How Medicare Chronic Condition Management Changes Affect Physiotherapy Access in 2026

From July 2025, Medicare introduced changes to how chronic condition management is structured and referred for allied health services. As we move into 2026, many patients are still unsure how these changes affect their access to physiotherapy and Medicare rebates.

If you use Medicare to support physiotherapy care, understanding the updated system can help you avoid referral issues and plan treatment more confidently.

What is Chronic Condition Management under Medicare

Chronic Condition Management allows eligible patients with long term or complex conditions to access Medicare rebates for allied health services such as physiotherapy. To qualify, patients must have a condition that has lasted, or is expected to last, six months or more and requires ongoing management.

Under the updated framework, GPs now create a clearer, more structured management plan that outlines treatment goals, review requirements, and referral details.

What changed and what stayed the same

The total number of Medicare supported allied health sessions remains capped at five per calendar year. This has not increased.

What has changed is the way referrals are issued and reviewed. GPs are now required to provide clearer documentation, and patients must attend regular reviews to keep their plan active.

For physiotherapy, this means referrals must clearly identify the condition being treated and align with the GP management plan.

What patients should check before booking physiotherapy

Before booking an appointment using Medicare, patients should confirm:

• Their management plan is current

• The referral has been issued under the updated format

• They know how many sessions they have already used this year

• A GP review is not overdue

If unsure, your physiotherapist or GP can help clarify what is required.

How this affects patients in Mount Waverley

For patients seeking Physiotherapy in Mount Waverley and surrounding suburbs, these changes aim to reduce confusion and improve continuity of care. Clearer referrals help physiotherapists deliver treatment that aligns with your broader health plan.

Key takeaway

Medicare access for physiotherapy remains available in 2026, but referrals must meet updated requirements. Staying informed helps ensure your sessions are processed smoothly and without delays.

Important information

This article provides general information only and does not replace medical advice.