GP Management Plans and Team Care Arrangements: 15 questions from practice teams, answered.

The key point

Items 721, 723 and 732 ceased on 1 July 2025 and were replaced by one GP chronic condition management plan, prepared under item 965 and reviewed under item 967. Plans made before 1 July 2025 still support services consistent with them until the end of 30 June 2027, but they cannot be reviewed under the new items. When an old plan needs changing, or before 1 July 2027 for anyone still using it, the patient needs a new plan.

What happened to GP Management Plan item 721 and Team Care Arrangement item 723?

They ceased on 1 July 2025.⁠^[1]⁠^[4] The GP Management Plan (GPMP) item (721), the Team Care Arrangements (TCA) item (723) and the review item for either (732) were removed from the MBS on that date, together with their telehealth versions and the equivalent items for prescribed medical practitioners.⁠^[1]⁠^[4]

The full list of items that ended: the GP items 721, 723 and 732; the prescribed medical practitioner items 229, 230 and 233; and the video items 92024, 92025, 92028, 92055, 92056 and 92059.⁠^[1]⁠^[4] None of them appears in the current schedule.⁠^[10]

What replaced the GP Management Plan and Team Care Arrangement?

A single GP chronic condition management plan (GPCCMP).⁠^[4]⁠^[9] A GP prepares it under item 965 and reviews it under item 967, face to face, or under items 92029 and 92030 by video.⁠^[2]⁠^[4] From 1 November 2026, phone items 92033 and 92034 can also be used.⁠^[10]⁠^[12] Prescribed medical practitioners use items 392 and 393, or 92060 and 92061 by video and, from 1 November 2026, 92063 and 92064 by phone.⁠^[2]⁠^[4]⁠^[10]⁠^[12] Before you bill the phone items, check their rules on MBS Online, starting with the November 2026 MBS news page.

The two-step model has gone.⁠^[4]⁠^[9] There is no separate team care arrangement, and the GP no longer has to collaborate with other providers to build the plan; where allied health care is needed, the GP refers directly by letter.⁠^[4]⁠^[9] All fees in this guide are in Australian dollars (AUD). Preparing and reviewing now pay the same fee: $160.60 for items 965 and 967 from 1 July 2026, up from $156.55 in 2025–26.⁠^[4]⁠^[8] A review under item 967 now pays the same as preparing a plan.⁠^[8]⁠^[9] That is about double the $82.10 that item 732 paid in the March 2025 schedule.⁠^[11]

How often to review a GPCCMP, and what it must contain, are covered in our GPCCMP practice guide.⁠^[2]⁠^[4]

Can we still bill 721, 723 or 732 for a patient with an old plan?

No. The items ceased on 1 July 2025, so there is no benefit under those numbers for any service provided on or after that date, whether the patient’s plan is old or new.⁠^[1]⁠^[4]

Can we review an old GPMP or TCA with item 967?

No. The new review items (967 for GPs, 393 for prescribed medical practitioners, and their video versions 92030 and 92061) are for reviewing a GP chronic condition management plan only.⁠^[1] They cannot be used to review a GP Management Plan or Team Care Arrangement made before 1 July 2025.⁠^[1]

When an old plan is due for review, or the patient’s condition has changed and the services in it need to change, the Department describes that as the right time to move the patient to a new GPCCMP, prepared under item 965.⁠^[1] Whether a patient needs a new plan is a clinical decision for the GP.

Do plans made before 1 July 2025 still support allied health referrals?

Yes, until the end of 30 June 2027, for services that are consistent with the existing plan.⁠^[1]⁠^[7] The item descriptors say so directly: an old plan counts "until the end of 30 June 2027", and from 1 July 2027 a GPCCMP or a multidisciplinary care plan is needed.⁠^[1]⁠^[5]⁠^[7]

Which old plan counts depends on the service.⁠^[1] For individual allied health and Aboriginal and Torres Strait Islander health services, the patient needs both a GP Management Plan and Team Care Arrangements.⁠^[1]⁠^[7] For type 2 diabetes group services, a GP Management Plan alone is enough.⁠^[1] For practice nurse item 10997 face to face, either plan will do; for its video and phone versions, 93201 and 93203, the descriptors ask for both a GP Management Plan and Team Care Arrangements.⁠^[1]⁠^[5]

What happens if a patient still has only an old plan on 1 July 2027?

From 1 July 2027 they lose access to MBS-supported allied health, Aboriginal and Torres Strait Islander health and wellbeing services and item 10997 services until a GPCCMP is in place.⁠^[1]⁠^[5] The old plan stops counting on that date, and a referral with sessions left does not keep access open on its own.⁠^[1]

The risk falls on the patient first: an allied health visit after that date may attract no Medicare rebate.⁠^[1] It then lands on the practice as rebooked visits, urgent plan appointments and phone calls from allied health providers. A practice that starts moving legacy patients across well before mid-2027 avoids that queue.

Does every patient with an old plan need a new GPCCMP now?

For patients whose care is still consistent with their old plan, no new GPCCMP is needed before 1 July 2027.⁠^[1] For patients whose plan needs reviewing, or whose allied health services need to change, a new GPCCMP is the way to do it now, because the old plan cannot be reviewed.⁠^[1]

The annual reset does not force a change either.⁠^[1] Allied health services are counted from 1 January each year, and a patient whose services are still consistent with their Team Care Arrangement does not need a new plan to keep using them in the new year.⁠^[1]

A practical approach is to move legacy patients across at their next chronic care appointment rather than wait for the deadline. That timing, and the content of each plan, remain clinical decisions for the GP.

