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Care plans

Patients are eligible to receive Medicare reimbursement for up to 5 reviews per 12 month period by a Diabetic Educator or Exercise Physiologist if referred under an EPC plan that their GP has prepared and billed the following MBS Chronic Disease Management items in the previous two years:

A GP Management Plan - item 721 (or review item 725); and
Team Care Arrangements - item 723 (or review item 727)

Medicare reimbursement for Psychology services can only be provided to people with 'an assessed mental disorder' that is being managed by a GP under a GP Mental Health Care Plan or a psychiatrist assessment and management plan, or on direct referral from a psychiatrist or a paediatrician (for treatment of a child).

All psychology Medicare services are limited to a maximum of 12 individual sessions per client per calendar year, with a review by the referring doctor required after the initial six sessions. In addition, clients will also be eligible for 12 group session services, where appropriate, in a calendar year.

Templates for care plans are available through Medical Director.

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