GP Chronic Condition Management Plan — review (face-to-face)

Professional attendance by a general practitioner to review a GP chronic condition management plan, face-to-face. Effective 1 July 2025, item 967 is the review counterpart to 965 (preparation), replacing the legacy GPMP review item 732. Telehealth equivalent is item 92030. Reviews are billed at most once every 3 months unless exceptional circumstances apply.

Plain-English summary. See MBS Online for the verbatim descriptor of each item.

Time

Not specified

Frequency

Not more than once every 3 months unless exceptional circumstances apply.

Referral

Not required

Profession

General Practitioner

Requirements to bill

Conditions imposed by the descriptor that must be met to claim this item.

1A GPCCMP prepared under item 965 (or a legacy GPMP under item 721 transitioning to the new framework) must be in place for the patient.
2The review must be face-to-face (the telehealth equivalent is item 92030).
3The review must reassess the plan — progress against agreed goals, the appropriateness of the patient's and GP's actions, and any required modifications.
4Where the previous 967 review was within the past 3 months, exceptional circumstances must be documented to justify the earlier review.

Your notes must show

Documentation tests — what clinical notes need to demonstrate to survive a PSR audit.

Date of review, date the plan was prepared (or last reviewed), and confirmation that at least 3 months have elapsed since the previous 967 review (or that exceptional circumstances apply, with documentation).
Progress against each agreed goal in the plan — specific, not generic.
Reassessment of the patient's actions — what is working, what is not, what changes are needed.
Reassessment of the GP's actions — referrals followed up, investigations reviewed, prescribing reviewed.
Reassessment of services from other providers — what has been delivered, gaps, additions.
Any modifications to the plan — explicit changes documented and agreed with the patient (or "no changes required" with rationale).
Distribution — confirmation that an updated plan (or confirmation of unchanged plan) was provided to the patient.
Next review interval set.

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

Item 967 claimed within 3 months of the previous 967 review without exceptional-circumstances documentation.
A note that says "GPCCMP review, all stable, continue current management, review 3 months" — no goal-by-goal progress, no review of patient/GP/other-provider actions.
Plan reviewed but no documented changes or explicit "no changes required" rationale.
Item 967 claimed by a prescribed medical practitioner instead of a GP — PMPs use the equivalent in their item series.
Telehealth review billed as 967 instead of 92030 — modality must match the item.

Related MBS items

965

GP Chronic Condition Management Plan — preparation

92030

GP Chronic Condition Management Plan — review (video telehealth)

729

GP contribution to a multidisciplinary care plan (non-RACF, face-to-face)

231

PMP contribution to a multidisciplinary care plan (non-RACF, face-to-face)

Templates that document this item

Note templates inside Grounded Scribe that produce documentation aligned to this MBS item.

GP Chronic Condition Management Plan (965)

GP Chronic Condition Management Plan (MBS item 965) for patients with chronic and complex conditions. Documents the diagnoses, agreed goals, patient and GP actions, services from other providers, and a mandatory review date. Structured to satisfy the post-1-Jul-2025 GPCCMP framework that replaced the legacy GPMP (721) and TCA (723) items, and to support the patient's ongoing chronic care.

In-depth reading in the Library

Medicare Audit-Ready Documentation: A GP's Guide to MBS Item Number Compliance

Professional Services Review audits can result in repayment demands, exclusion from Medicare, and public referral. Your clinical notes are the primary evidence in any PSR investigation. This guide details exactly what your documentation must contain to withstand scrutiny.

Source authority

Documentation tests on this page reference the descriptor conditions and PSR-audit patterns covered in our existing Library guides. Always confirm current rules against the official descriptor.

Item 967 on MBS Online

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