Project Officer: Vijay Ramanathan
Phone: 8752 4915

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Chronic Disease Management (MBS Primary Care Items)

The Chronic Disease Management (CDM) Medicare items on the Medicare Benefits Schedule (MBS) enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers. The items are designed for patients who require a structured approach to their care.

CDM items were previously known as the Enhanced Primary Care (EPC) items. The term ‘EPC plan’ is now obsolete. There are no changes to the eligibility requirements for the CDM items, including the allied health services for people with chronic disease. This is simply a change to terminology to bring it up to date. Medicare Australia and provider organisations have been advised of the change. EPC language has also been removed from the MBS Group A14 (Health Assessments) items.

CDM items (items 721 - 732) include:

• Item 721: Preparation of a GP Management Plan (GPMP)
• Item 723: Coordination of Team Care Arrangements (TCAs)
• Item 732: Review of a GP Management Plan or Coordination of a Review of Team Care Arrangements
• Item 729: Contribution to a Multidisciplinary Care Plan, or to a review of a multidisciplinary care plan, for a patient who is not a care recipient in a residential aged care facility
• Item 731: Contribution to a multidisciplinary care plan, or to a review of a multidisciplinary care plan, for a resident in an aged care facility

For details of the above mentioned CDM items (such as mandatory requirements, patient eligibility) please visit MBS note A37.

CDM referrals

• Allied Health Services AHP_Fact_Sheet.pdf and Referral form.pdf
• Type 2 Diabetes group services information and referral form
• Dental Services: Form - Patient Fact Sheet
• Lifestyle Modification Programs (LMP) CSGPN_LMP program
• Links to Allied Health Professional Directories
• Case Conferences information and form

CSGPN: support and services:

• Hard copy resource folder
• Phone support if you have any questions in regard to the item numbers
• Practice visits to provide one-to-one support also to your practice staff
• Resources and advice on Recall and Reminder Systems

Useful Links

• Connecting Care
• Sydney Cancer Centre
• Cancer Institute of NSW (eviQ) Cancer Treatments Online
• Inner West local Services
• Department of Health and Ageing (CDM site)
• Department of Health and Ageing, Community Care
• Drs reference site CDM