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Living with a long-term health condition can sometimes feel like a cycle of managing symptoms, dealing with flare-ups and seeking help only when things become difficult.
A GP Chronic Condition Management Plan (GPCCMP) can help shift care from reactive treatment to a more coordinated, proactive approach focused on long-term health, prevention and quality of life.
What Is a GP Chronic Condition Management Plan?
A GPCCMP is a structured plan prepared by your GP for eligible patients with one or more chronic medical conditions.
Since 1 July 2025, GPCCMPs have replaced the previous GP Management Plan and Team Care Arrangement framework for new plans.
Your plan may include:
- the conditions being managed
- your health goals
- treatment recommendations
- medications and monitoring
- allied health referrals
- review arrangements
The plan is developed with you, so your lifestyle, priorities and personal goals form part of the discussion.
Who May Be Eligible?
A chronic medical condition is generally one that has been, or is expected to be, present for at least six months, or is terminal.
Examples may include:
- diabetes
- heart disease
- asthma
- arthritis
- chronic musculoskeletal conditions
- kidney disease
- cancer
- osteoporosis
- neurological conditions
Eligibility depends on your individual circumstances, so the best starting point is a conversation with your GP.
Coordinating Your Healthcare Team
One of the main benefits of a chronic condition management plan is better coordination between your GP and other healthcare professionals.
Your GP remains at the centre of your care and may involve allied health providers such as:
- physiotherapists
- dietitians
- podiatrists
- exercise physiologists
- occupational therapists
- diabetes educators
- psychologists or other eligible professionals
Where clinically appropriate, eligible patients may be able to access Medicare-subsidised allied health services as part of their plan.
Medicare, MyMedicare and Allied Health
A GPCCMP may support access to Medicare benefits for certain allied health services.
Some providers may charge more than the Medicare rebate, so it is worth checking whether there will be any out-of-pocket cost before your appointment.
MyMedicare is a voluntary registration program that allows patients to register with their preferred general practice and GP. For registered patients, chronic condition plan preparation and reviews are generally provided through their registered practice.
If you had a GP Management Plan or Team Care Arrangement before 1 July 2025, transitional arrangements may continue to apply.
Preparing for Your Appointment
A little preparation can help your GP understand your needs more clearly.
Consider bringing:
- an up-to-date medication and supplement list
- recent test results or specialist letters
- information about hospital visits
- details of how your condition affects daily life
- any health goals you would like to work towards
For example, your goal might be improving blood glucose control, reducing pain, increasing mobility or becoming more physically active.
Setting and Reviewing Health Goals
A chronic condition management plan works best when goals are realistic and measurable.
Instead of:
“I want to exercise more.”
A clearer goal might be:
“I will walk for 20 minutes four times a week over the next eight weeks.”
Depending on your condition, your GP may also monitor:
- blood pressure
- blood glucose or HbA1c
- cholesterol
- weight
- pain levels
- mobility
- respiratory symptoms
- medication effectiveness
Regular reviews allow your plan to change as your health and priorities change.
When Should You Speak With Your GP?
Consider discussing a GP Chronic Condition Management Plan if:
- you have an ongoing health condition
- you regularly need care for the same condition
- you see several healthcare professionals
- your condition affects everyday activities
- you experience frequent flare-ups
- you may benefit from allied health support
- you would like a more structured approach to your care
You do not need to wait until your condition becomes difficult to manage.
Take a More Proactive Approach to Your Health
A GP Chronic Condition Management Plan can provide a clearer framework for managing your health, coordinating your care and working towards meaningful long-term goals.
It’s proactive, structured care, not crisis management.
Could a Chronic Condition Management Plan Help You?
Ask your GP at Arkaba Medical Centre whether a plan is right for you.
Your GP can assess your circumstances, explain your eligibility and discuss which services may be appropriate as part of your ongoing care.
More information:
Services Australia – GP Chronic Condition Management Plan
The information in this article is general in nature and does not replace personalised medical advice. Medicare eligibility, rebates and available services can vary depending on individual circumstances. Speak with your GP or Services Australia for advice relevant to your situation.
FAQs
What is a Chronic Condition Management Plan?
A Chronic Condition Management Plan is a structured care plan developed by your GP for patients with a medical condition that has been, or is likely to be, present for six months or longer. It helps coordinate your ongoing care between your GP and other healthcare providers.
Does it give access to allied health services?
Yes. Eligible patients may be able to access a limited number of Medicare-subsidised allied health services each calendar year, such as physiotherapy, dietetics, podiatry or exercise physiology, where these services form part of their care plan.
How often is the plan reviewed?
Your plan is generally reviewed regularly, often around every three months, to ensure your treatment continues to reflect your current health needs, goals and progress.