CHRONIC DISEASE MANAGEMENT

CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to:
(a) a multidisciplinary care plan for a patient in A RESIDENTIAL AGED CARE FACILITY (RACF), prepared by that facility, or to a REVIEW of such a plan prepared by  a RACF; or
(b) a multidisciplinary care plan prepared for a resident by another provider before the resident is discharged from a hospital or an approved day-hospital facility, or to a review of such a plan prepared by another provider; (not being a service associated with a service to which items 735 to 758 apply).

This CDM service is for a patient who:
(a)    has at least one medical condition that:
    i    has been (or is likely to be) present for at least six months; or
    ii    is terminal; and
(b)    requires ongoing care from at least three collaborating health or care providers, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner; and
(c)    is a care recipient in a residential aged care facility.

A rebate will not be paid within three months of a previous claim for item 731 or within three months of a claim for item 721, 723, 729 or 732 except where there are exceptional circumstances that require a new contribution to the multidisciplinary care plan.

Fee: $65.20 Benefit: 100% = $65.20