Fee schedule

Medicare chronic condition management allied health items 2026-27

Thirteen Medicare items, one per allied health profession from 10950 to 10970, share the same $74.55 schedule fee ($63.40 rebate at 85 per cent) and the same rules: a GP chronic condition management plan, at least 20 minutes, up to 5 services combined across all of them in a calendar year. Podiatry is 10962, chiropractic 10964, osteopathy 10966, physiotherapy 10960, psychology 10968.

Last checked 25 Sep 2026 against the sources listed at the end of this page.

Payer

Medicare

Effective from

1 Jul 2026

Official schedule

Source document

All 16 allied health (13 professions) items

Claiming notes

• Eligibility: the patient needs a chronic condition managed by a GP or prescribed medical practitioner (not a specialist) under a GP chronic condition management plan, a GP Management Plan and Team Care Arrangement made before 1 July 2025 (valid until 30 June 2027), or a multidisciplinary care plan for a residential aged care resident.
• The service must be recommended in that plan and last at least 20 minutes. There is no upper time limit and no separate fee for longer sessions, unlike the Better Access psychology items, which scale by session length.
• Referral validity: for referrals written on or after 1 July 2025, the referral is valid for the period stated on it, or 18 months from the first service if no period is stated. Referrals from before 1 July 2025 must state the number of services and remain valid until all are used.
• A referral names the profession, not a named practitioner. A physiotherapy referral can be taken to any physiotherapist of the patient's choosing, but it cannot be used for chiropractic or any other discipline.
• Report-back obligation: the treating allied health professional must send a written report to the referring practitioner for the only service under a referral, or the first and last service under a longer referral, or whenever the patient's condition changes materially.
• Patients cannot claim an MBS benefit and a private health insurance extras benefit for the same service. Where a patient has more than 5 recommended services in their plan, it is up to them which ones use the MBS benefit.
• Practices can check how many of the 5 services a patient has already used through the MBS Items Online Checker or the patient's care plan history in HPOS or their Medicare Online Account.

Load these fees into your practice software

1. Because every discipline shares the same $74.55 fee, most single-discipline clinics only need one Medicare billable item, but a multidisciplinary practice should still create one named item per profession (for example "Medicare 10962 Podiatry CDM" and "Medicare 10964 Chiropractic CDM") so claims and reports track correctly against the right item number even though the price is identical.
2. Under Settings, then Data & docs, then Data imports, use Billable items to bulk load the CSV rather than typing each profession's item code by hand across a multidisciplinary roster.
3. CSV headings: Item code, Name, Price (ex. tax), Taxable, Item type. Put the 5-digit MBS number in Item code, the fee in Price (ex. tax), and service in Item type. Individual CDM services are GST-free under the health exemption, so leave Taxable blank.
4. Add the three case conference items (10955, 10957, 10959) once, shared across all practitioners, rather than duplicating them per discipline, since they are not profession specific.
5. Every item on this page bulk bills through Cliniko's Tyro Health (formerly Medipass) connection, the standard Medicare claiming route in Cliniko regardless of which of the 13 professions is billing.
6. Set a recall or task in Cliniko to flag when a patient nears their 5 service cap for the calendar year, since the cap is shared across every discipline the patient sees, not reset per practitioner.