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Understanding Your Care Options
Chronic Disease Management Plan: Get Expert Support Today
What Is a GP Chronic Condition Management Plan?
In plain terms, it’s a written plan your GP prepares to coordinate the care of an ongoing health condition. Rather than treating each appointment in isolation, the plan sets clear goals, lists the actions needed to reach them, and opens the door to Medicare-subsidised allied health and nursing services that support your GP’s treatment.
As of July 2025, Medicare streamlined how this works. The previous GP Management Plan (GPMP) and Team Care Arrangement (TCA) were merged into one GP Chronic Condition Management Plan (GPCCMP), often shortened to a GPCCM plan. You might still hear it called a chronic health management plan, a chronic care management plan, a chronic health plan, or a gp chronic disease management plan, different names for the same Medicare framework, all coordinated by your GP.
Why a Chronic Health Care Plan Is Worth Having
A lot of people put off asking their GP about this because they assume it’s paperwork for paperwork’s sake. In practice, it changes three things:
- Coordination. Your GP, allied health providers, and nursing support all work from the same documented goals, instead of you repeating your history at every appointment.
- Cost. Medicare rebates apply to eligible allied health and nursing visits arranged under the plan, which can meaningfully reduce out-of-pocket costs for ongoing care.
- Continuity. Regular scheduled reviews mean your treatment adjusts as your condition changes, rather than only being reassessed when something goes wrong.
None of this replaces acute or emergency care. It sits alongside it, catching the slow, cumulative changes that regular short consultations often don’t have time to address. Effective chronic conditions management rarely happens in a single appointment, and many people move through several chronic condition management plans over the years as their health needs change.
Am I Eligible for a Chronic Disease Management Plan?
Eligibility Test
Applies If
Applies If
Your condition has lasted, or is likely to last, six months or more
Terminal illness
Applies If
Applies If
Conditions commonly managed this way include diabetes, heart disease, COPD, asthma, chronic kidney disease, arthritis, chronic pain, and some mental health conditions. If you’re unsure whether your situation qualifies, that judgement call belongs to your chronic disease doctor, usually your regular GP, so it’s worth raising at your next appointment rather than trying to self-assess.
What's Included Once Your Plan Is in Place
A chronic condition management plan itself is a coordination document, but it’s the referrals attached to it that create real value:
- Up to five allied health visits per calendar year, covering services like physiotherapy, podiatry, dietetics, exercise physiology, and psychology
- Referral to nursing support for medication management, wound care, or chronic disease monitoring at home
- Regular GP reviews to track progress against your plan's goals
- A written copy of your plan, so you always know what's been agreed and why
Unused visits don’t roll over into the following year, so it’s worth discussing with your GP whether you’re making full use of what your plan allows.
Chronic Disease Management Plan Funding & Cost
This is the question most people actually want answered: what will it cost you? Here’s how the funding breaks down:
Service
Funding
What You Might Pay
GP plan preparation and review
Funding
What You Might Pay
Funding
What You Might Pay
Funding
What You Might Pay
The Medicare rebate reduces the cost of care arranged under your plan, but it isn’t automatically free. Whether you pay a gap fee depends on your GP practice’s billing policy and the individual allied health or nursing provider you’re referred to. It’s worth asking your GP upfront about expected costs before referrals are arranged, and asking any nursing provider, including us, for a clear quote before your first visit.
What Changed: GPMP and TCA vs the New GPCCMP
A lot of information online about this topic is still describing the old system. Here’s exactly what shifted from 1 July 2025:
Before July 2025
From July 2025
Before July 2025
From July 2025
Before July 2025
From July 2025
Before July 2025
From July 2025
Before July 2025
From July 2025
Strengthened via MyMedicare registration
The underlying eligibility rule (six months, or terminal) hasn’t changed. If you already had a GPMP and TCA, your GP transitions you to the new GPCCMP automatically at your next review, no separate application needed.
Getting Your Plan: What to Expect at the GP
- Book a longer consultation. This kind of care planning needs more time than a standard appointment, so mention it when booking.
- Discuss your goals. Your GP talks through your condition, what's working, what isn't, and what outcomes matter to you.
- Referrals are arranged. If allied health or nursing support would help, your GP includes those referrals in the plan.
- You receive a written copy. This documents your goals, actions, and the services you've been referred to.
- Reviews happen regularly. Typically every six months, or sooner if your condition changes.
If you’re registered with MyMedicare, these steps usually happen through your registered practice, which is one of the changes designed to keep your care consistent over time.
Making the Most of Nursing Support Under Your Plan
- Medication management and administration
- Wound care for conditions that affect healing, such as diabetes
- Vital sign monitoring and early detection of concerning changes
- Chronic disease education, so you understand your own condition better
- Reporting back to your GP after each visit, keeping your plan accurate
This kind of support tends to matter most for people managing multiple conditions, recovering from a hospital admission, or finding it physically difficult to get to frequent appointments. Think of your nurse as your at-home chronic disease manager, helping you manage disease symptoms before they escalate and keeping your plan on track between GP visits. A nurse coming to you, rather than the other way around, often makes the difference between a plan that works on paper and one that actually changes day-to-day health outcomes.
How Our Chronic Disease Management Services Fit Into Your Plan
If you already have a plan in place and want chronic disease nursing arranged, send us your referral details and we’ll confirm what’s involved, usually within a few days.
Why we better
Why Choose Oracle Ability Services for Chronic Disease Support
Registered Nurses, Not Generalist Carers
Every visit is delivered by a qualified, AHPRA-registered nurse experienced in chronic condition monitoring, not general support work.
We Report Back to Your GP
Every visit is documented and communicated to your GP, so your chronic disease management plan stays accurate between reviews, not just at your six-month check-in.
No Minimum Commitment
Some clients need one visit after a hospital discharge, others need ongoing weekly support. Your chronic disease nursing is scaled to what your plan actually requires.
Local, Not a Call Centre
We're a South Australian family-owned provider. When you call, you speak with someone who knows your care, not a national booking line.
Our service
Chronic Disease Nursing Support Across Adelaide
Our chronic disease management services are available across Adelaide and the surrounding South Australian regions, including Adelaide Hills, Northern Adelaide, Southern Adelaide, and the Fleurieu Peninsula. Wherever you live in the greater Adelaide area, our Registered Nurses can visit you at home to deliver the nursing side of your chronic disease management plan, with no need to travel to a clinic.
If you’re unsure whether your suburb falls within our service area, contact our team and we’ll confirm coverage before you arrange your referral.
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FAQ
Chronic Condition Management Plan FAQs
Who is eligible for a chronic condition management plan?
Is a GPMP or TCA still available?
No. From July 2025, both were replaced by the single GP Chronic Condition Management Plan (GPCCMP), with the same eligibility rules applied.
Does chronic disease management plan Medicare funding cover more than GP visits?
How often is my plan reviewed?
Can I get a chronic disease management plan pdf copy from my GP?
How many allied health visits does the plan cover?
Up to five Medicare-subsidised allied health visits per calendar year, shared across services like physiotherapy, podiatry, dietetics, and psychology.
Can nursing support be included in my plan?
Do unused allied health visits roll over?
No. Visits are allocated per calendar year and don’t carry over, so it’s worth checking with your GP if you’re using your full entitlement.
Helping People with Disability Achieve Their Goals
Have a chronic disease management plan and need nursing support to go with it?
Contact Oracle Ability Services, one of the trusted names in chronic disease management Adelaide families rely on, and let our nursing team help you put your plan into practice.
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