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NDIS explained

What is a chronic condition management plan, and how does it work with the NDIS?

Updated 19 October 2026 · Checked against official NDIS and government sources

In plain English

A GP chronic condition management plan is a Medicare plan your GP writes if you have a condition that has lasted, or is likely to last, at least 6 months. It replaced GP management plans and team care arrangements on 1 July 2025. It gives you Medicare rebates for up to 5 allied health sessions a calendar year (10 for Aboriginal and Torres Strait Islander people), separate from the NDIS.

What a chronic condition management plan is

A GP chronic condition management plan, often shortened to GPCCMP, is a written plan your GP prepares with you to manage a chronic or terminal health condition. It sets out your needs, your goals and the treatment and services that will help, including referrals to allied health professionals.

You are eligible if you have at least one medical condition that has been present, or is likely to be present, for at least 6 months, or that is terminal. You do not need to be an NDIS participant, and being one does not stop you from having a plan.

What changed in July 2025

From 1 July 2025 the GPCCMP replaced the older GP management plan (GPMP) and team care arrangement (TCA). If you had a GPMP or TCA before that date, you can keep using services under it until 30 June 2027. After that you need a GPCCMP for ongoing access to Medicare allied health sessions.

If you are enrolled in MyMedicare, your plan must come from the practice where you are enrolled. If you are not enrolled, your usual GP prepares it. A plan can be prepared once every 12 months if needed, and reviewed as often as every 3 months. To keep accessing allied health sessions, your plan must have been prepared or reviewed within the last 18 months.

What Medicare covers under the plan

With a GPCCMP your GP can refer you to allied health professionals, and you can claim a Medicare rebate for:

  • Up to 5 individual allied health sessions each calendar year
  • Up to 10 individual sessions each calendar year for Aboriginal and Torres Strait Islander patients
  • Up to 5 services a year from a practice nurse or Aboriginal and Torres Strait Islander health practitioner
  • A group assessment and up to 8 group sessions if you have type 2 diabetes

Which professionals you can see

Eligible allied health professionals include physiotherapists, occupational therapists, speech pathologists, podiatrists, dietitians, exercise physiologists, psychologists, audiologists, chiropractors, osteopaths, diabetes educators and mental health workers. Practitioners set their own fees, so a rebate may not cover the full cost unless they bulk bill.

Your allied health professional must send your GP a written report after the first and last session. This keeps your GP in the loop about how treatment is going.

Medicare or NDIS: which one pays?

The two systems pay for different things. Medicare funds health care: treating, managing and recovering from a health condition. The NDIS funds supports for the ongoing functional impact of a permanent and significant disability. The NDIS pricing arrangements say medical expenses covered by Medicare or private health insurance are not funded by the NDIS, even if they relate to your disability.

Some therapists see the same person under both systems, for example physiotherapy for a recent injury through Medicare, and physiotherapy to keep up mobility related to a disability through the NDIS. In that case they must keep the two separate and claim each session from the right place. You cannot claim the same session from both.

  • Use Medicare for: a new injury, recovery after surgery, managing a health condition such as diabetes or arthritis
  • Use your NDIS plan for: therapy that builds or maintains your daily living skills, mobility or communication because of your disability
  • Use both when they cover different needs, with clear records of which session is which

Tips for NDIS participants

Five sessions a year will not go far for most disability related needs, so do not rely on a GPCCMP in place of NDIS funded therapy. But it can be useful for short term health problems that are not part of your disability, and it keeps your GP coordinating your health care.

Since 1 October 2026 the improved daily living skills budget is reduced by 10% when a plan is created, reassessed or renewed, so it makes sense to use Medicare for genuinely health related care and keep NDIS therapy for disability related goals. Ask your therapist to explain on each invoice which system a session belongs to.

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Common questions

Can I have a chronic condition management plan and an NDIS plan at the same time?

Yes. They are separate systems. You can use Medicare sessions for health care and your NDIS plan for disability related supports, as long as the same session is not claimed from both.

How many sessions do you get on a chronic condition management plan?

Up to 5 individual allied health sessions per calendar year, or up to 10 for Aboriginal and Torres Strait Islander patients. People with type 2 diabetes can also get group sessions.

Is a GP management plan still valid?

If you had a GP management plan or team care arrangement before 1 July 2025, you can keep using services under it until 30 June 2027. After that you need a GP chronic condition management plan.

Does the NDIS pay the gap on Medicare sessions?

No. The NDIS does not top up Medicare funded health care. If a session is health care, it is claimed through Medicare and any gap is yours or your health fund's.

Can my NDIS physio also see me under Medicare?

Yes, if the Medicare session is for a health issue covered by your GP's referral. The physio must keep records showing which sessions were Medicare and which were NDIS.

Sources

This page is general information, not advice about your plan. NDIS rules change, so check the NDIA or your plan manager before making decisions.

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