Big Changes to Medicare Plans: What Families Need to Know (July 2025 Update)

Changes to Medicare
Have you heard about the changes to Medicare’s GP Management Plans (GPMP) and Team Care Arrangements (TCA)? From July 1st, 2025, a brand new system has taken their place: the GP Chronic Condition Management Plan (GPCCMP).

While the acronyms might make your head spin, the shift to the GPCCMP is actually great news for both families and healthcare providers.

Whether you’re a busy GP, allied health professional, or a parent trying to figure out what this means for your child’s speech therapy, we’ve broken it down for you in a quick, jargon-free guide (well, we’ll do our best).

What Has Changed?

1. New Name: GP Chronic Condition Management Plan (GPCCMP)

  • GPMPs and TCAs are now combined into one single plan called the GPCCMP.
  • Say goodbye to EPC, GPMP, GPCMP, and TCA. All of these types of rebates are now issued under the GPCCMP. 

2. Simplified Process

  • No more mandatory consults with multiple providers.
  • GPCCMP’s are now a standard letter (like a specialist referral).
  • No therapist signature required (yay, less admin and faster process for everyone!).

3. Minimum Requirements for Allied Health Rebates

GP Chronic Condition Management Plan letters must now include:

  • Name of the referring practitioner (your GP)
  • Practice address or provider number
  • Date of creation
  • Validity (if relevant; if not stated, defaults to 18 months)
  • Must be written, signed, and dated
  • Must clearly state the reason for referral, including “Speech” if speech therapy rebates are intended

4. Allied Health Sessions Still Capped at 5

  • Still up to 5 sessions per calendar year per patient
  • No longer need to split sessions across services in advance
  • First provider to claim is approved – “first in, first served”
  • Parents should be mindful if they want to reserve sessions for Speech or OT

5. Updated Medicare Rebates

  • GPCCMP: $61.80 per session
  • Aboriginal and Torres Strait Islander Health Service (ATSI) Plans: Up to 10 sessions, also $61.80 each
  • Helping Children with Autism (HCWA):
    • Referral must come from a specialist (e.g. paediatrician)
    • Up to 4 assessment + 20 treatment sessions
    • Rebate increased to $87.25 per session

6. Reporting Requirements (For Professionals)

Post-service reports to GP still required (must include treatment, findings, and recommendations)
Pre-service reports are no longer required, but still encouraged for best practice

Why The GPCCMP Changes Matter

This change simplifies the rebate and claiming process for families, providers, and GPs alike. It also gives families a little more flexibility and puts less paperwork on everyone’s plate.

Need Help Navigating These Changes?

Pop can help guide you through the new GPCCMP process. If you’re unsure what this means for your speech therapy services or Medicare rebates, reach out to our friendly admin team or book a free discovery call.

The information provided is accurate as at 10 July 2025.

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