A Medicare rebate is available for a maximum of five (5) services per patient each calendar year. Patients may be eligible if their GP has provided the following MBS Chronic Disease Management services:

• A GP Management Plan (GPMP) – item 721 (or review item 732); AND
• Team Care Arrangements (TCAs) – item 723 (or review item 732)

For patients who are permanent residents of an aged care facility and Commonwealth funded, their GP must have contributed to a multidisciplinary care plan prepared for them by the aged care facility or to a review of the multidisciplinary care plan (item 731).

A chronic medical condition is one that has been (or is likely to be) present for six months or longer. It includes, but is not limited to, conditions such as asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke.

Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health or care providers.

Adapted from [Australian Government Health Website]

Gold and white card holders require a referral from an appropriate health care professional; white card holders must have a condition clearly specified on their referral for which the Exercise Physiologist is to treat. A new referral is required at the end of each treatment cycle (12 sessions).

Adapted from [DVA Website]

Where a GP has written a referral letter to us requesting Exercise Physiology services for the rehabilitation of their patient, those with a recent or existing claim can be funded  by WorkSafe or the TAC for up to 5 sessions before further approval is warranted.