Care Plans
Robina Doctors care plans. Your Doctors can provide EPC (Enhanced Primary Care) referrals to Allied Health providers as part of GP Chronic Disease Management Care Plans. Your Doctors can also provide Mental Health Care Plans, referrals to Psychiatrists and Psychologists as well as DVA Co-ordinated Care programmes. CARE PLANS: Medicare and DVA provide additional medical services through care plans. Below you will find information on these plans. Please discuss your needs with your Doctor. Medicare Chronic Disease Management Plan People with a chronic medical condition may be able to get Medicare benefits to cover allied health services that help manage their condition. Chronic medical condition A chronic medical condition is one that has been, or is likely to be, present for at least 6 months or is terminal. Eligibility Anyone with a chronic or terminal medical condition can have a GP Management Plan in place. Chronic Disease Management Plan If you have a chronic medical condition, your doctor may suggest a Chronic Care Management Plan. This plan of action agreed between you and your GP:
If you need treatment from 2 or more health professionals, your doctor may also put a Team Care Arrangement plan in place for you. This lets your doctor work with, and refer you to, at least 2 other health professionals who will provide treatment or services to you. This may include Allied Health Providers and Medical Specialists. Access to Allied Health You may be eligible for Medicare benefits for specific allied health services if your doctor prepares both types of plans for you. Further information can be found at http://www.humanservices.gov.au/customer/services/medicare/chronic-disease-management-plan MEDICARE MENTAL HEALTH TREATMENT PLANS: The Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative aims to improve outcomes for people with a clinically-diagnosed mental disorder through evidence-based treatment. Under this initiative, Medicare rebates are available to patients for selected mental health services provided by general practitioners (GPs), psychiatrists, psychologists (clinical and registered) and eligible social workers and occupational therapists. What Medicare services can be provided under the Better Access initiative? Medicare rebates are available for up to ten individual and ten group allied mental health services per calendar year to patients with an assessed mental disorder who are referred by: What are the eligibility requirements? The Better Access initiative is available to patients with an assessed mental disorder who would benefit from a structured approach to the management of their treatment needs. Mental disorder is a term used to describe a range of clinically diagnosable disorders that significantly interfere with an individual’s cognitive, emotional or social abilities. Dementia, delirium, tobacco use disorder and mental retardation are not regarded as mental disorders for the purposes of this initiative. How can I access these services under Medicare? Step 1: Step 2: Your GP or psychiatrist/paediatrician can refer you for up to six individual or six group allied mental health services, which may comprise either psychological assessment and therapy by a clinical psychologist or focussed psychological strategies by an allied mental health professional. It is at the clinical discretion of your referring practitioner as to the number of allied mental health services you will be referred for (to a maximum of six in any one referral). Step 3: Exceptional circumstances A Fact Sheet providing more detailed information on the arrangements for accessing further allied mental health services under exceptional circumstances can be found at: Further information on the Better Access initiative is available at DVA COORDINATED VETERANS CARE (CVC) PROGRAMME The Coordinated Veterans’ Care (CVC) Programme is a team-based programme designed to increase support for Gold Card holders with one or more targeted chronic conditions or complex care needs; and those who are at risk of unplanned hospitalisation. CVC focuses on improving the management of chronic conditions and quality of life for eligible Gold Card holders who are most at risk of unplanned hospitalisation. Gold Card holders can include veterans, war widow/widowers and dependants. The programme is aimed at Gold Card holders with the following chronic conditions:
GPs are paid to enrol Gold Card holders onto the CVC Programme and to provide ongoing, comprehensive and coordinated care with the assistance of their practice nurse or a community nurse (from a DVA contracted provider). Further information can be found at CVC is not for all Gold Card holders. The focus of the Program is on prevention and improved management of chronic diseases resulting in improved quality of life and reduced risk of hospitalisations. The Program is voluntary and is in addition to any existing DVA services and entitlements. What does it mean for me? Your Care Plan will be regularly reviewed and you will be given a patient friendly version of the plan to take home and keep handy as a reminder of your medications, appointments and health goals. A brochure can be downloaded at |