Medicare GPCCMP (CDM) Referral Updates
Update 11/06/2026 Medicare Assignment of Benefit changes commence 1 July 2026From 1 July 2026, new Assignment of Benefit (AoB) requirements will apply to Medicare bulk billed services. These changes are relevant to podiatrists who bulk bill Medicare-funded services, including Chronic Condition Management (CCM) services. Key changes include:
Members who bulk bill Medicare services may wish to review their current consent and claiming processes ahead of the commencement date. Information and resources
Note: We have been made aware that certain invoicing systems, such as Tyro, will capture evidence of the assignment through the terminal. If in doubt contact your practice management system provider MBS indexation from 1 July 2026From 1 July 2026, annual indexation will be applied to a range of Medicare Benefits Schedule (MBS) items, with the Government confirming an indexation factor of 2.6%. The indexation arrangements apply to most general medical services items, most diagnostic imaging services and a range of pathology services. At the time of writing, APodA is awaiting official confirmation regarding the indexed fees that will apply to podiatry MBS items and has sought clarification from the Department of Health, Disability and Ageing. APodA will continue to monitor this issue and will provide members with a summary of the updated podiatry rebate amounts as soon as official information becomes available. Further information regarding this announcement can be found here ______________________________________________________________________________ |
- Updated July 2025
What is the policy issue?
The Australian Government has released new rules for GP Chronic Condition Management Plans for the Medicare Benefits Schedule, which take effect from 1 July 2025.
A number of areas in the new rules required clarification and the Government has provided a response to the questions raised.
Overall, the key to ensuring that a patient is eligible for a service is to check. The advice provided is:
- Providers can check a patient’s eligibility for services using the MBS items online checker in HPOS Check MBS Item numbers - Health professionals - Services Australia or the care plan history in HPOS Patient details in HPOS - Health professionals - Services Australia.
This step will go a long way to answering many of the questions raised in preparation for implementation on 1 July 2025.
What is APodA advocating for?
Clarity on how to operationalise the new arrangements specifically in relation to reporting, payment, and monitoring of patient GPCCMP visits.
What has APodA been doing?
- Met with the Commonwealth Chief Allied Health Officer and raised the issues.
- Written to Government Officials responsible for the GPCCMP MBS changes.
- Received advice that a resource will be provided to answer the questions raised and guide allied health.
- Raised the issue with Allied Health Professions Australia.
- Developed a letter template to assist APodA members with GP referrals here >>
Let us know at advocacy@podiatry.org.au if you’re encountering difficulties applying the new referral changes in practice. We’re continuing to work with AHPA and government contacts to ensure these updates are clear, workable, and support clinical practice.