Ninox Health

Care Plans Are Built Around People, Not Paperwork

What is a GP Chronic Condition Management Plan?

A ‘GP Chronic Condition Management Plan’ [GPCCMP], commonly referred to as a ‘Care Plan’, is a plan that helps you and your GP manage all your long-term health conditions. It will help you and your GP to:

• Put all your long-term health conditions into one document
• Set health-related goals and track your progress toward them
• Outline actions required and update treatment plans for each condition
• Coordinate care more effectively between your GP and Allied Health Professionals (example: physiotherapist, or podiatrist)

Eligibility Requirements

You may be eligible if you have:

One or more chronic conditions – Medicare defines a ‘chronic condition’ as a condition that lasts 6 months or longer.
Examples of these conditions include asthma, diabetes, arthritis, heart disease, chronic pain, vitamin deficiencies, mental health conditions & many more.

You and your usual GP will determine if your health condition is eligible for a GPCCMP during your appointment.

To support continuity of care, patients should be registered with the ‘My Medicare’ program to ensure these services are provided by the patients’ regular provider.

 Please contact Ninox Health on 07 5453 4404 for more information about the
‘My Medicare’ program & to access the required forms.

How do I Benefit?

A GPCCMP will allow you to gain access to x5 Medicare-subsidised visits to your preferred Allied Health provider.

See below for a list of eligible Allied Health providers

What Will My Appointment Look Like?

Once your eligibility has been determined with your regular GP, you can book in for your care plan appointment.

On the day of your appointment, you will see the Practice Nurse prior to seeing your GP.

The Practice Nurse will set up the required documentation with you and ask you a few preventative health questions – such as when your last bowel screening was done. The Practice Nurse will also take some basic observations – such as your blood pressure, height and weight.

Following this, you will see your regular GP to finalise and sign your documentation

What Happens Next?

After setting up your care plan and referrals to your preferred Allied Health provider, you can contact your Allied Health Provider to set up your appointment under your GPCCMP.

You can review your care plan once every 3 months. During this appointment, you will see the Practice Nurse first, who will ask you various questions about your chronic conditions and help you assess whether you are progressing toward your health goals, which were set during your initial appointment.

If you wish to change your referrals to another Allied Health provider, the Practice Nurse can arrange this for you during this appointment.

Please note: As per Medicare, you are only allocated 5 visits per year; once you use these, you will need to wait 12 months to get another 5. Referrals can only be re-allocated if you have not used all 5 visits.

Example: If you allocate all 5 visits to a physiotherapist, and only use 2 visits, you will have 3 visits remaining. You will be able to re-allocate these 3 remaining visits to another Allied Health professional (such as a Dietitian) during your GPCCMP review appointment.

Did You Know?

Did you know that Aboriginal and Torres Strait Islander Peoples are eligible to have 10 visits per year?

Did you know that if you are a Type 2 Diabetic, you are eligible to have additional funded diabetic group sessions?

In 2022, there were 15.4 million (61%) Australians living with at least one long-term health condition.

In 2022, chronic conditions contributed to 9 out of 10 deaths (90%) in Australia.