GP Chronic Condition Management Plan for Chiropractic: 2025 Changes

From 1 July 2025, the existing Team Care Arrangements (TCAs), Enhanced Primary Care plans (EPCs), and Chronic Disease Management Plans will be replaced by a single plan known as the GP Chronic Condition Management Plan (GPCCMP).

Under the GPCCMP, individuals will be able to access Medicare-subsidised care from allied health providers, such as chiropractors, through a simplified arrangement.

What is Changing Under The GPCCMP?

The GP Chronic Condition Management Plan will replace the Team Care Arrangements (TCAs), Enhanced Primary Care Plans (EPCs), and Chronic Disease Management Plans as of 1 July 2025.

To access Medicare subsidies with a GPCCMP, individuals only need to obtain a direct referral from their GP - the TCA requirement for involving two or more collaborating providers for referral has been removed.

Those registered with MyMedicare can obtain a referral from their registered general practice to access GPCCMP services. A separate referral is required to access each type of allied health service - for example, a separate referral is required to see a chiropractor and a physiotherapist. Each GPCCMP referral is valid for 18 months.

There is no expiry date for a GPCCMP - however, it will be reviewed every three months. Those whose needs have changed will require a new GPCCMP. A GPCCMP can be prepared every 12 months.

What Is Staying the Same Under The GPCCMP?

Eligible individuals can still access up to five Medicare-subsidised allied health visits each calendar year under the GPCCMP.

The eligibility criteria for obtaining a referral remain unchanged - individuals must have a condition that is present or likely to be present for more than six months. GPs retain discretion over whether GPCCMP services will benefit the individual. 

Individuals who have been approved for a TCA, EPC, or Chronic Disease Management Plan before 1 July 2025 can continue to access care under the same conditions until 1 July 2027. Existing plans that require changes to the type of services accessed after review must be assessed under the GPCCMP’s referral requirements.

Key Information For GPs And Prescribed Medical Practitioners 

GPCCMPs can be prepared and reviewed either face-to-face or via a telehealth appointment. Practice nurses, Aboriginal and Torres Strait Islander Health Practitioners, and Aboriginal Health Workers can assist with the development or review of a GPCCMP. 

Allied health providers no longer need to confirm acceptance of the referral or provide input into the preparation of the GPCCMP. GPs and prescribed medical practitioners (PMPs) can directly refer patients for chiropractic care or other allied health services. However, allied health providers must still  provide a written report back to the GP after the provision of the first  services

The fee for preparing and reviewing a GPCCMP is $156.55 for GPs and $125.30 for PMPs. 

The GPCCMP will consist of a written report outlining the patient’s chronic conditions and health care needs, the treatment and services required, and whether the patient will benefit from the type of referred care.

What Does the GP Chronic Condition Management Plan Mean for Chiropractic Patients?

If you are a chiropractic patient with an existing TCA, EPC, or Chronic Disease Management Plan, here’s what you can do:

• Check the details of your plan or referral (validity dates, number of visits left for the year). If your plan was approved before 1 July 2025, you can continue accessing subsidised services until it expires or all sessions are used.
• Review your plan with your GP to assess if the referred services meet your needs. If your needs have changed, your GP must create a new plan under the GPCCMP framework.
• Register for MyMedicare to ensure that future referrals and reviews can be conducted by the same GP. 

If you do not have an existing plan or referral, you must obtain one from your GP under the new GPCCMP’s requirements before you can start accessing chiropractic care with Medicare subsidies applied.

Spinal Works is a chiropractic clinic in Townsville providing chiropractic care to help patients live pain-free. We accept patients with GP Chronic Condition Management Plans and work closely with local GPs to ensure the right care for chronic conditions such as sciatica, back pain, and scoliosis.