Are referrals written on the old form still valid?

Referrals issued before 1 July 2025 stay valid until every service they cover has been provided.⁠^[1] Referrals issued on or after 1 July 2025 must meet the new requirements, which means a referral letter rather than the old form, even for a patient who is still on an old plan.⁠^[1]⁠^[3]

For example, a patient referred to physiotherapy under a Team Care Arrangement in February 2025, with two sessions left, can keep using that referral.⁠^[1] If the same patient now needs a referral to a podiatrist, the GP writes a new referral letter.⁠^[1]

What does a new allied health referral letter need, and how long does it last?

It must be in writing, signed by the referring practitioner (an electronic signature is fine) and dated, and it must give the reasons for the referral with any clinical information the GP thinks the provider needs.⁠^[3] It must also carry the referring practitioner’s name, the practice address or provider number at that practice, and the date the referral was made.⁠^[3]

A chronic condition referral lasts for the period stated in it or, if none is stated, 18 months from the first service provided under it.⁠^[3] It does not have to state a number of services or name a particular provider: the patient can take it to any eligible provider of the profession named.⁠^[3] It cannot be an indefinite referral.⁠^[3]

Who can prepare the new plan when a patient transitions?

For MyMedicare-registered patients, the practice where they are registered; for other patients, their usual medical practitioner or another GP at the same practice.⁠^[2]⁠^[6] A usual medical practitioner is one whose practice has provided, or will provide, the majority of the patient’s services over 12 months.⁠^[2]⁠^[6]

This matters for legacy patients whose old plan was written somewhere else. Check registration and usual-practice status when you book the transition appointment, not after the plan is written.

Can our practice nurse still bill 10997 for patients on old plans?

Yes, until the end of 30 June 2027, for a patient with a GP Management Plan or Team Care Arrangements prepared before 1 July 2025.⁠^[1]⁠^[5] The usual rules still apply: up to 5 services per calendar year across 10997 and its telehealth items, provided on behalf of and under the supervision of a medical practitioner, and consistent with the patient’s plan.⁠^[5]

After 30 June 2027 the patient needs a GPCCMP prepared or reviewed in the previous 18 months, or a multidisciplinary care plan.⁠^[5] Item 10997 cannot be claimed for a nurse’s time helping to prepare or review a GPCCMP, because the plan items are complete services.⁠^[5]

Did multidisciplinary care plans change too?

Only the referral rules changed.⁠^[1] The multidisciplinary care plan items (231, 232, 729, 731, 92026, 92027, 92057 and 92058) were not affected by the GPMP and TCA changes.⁠^[9] Referrals written under them from 1 July 2025 must meet the new referral letter requirements, like any other chronic condition referral.⁠^[1]⁠^[3]

What should reception tell a patient who asks about their old care plan?

That their plan still works for now. Services consistent with a plan made before 1 July 2025 remain available until 30 June 2027, and an existing referral keeps working until its sessions are used.⁠^[1]

Then tell them what will change. The GP will move them to a new chronic condition management plan at a suitable appointment, before 1 July 2027 at the latest.⁠^[1] New allied health referrals come as a letter rather than a form.⁠^[1]⁠^[3] A short, consistent script matters here, because a patient told different things by the desk, the nurse and the allied health provider will ring back.

How do we find the patients still relying on an old plan?

Search for patients whose last plan item was 721, 723 or 732 and who have no 965 or 967 since 1 July 2025. That gives the legacy list: each of those patients needs a new plan before 1 July 2027 if they are still using allied health, Aboriginal and Torres Strait Islander health and wellbeing, or practice nurse services.⁠^[1]

Doing this by hand is possible, but it is a report someone has to rerun every few months, check against the appointment book and follow up by phone or SMS. Decide who owns the list and the recalls. Without an owner, the list is correct once and then goes stale, and patients surface when a provider refuses a referral.

• Search the billing history for patients whose last plan item was 721, 723 or 732.
• Remove anyone with a 965 or 967 claimed since 1 July 2025.
• Flag the patients still using allied health, Aboriginal and Torres Strait Islander health and wellbeing, or practice nurse services under the old plan: each needs a new plan before 1 July 2027.⁠^[1]
• Book the new plan at their next chronic care appointment, after checking MyMedicare registration or usual-practice status.
• Name an owner for the list and rerun the search every few months against the appointment book.

What if our software still shows 721, 723 and 732 templates?

Retire them, and check what replaced them. Vendor templates and practice favourites can lag behind MBS changes, so old GPMP and TCA templates, combined appointment types and recall rules can survive long after the items end.

Three checks cover most of it: plan templates and saved favourites use 965 and 967, not the retired items; the fee schedule loaded in your billing software shows $160.60 for 965 and 967 from 1 July 2026; and recalls follow the new plan rules and flag the 30 June 2027 cut-off for legacy patients.⁠^[1]⁠^[2]⁠^[8] Ask your vendor to confirm each one in writing rather than assuming an update covered it.

A template still carrying a retired item, or a fee schedule that missed the July 2026 update, shows up as unpaid or underpaid claims. A billing review of your chronic care claims since July 2025 flags potential gaps worth checking against the current schedule. Request a free billing optimisation report ↗