New Chronic Disease Management items for patients in residential aged care facilities

21 Jan 2021

Patients in residential aged care facilities can now access Medicare benefits for chronic disease management services. Since 22 December 2020, GPs have been able to claim for services provided from 10 December 2020. The frequency and number of these services for residents in aged care facilities is similar to the general population. 

Patients need to be on a chronic disease management plan and be reviewed after each referral has expired. Each year they can access: 

  • 5 individual and 8 group allied health services  

  • 5 additional services for individual physiotherapy, exercise physiology and occupational therapy 

  • 2 additional services for group exercise physiology 

For GPs and medical practitioners, the new MBS items are: 

  • Contribute to multidisciplinary care plan 9346993475 

Indigenous Australians in residential aged care facilities who have had a health assessment can access follow up allied health services. 

For GPs and medical practitioners, the new MBS items are: 

GPs travelling to a residential aged care facility to provide a chronic disease management service can also claim a flag fall service item. The flag fall service item can only be claimed for the first appointment at each facility. GPs can provide services at multiple aged care facilities and claim additional flag fall items in the same day. 

More information is available on MBS Online.