GP chronic condition management plans
Checked against the MBS in force from 1 November 2026 · Last updated 12 November 2026
The GP chronic condition management plan items in plain words: who is eligible, how often a plan can be prepared and reviewed, what it records, and what happened to GP Management Plans. The explanatory notes on MBS Online are the authority, mainly AN.0.47.
The items
| How | Prepare a plan | Review a plan | Schedule fee |
|---|---|---|---|
| Face to face | 965 | 967 | A$160.60 |
| Video | 92029 | 92030 | A$160.60 |
| Phone (from 1 November 2026) | 92033 | 92034 | A$160.60 |
Each has a 100% benefit. A prescribed medical practitioner uses 392 and 393 face to face, 92060 and 92061 by video, and 92063 and 92064 by phone, at A$128.55.
Who is eligible
- A chronic condition: at least one condition that has been, or is likely to be, present for 6 months or more, or is terminal. There is no list of eligible conditions; it’s a matter of clinical judgement.
- Living in the community: not a care recipient in a residential care home, who may be eligible for a multidisciplinary care plan instead. For the face-to-face items only, a private hospital in-patient is also eligible. Public hospital in-patients aren’t, and the video and phone items can’t be used for an admitted patient.
- The right practice: a patient registered in MyMedicare gets the plan through the practice they’re registered with. Otherwise, through their usual medical practitioner.
How often
- Prepare: no more than once every 12 months, and at least 3 months after the last review.
- Review: no more than once every 3 months, unless exceptional circumstances apply.
What the note shows
The claim check looks for these in the note, each with the sentence that shows it:
- the patient’s agreement to a plan being prepared;
- their conditions and health care needs;
- goals set with the patient, and actions they will take;
- the treatments and services they need, and referrals with what each is for;
- their agreement to the plan being shared with the other providers involved;
- a timeframe for reviewing the plan;
- their agreement to the finished plan, and a copy offered to them.
For a review, it looks for an existing plan being reviewed.
Plans made before 1 July 2025
GP Management Plans and Team Care Arrangements (such as items 721 and 723) were replaced by these items on 1 July 2025, and the old review item 732 ended. Patients can keep using services under an old plan until 1 July 2027. Old plans shouldn’t be reviewed with the new review items: if a patient needs a review, it’s the time to prepare a new plan. The transition is set out in AN.15.5.
How the claim check shows it
When the note shows a plan prepared or reviewed, the claim check lists the item for how the consult was held: 965, 92029 or 92033 to prepare, 967, 92030 or 92034 to review. It names any part of the plan missing from the note. The item shows as Possible with a “Check history” note, because the 12-month and 3-month limits depend on the patient’s claims history, which MBS Scribe can’t see. The telehealth rule about a face-to-face visit in the last 12 months doesn’t apply to preparing or reviewing a plan by video or phone (AN.1.1). The plan’s own MyMedicare and usual-practitioner rules apply instead. See how the claim check works.
Questions
- Can I review a GP Management Plan made before 1 July 2025 with item 967?
- No. Plans made under the old items shouldn't be reviewed with the new review items. If the patient needs a review, it's the time to prepare a new GP chronic condition management plan. Patients can keep using services under an old plan until 1 July 2027.
- How often can a plan be prepared and reviewed?
- A plan can be prepared no more than once every 12 months, and at least 3 months after the last review. A plan can be reviewed no more than once every 3 months, unless exceptional circumstances apply.
- Can I prepare a plan by phone?
- Yes, from 1 November 2026: item 92033 prepares a plan by phone and 92034 reviews one. They have the same schedule fee as the face-to-face and video items, A$160.60.
- Why does the claim check show a plan item as Possible?
- Because the 12-month and 3-month limits depend on the patient's claims history, which MBS Scribe can't see. The check names any part of the plan missing from the note and asks you to check the history.
This page paraphrases the MBS and describes how MBS Scribe’s claim check reads these items. It isn’t billing advice. The full descriptors and notes are on MBS Online: AN.0.47, AN.15.3 and AN.15.5. See also what changed on 1 November 2026.