• 201 Fitzroy Street, St. Kilda, VIC, 3182
  • 03 9002 0888

Key points:

  • Medicare rebate for five allied health services per patient each calendar year from GPs. No additional services are allowed in any circumstances.
  • A patient must have a GP Management Plan (GPMP) and Team Care Arrangements (TCAs) (or a multidisciplinary care plan for residents of a residential aged care facility).
  • Your GP will decide whether you would benefit from these services and, if so, will refer you for appropriate allied health services.
  • Allied health services must be provided by eligible providers who are registered with Medicare.

Are you eligible?

You may be able to claim Medicare rebates for allied health services if you have a chronic (or terminal) medical condition that is being managed by your GP under both of these Medicare Chronic Disease Management (CDM) items: a GPMP and TCAs. The need for allied health services must be directly related to your chronic condition.

Chronic medical conditions

A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, chronic pain, musculoskeletal conditions and stroke. There is no list of eligible chronic disease. However, the CDM items are for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.

Management of your condition

If you have a chronic condition, with or without complex care needs, a GPMP will enable your GP to provide a structured approach to your care. It is a plan of action in which you agree management goals with your GP.

If you also have complex care needs, requiring multidisciplinary care, TCAs will enable your GP to collaborate with at least two other care providers involved in your treatment. TCAs will identify who needs to be involved in your care and help coordinate the team-based approach.

 

Individual Allied Health Services

Once you have a GPMP and TCAs in place, you will receive a referral for up to five allied health services each calendar year. Your GP can decide whether you should be referred for these services, and the type and number of services required.

The five services can be provided by a single allied health provider or shared across different providers. You can request that your GP refer you to an allied health provider you already know, or your GP can recommend one.

Allied health providers need to meet specific eligibility criteria and be registered with Medicare Australia.

Eligible Allied Health Providers

  • Diabetes Educators
  • Dietitians
  • Exercise Physiologists
  • Aboriginal Health Workers
  • Aboriginal and Torres Strait Islander Health Practitioners
  • Audiologists
  • Chiropractors
  • Mental Health Workers*
  • Occupational Therapists
  • Osteopaths
  • Physiotherapists
  • Speech Pathologists
  • Podiatrists
  • Psychologists

Tags: Fitzroy Street Medical Centre, St. Kilda, General Practitioner, GP

PLEASE, DO NOT ENTER OUR CLINIC IF YOU HAVE ANY COLD/FLU SYMPTOMS. CALL US FIRST!
As a preventive measure against transmission of COVID-19, our doctors have a consultation over the phone first. During this telephone consultation, you will work out with the doctor whether you need a face to face consultation. You will have face to face consultation then. We continue bulk-billing our patients in these difficult times. We stock AstraZeneca only. No Pfizer vaccine at our clinic.
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