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Medicare Chronic Condition Management Changes from 1 July 2025: What Physio Patients Need to Know in Melbourne
Author
Director, Physiotherapist. Doctor of Physiotherapy B.Ex.Sc
Daniel White-Alikakos is the Director and Lead Physiotherapist at Leap Healthcare in Mount Waverley, where he helps clients recover from injury, improve movement, and return to the activities they love. Holding a Doctor of Physiotherapy and a Bachelor of Exercise and Sport Science, Daniel specialises in sports injury rehabilitation, running assessments, and strength-based recovery programs. With over a decade of clinical experience and a background as an elite-level sprinter, he delivers evidence-based care tailored to athletes and active individuals of all levels.
From 1 July 2025, the way referrals for Medicare-subsidised allied health services changed across Australia. If you use a chronic condition management plan to access physiotherapy, it is important to know what is different and what has stayed the same. This article explains the updates in plain language, with a focus on what they mean for patients in Melbourne.
Why these changes matter
Many Australians rely on chronic condition management plans to help cover the cost of physiotherapy and other allied health services. Clear referrals are required for rebates, and incorrect paperwork can delay care or lead to unexpected costs. The July 2025 updates are designed to simplify referrals and make the system easier for both patients and providers.
What changed from 1 July 2025
New referral letters: All referrals now need to use the updated template introduced in July 2025. These letters are generated by your GP and include standardised information to avoid confusion.
Language update: What used to be called the Enhanced Primary Care referral is now part of the General Practice Chronic Condition Management Plan (GPCCMP).
Transition period: If you already had a referral issued before 1 July 2025, you can continue using it until the expiry date. New referrals must follow the updated format.
What stayed the same
Number of visits: Patients are still eligible for up to five individual allied health sessions per calendar year. This can be a mix of physiotherapy and other allied health services.
Eligibility: You must have a chronic condition that requires ongoing care and management, confirmed by your GP.
Referral from a GP: You still need your GP to prepare the plan and provide the referral before you can claim rebates for physiotherapy sessions.
How long is a referral valid?
Referral letters are generally valid until the sessions listed are used or until the end of the calendar year, whichever comes first. Some patients will require a new referral each year as their plan is reviewed and updated. Your GP will confirm the validity at your appointment.
What to bring to your physio appointment
A copy of your updated referral letter.
Your Medicare card.
Any relevant reports or test results that your GP has provided.
Bringing these documents helps your physiotherapist process the rebate and ensures you make full use of the plan.
Practical tips for patients
Book your GP review early: Demand for appointments can increase around July, so try to organise your referral in advance.
Check with your clinic: Ask if they bulk bill or charge a gap fee, as this varies.
Track your sessions: Keep count of how many visits you have used to avoid surprises at the end of the year.
Use your sessions strategically: Space them out or concentrate them during periods when you need more support, depending on your condition.
The role of physiotherapy in chronic condition management
Physiotherapists can play an important role in helping people manage conditions such as:
Osteoarthritis
Diabetes and related complications
Chronic back or neck pain
Cardiovascular and respiratory conditions
Recovery after stroke or surgery requiring long-term support
Your physio will work with your GP and other health professionals to ensure your care is coordinated and effective.
Frequently asked questions
Can I still see the same physiotherapist as before?
Yes. As long as your referral is current and valid, you can continue with your chosen physio.
Do I need a new referral every year?
Most patients require a new referral when their plan is reviewed annually. Your GP will confirm if this applies to you.
How many visits do I get for physiotherapy?
You can use all five sessions for physiotherapy, or share them across other allied health services if recommended.
What if I run out of sessions?
You can continue care privately, using private health insurance if available, or speak with your GP about other funding options.
Final word
The July 2025 updates to Medicare chronic condition management referrals aim to simplify the process while keeping the same number of subsidised sessions. Patients in Melbourne should check with their GP for the new referral format and bring all paperwork to their physiotherapy appointments.
A clear referral means less hassle, fewer delays, and more time focused on your health. If you are unsure about your eligibility or what to bring, ask your GP or contact your physiotherapy clinic before your next visit.
Important information
This article is for general information only and does not replace personalised medical advice. For questions about your specific situation, speak with your GP or physiotherapist.