Printable version of Fact sheet - Chronic Disease Management (CDM) - Provider Information Medicare items (PDF 473 KB) This fact sheet must be read in conjunction with the item descriptors and explanatory notes for items 721 to 732 (as set out in the Medicare Benefits Schedule). The Chronic Disease Management (CDM) Medicare items are for General Practitioners (GPs) to manage the health care of people with chronic or terminal medical conditions, including those requiring multidisciplinary, team-based care from a GP and at least two other health or care providers.EligibilityA person who has a chronic or terminal medical condition (with or without multidisciplinary care needs) can have a GP Management Plan (GPMP) service.A person with a chronic or terminal medical condition and complex care needs, requiring care from a multidisciplinary team, can have a GPMP and Team Care Arrangements (TCAs). A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke. There is no list of eligible conditions. However, these items are designed for patients who require a structured approach to their care and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.There are six CDM items that provide rebates for GPs to manage chronic or terminal medical conditions by preparing, coordinating, reviewing or contributing to CDM plans. A review item is the key component for assessing and managing the patient’s progress once a GPMP or TCAs have been prepared. GPMPs and TCAs can be reviewed by a GP from the same practice or, if the patient changes practices, by a new GP. Using the CDM items, GPs can contribute to other provider’s multidisciplinary care plans and to a review of these plans. GPs can be assisted by practice nurses, Aboriginal and Torres Strait Islander health practitioners, Aboriginal health workers and other health providers in preparing and reviewing the CDM items, but the GP must meet all the Medicare requirements of the items.
Patients need to be referred by their GP for services recommended in their care plan, using the referral form issued by the Department or a form that contains all the components of the Department’s form. Please note that GPs’ CDM allied health referrals may be issued at any time of the year, and remain open until the number of services the GP has specified on the referral form have been used. Any unused services at 31 December can continue to be used, but will be subject to the maximum limit of five Medicare-rebateable CDM allied health services available in any calendar year period (i.e. 1 January – 31 December). When patients have used all of their referred services, or require a referral for a different type of allied health service than that recommended in their care plan, they need to obtain a new referral from their GP. Patients with either a GPMP or TCAs can also receive monitoring and support services from a practice nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of the GP (MBS item 10997). The explanatory notes and item descriptors for these items are in the Medicare Benefits Schedule (MBS) available at: MBS Online website. For inquiries about eligibility, claiming, fees and rebates, call the Department of Human Services (Medicare): patient inquiries 132 011; provider inquiries 132 150.
Rationale: Heparin and warfarin are both anticoagulants that decrease the clotting ability of the blood and help prevent thrombosis formation in the blood vessels. However, these medications work in different ways to achieve therapeutic coagulation and must be given together until therapeutic levels of anticoagulation can be achieved by warfarin alone, which is usually within 1 to 5 days. When the client's PT and INR are within therapeutic range, the heparin can be discontinued.
.
|