Chronic Disease Management (CDM) for Indigenous health

There are Chronic Disease Management (CDM) services for managing Indigenous patients with a chronic or terminal condition.

If you’re their usual treating practitioner, find out how to create and manage a Chronic Disease Management (CDM) plan for your Indigenous patient.

Other health professionals can help eligible practitioners deliver some services for Indigenous patients, including both:

  • CDM plan development
  • monitoring and support services.

Eligible practitioners can support CDM plan development.

Health professionals who can help include:

  • practice nurses
  • Aboriginal and Torres Strait Islander health practitioners
  • Aboriginal health workers
  • other health professionals.

They can help to prepare, contribute and review CDM items, including all of the following:

  • performing patient assessment
  • identifying patient needs
  • arranging for services.

Eligible practitioners must meet Medicare item requirements, including all of the following:

  • reviewing and confirming assessments
  • seeing the patient.

Eligible practitioners can deliver monitoring and support services Medicare Benefits Schedule (MBS) items 10997, 93201 and 93203.

Health professionals who can help include:

  • practice nurses
  • Aboriginal and Torres Strait Islander health practitioners.

They may provide up to 5 services per calendar year for a patient who has a current CDM plan. The service must be both:

  • provided on behalf of and under the supervision of the eligible practitioner
  • consistent with the patient’s CDM plan.
Page last updated: 15 June 2024.
QC 74185