The Chronic Disease Management Care Plan is for patients who have a chronic condition and complex care needs.
Only a GP is able to determine whether a patient's chronic condition would benefit from allied health services and the needs for such services must be identified in the patient's care plan.
A patient is considered to have complex care needs if they require care from a multidisciplinary team consisting of their GP and at least 2 other health or care providers each of whom provide a different kind of treatment or service to the patient. A chronic medical condition is one that has been or is likely to be present for at least 6 months.
Medicare benefits are available for up to 5 allied health services per eligible patient per calendar year. Exceptions are not possible.
Visit your GP who will assess whether you have a chronic condition and complex care needs.
Once your plan is in place your GP will refer you to an appropriate allied mental health care service whereby you can attend up to 5 individual sessions.
The 5 allied health services can be made up of 1 type of service (Eg: 5 Speech Therapy services or 5 Occupational Therapy services) or a combination of different types of service (eg: 1 Speech Therapy session and 4 Occupational Therapy services).
Each service must be at least 20 minutes in duration and be provided to an individual and not a group.
If all services are not used within the calendar year in which the plan was established the un-used services can be used in the next calendar year, however those services will be counted as part of the 5 rebates for allied health services available to the patient for that calendar year.