Patients are eligible for this service if they have a chronic medical condition and complex care needs.
A chronic medical condition is one that has been (or is likely to be) present for 6 months or longer. It includes conditions such as diabetes, cardiovascular disease, obesity, arthritis and musculoskeletal conditions.
To be completed by referring GP:
- GP Management Plan (item 721 or review item 732) AND Team Care Arrangements (item 723 or review item 732)
- GP has contributed to or reviewed a multidisciplinary care plan prepared by the patient’s aged care facility (item 731)