Chronic Disease Management Care Plan Changes for Chiro

Chronic Disease Management Care Plan Changes for Chiro

From 1st July 2025, major changes are coming to the way you access Medicare-funded chiropractic care under a Chronic Disease Management (CDM) plan.  The new system aims to provide more coordinated, patient-centred care by improving communication between your GP and your allied health providers, like your chiropractor (2).

Can Medicare Cover Chiropractic Treatment in Australia? This blog explains what a GP Chronic Condition Management Plan (Care Plan) is, what changes are happening, and how they may affect your chiro visits. Let’s break it all down in plain English.

What is a Chronic Disease Management (CDM) Plan?

A CDM plan (also called a GP Management Plan or Team Care Arrangement) is a tool your GP uses to help manage chronic or long-term health conditions, any condition that lasts longer than six months (3). This includes issues like:

• Chronic lower back or neck pain
• Arthritis
• Diabetes
• Asthma or COPD
• Cardiovascular disease

If you qualify, your GP can refer you for up to five Medicare-subsidised allied health visits per year, including professionals like chiropractors, physiotherapists, and podiatrists. Please note that you don’t always need a referral from your doctor to see a Perth Chiropractor. Referrals are only required if you are seeking chiropractic treatment under a third-party or government scheme, such as Medicare, DVA, ICWA or workers’ compensation. 

These plans help patients manage chronic conditions with the support of a team of healthcare professionals (1).

Key Takeaways for Chiro Patients

• ✅ You can still access chiropractic care under Medicare.
• 📱 Care plans will become fully digital, accessible by your care team.
• 🤝 GPs and chiros will collaborate more closely through shared planning.
• 🧾 Medicare rebates continue, but with new item numbers (3).

If you’re currently receiving chiropractic care under a CDM plan, you can continue to do so. Your GP will handle the necessary updates behind the scenes.

What Exactly is Changing?

1. Digital and Shared Care Plans

Your CDM plan will now be created and managed electronically. This allows your GP and chiropractor to coordinate your care more effectively (2).

• No need to bring in printed referrals—your chiropractor will receive them securely.

2. More Collaborative Team-Based Care

The updated system encourages better communication between your GP and chiropractor, making sure your treatment plan is aligned and consistent.

• Your chiropractor may share updates and progress notes with your GP.

3. Updated Medicare Item Numbers

The item number currently used for chiropractic visits (10964) will be replaced from August 2025 (1).

• Your provider will manage these changes in the background.

What You Should Do Now

To prepare for the Chronic Disease Management Care Plan Changes for Chiro, here’s what we recommend:

• Check your eligibility – If your condition has lasted 6+ months, you may qualify.
• Speak to your GP – They will determine if a CDM plan is right for you and take care of the required steps.
• Ask your chiropractor if you have questions – We’re here to help guide you through the process.

Frequently Asked Questions

Will I still be able to see my chiropractor under Medicare?

Yes—chiropractic remains an eligible service. As long as you meet the criteria, you’ll continue to receive subsidised care.

Will the number of visits change?

No. The annual limit of five Medicare-subsidised allied health visits remains unchanged.

Will I have to pay more?

Medicare rebates still apply. Some clinics may charge a small gap fee, as they do now.

Can First Nations Australians receive more than five visits?

First Nations Australians can be eligible for up to 10 Medicare-subsidised allied health services per calendar year when referred under the appropriate Medicare referral for First Nations allied health services. 

Summary: What This Means for You

The Chronic Disease Management Care Plan Changes for Chiro are being introduced to make your care more seamless. With electronic plans and better coordination between your GP and chiropractor, you can expect:

• Better communication across your healthcare team
• Clearer treatment goals
• Continued access to subsidised chiro visits

How Fortitude Chiropractic Can Help

We’re ready for these updates and committed to making this transition easy for our patients. Our team:

• Works closely with your GP to stay updated on your care plan
• Helps you understand how these changes affect your visits
• Ensures your treatment aligns with your health goals

Have questions? Get in touch with us or speak to your GP at your next visit.

Refrences

1. Australian Chiropractors Association. (2024, June 5). Changes to the Chronic Disease Management Framework. https://www.chiropractors.org.au/news/changes-to-the-chronic-disease-management-framework
2. Australian Government Department of Health and Aged Care. (2024, June). Factsheet – Upcoming changes to the MBS Chronic Disease Management Framework. Medicare Benefits Schedule. https://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Factsheet-Upcoming%20changes%20to%20the%20MBS%20Chronic%20Disease%20Management%20Framework
3. Australian Government Department of Health and Aged Care. (2024, June). Upcoming changes to the Chronic Disease Management Framework – Overview [PDF]. Medicare Benefits Schedule.

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