Even young children or teenagers can benefit from their GP providing a structured care plan.

Generally, you will have an appointment with your doctor who will write the plan with you. A nurse may assist your doctor to prepare and review the plan.  Your management plan is an important part of your care, so it is advisable that your usual doctor or usual practice is the one preparing the plan. Together you will decide:

• What your health care problems and needs are;
• What goals you would like to achieve from the management plan; and
• What other health care and community services you need.

Your doctor must obtain your consent before developing a care plan.

Management plans may be prepared every twelve months, and should be reviewed every 3-6 months to ensure you are reaching your goals. Significant changes to your health may indicate the need for a new plan.

A fee is charged for preparing and reviewing a GP Chronic Condition Management Plan and Medicare pays a rebate for care planning. The gap fee for the plans is less than that incurred for standard appointments, so this is a cost saving to the patient.