Program Officer
Tracey Roebuck 5229 1922
Quicklinks
Program Summary
Patients who have had or will have a chronic condition for at least 6 months are eligible for a GP Management Plan (GPMP). Patients who also have complex care needs are also eligible for a Team Care Arrangement (TCA). The GP may be assisted by the Practice Nurse or other health professional in the preparation of these item numbers.
The GPMP / TCA involves:
- An assessment of the patient
- Identification of management goals
- Identification of actions to be taken by the patient
- Identification of treatments and on-going services
- Documentation of all of the above
To develop a TCA there must be at least 2 other health or care providers who will provide different ongoing treatments or services.
One of the other team members may be a medical specialist, as long as the specialist is involved in ongoing care.
The Practice Nurse may only be one of the team members if providing a different set of services to those provided by the GP. The nurse must have undertaken additional education and gained expertise in the services being provided.
Team Care Arrangement: Collaboration with the participating providers on required services/ treatments and documentation of this in the TCA. Communication between team members must be two way. A blanket agreement for all patients on TCA's with an allied health professional does not meet the requirements.
Chronic Disease Item Numbers
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Item Number
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Description
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Freelance
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721
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Preparation of a GP Management Plan
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Recommended every 2 years; minimum of 12 months
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723
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Preparation of a Team Care Arrangement
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Recommended every 2 years; minimum of 12 months
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732
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Review of a GP Management Plan or Review of a Team Care Arrangement
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Recommended every 6 Months; minimum of 3months
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729
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Contribution to a multi disciplinary care plan prepared by another health care provider
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Recommended every 6 Months; earlier if clinically required
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731
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Contribution to a multi disciplinary care plan prepared by another health care provider for a resident in an aged care facility
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Recommended every 6 Months; earlier if clinically required
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Chronic Disease Practice Nurse Item Number
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Item Number
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Description
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Freelance
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10997
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Service provided by a person with a chronic disease by a Practice Nurse on behalf of / under supervision of a GP
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Maximum of 5 per calendar year. Only relevant to patients already on a GP Management Plan, Team Care Arrangement or a Multidisciplinary Care
Plan.
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Updates/Latest Developments
From May 1st 2010 the review item numbers for GP Management Plans and Team Care Arrangements have been merged into one number 732. The criteria and minimum claiming time remains the unchanged.
Resources/Templates:
GP Mangement Plan/Team Care Arrangement Templates
GP Management Plan/Team Care Arrangement Flow Chart
GP Management Plan/Team Care Arrangement Patient Brochure
EPC Feedback Templates
Letter to AHP re patient ineligible for EPC
Letter to AHP re patient on GPMP/TCA with no EPC available
MBS Link
Links to Other Websites
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OUR SERVICES