MBS changes from 1 November 2026

New: GP care plans by phone

• They’re the phone versions of 965 and 967 (in person) and 92029 and 92030 (video), at the same fees. A prescribed medical practitioner, a doctor who isn’t a vocationally recognised GP, uses 92063 and 92064 by phone, alongside 392 and 393 in person and 92060 and 92061 by video. MBS release of 1 November 2026 Item 965 Item 967 Item 92029 AN.0.47
• Until 1 November 2026, a care plan is prepared or reviewed in person or by video, not by phone. Item 92029 AN.0.47
• Case conferences (735 to 758, or 235 to 240 for a prescribed medical practitioner) and 24-hour blood pressure monitoring (11607) now name the phone items alongside the in-person and video care plan items in their limits. MBS release of 1 November 2026
• The explanatory notes for the phone items come with the November MBS Book, which isn’t out yet. MBS release of 1 November 2026

Official MBS wording

• 92033: “Phone attendance by a general practitioner to prepare a GP chronic condition management plan for a patient” MBS release of 1 November 2026
• 92034: “Phone attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner” MBS release of 1 November 2026
• 92063: “Phone attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient” MBS release of 1 November 2026
• 92064: “Phone attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner” MBS release of 1 November 2026

New: the Medicare Healthy Kids Check

• From 1 November 2026, a GP or prescribed medical practitioner can do a Medicare Healthy Kids Check for a Medicare-eligible 3-year-old, once in the child’s lifetime. It assesses the child’s physical, social, and emotional development, health, and wellbeing, to pick up developmental delay and neurodevelopmental differences early and connect the child with support (including Thriving Kids supports) or further assessment. MBS Online: Medicare Healthy Kids Check factsheet (PDF) MBS Online: November 2026 news
• There’s no new item number. A GP bills the health assessment item for the time taken: 701 (30 minutes or less, $71.00), 703 (more than 30 and less than 45 minutes, $165.05), 705 (45 to less than 60 minutes, $227.75), or 707 (60 minutes or more, $321.75). A prescribed medical practitioner bills 224 to 227 ($56.85 to $257.40). MBS Online: Medicare Healthy Kids Check factsheet (PDF) Item 701 Item 703 Item 705 Item 707 Item 224 MBS release of 1 November 2026
• It must include a history, a basic examination, advice to the parent or carer, any interventions and referrals, a record in the child’s notes, and the offer of a written report to the parent or carer. The history covers medical history (with immunisation status and allergies), behaviour and wellbeing, developmental milestones, family and social circumstances, care arrangements, early childhood education and care, nutrition, physical activity, screen use, sleep, and toileting. The examination covers eyesight, hearing, teeth and gums, and growth: height, weight, and body mass index on centile charts. MBS Online: Medicare Healthy Kids Check factsheet (PDF)
• A second assessment at age 3, or one for a child under 3 or over 4, is billed as an ordinary time-based consultation, such as 23 or 36. MBS Online: Medicare Healthy Kids Check factsheet (PDF) Item 23 Item 36
• An Aboriginal or Torres Strait Islander child can have the Aboriginal and Torres Strait Islander health check (715) as well, as long as both are clinically relevant. MBS Online: Medicare Healthy Kids Check factsheet (PDF) Item 715

The Medicare Healthy Kids Check guide: which item to bill, what the check must include, and what else can be billed

Bulk billing incentives: check your practice’s area

• Practices’ locations move to the 2023 Modified Monash categories. A practice’s category decides which bulk billing incentive items it claims, so a practice whose category changed in 2023 may claim different ones from 1 November. The Health Workforce Locator shows a practice’s category from its address. MBS Online: November 2026 news MN.1.1 Health Workforce Locator Modified Monash Model

Level B–E consults include Level B by video or phone. The MyMedicare column is for Level C–E video and Level C–D phone consults with a patient registered in MyMedicare at the practice. Other services are the rest of the unreferred services bulk billed: Level A consults, longer video and phone consults with patients not registered in MyMedicare, care plans, health assessments, and procedures. These items and their fees don’t change on 1 November. MN.1.3 MN.1.4 MN.1.5 MN.1.6 MN.1.7 MN.1.8 MBS release of 1 November 2026

Other changes for general practice

• Item 11607 (continuous ambulatory blood pressure recording for 24 hours or more) adds a way to qualify for a patient aged 5 to under 18: readings on consecutive clinic visits within limits based on their age, sex, and height. Its wording of the range, “between the 95th percentile and 95th percentile ‑ 30 mmHg”, is worth checking against the November MBS Book. MBS release of 1 November 2026 MBS Online: November 2026 news
• Item 10997 now counts video services under item 93201 toward its limit of 5 a year, fixing a typo that named item 92301. MBS release of 1 November 2026 Item 10997
• In 108 item descriptions, “residential aged care facility” becomes “residential care home”: consultations, case conferences, contributions to care plans, medication reviews, and the Aboriginal and Torres Strait Islander health check, among others. MBS release of 1 November 2026 MBS Online: November 2026 news

What isn’t changing

• Schedule fees. None changes on 1 November 2026: they last changed on 1 July 2026. MBS release of 1 November 2026
• Plans made before 1 July 2025. Allied health, Aboriginal and Torres Strait Islander health worker, and practice nurse services can still be given under a GP management plan or team care arrangements made before 1 July 2025, until 30 June 2027. Item 10960 Item 10950 Item 10997 Services Australia: allied health referrals

Medicare benefits

• For services paid at 100% of the fee, such as GP consultations and care plans, the benefit doesn’t change, since the fees don’t. GN.10.26 MBS release of 1 November 2026
• For 329 items paid at 85%, all with schedule fees of $700 or more, the benefit falls by between 50 cents and $4.00. Most are procedures, imaging, and pathology. On these items, the gap between the fee and the benefit is capped by the greatest permissible gap, which is indexed every 1 November: for most of them, it goes from $104.50 to $108.50. Removing a malignant soft tissue tumour (31355), for example, goes from $750.70 to $746.70. MBS release of 1 August 2026 MBS release of 1 November 2026 GN.10.26

Still to come

• The November MBS Book, with the explanatory notes, isn’t out yet. When it is, this page will add what it says about the phone care plans and the Medicare Healthy Kids Check. MBS release of 1 November 2026

Related pages

• GP care plan item numbers: every care plan item, with its fee and rules
• Medicare Healthy Kids Check: which item to bill, what the check must include, and how often
• MBS item numbers for GPs: the quick guide to every item a GP bills

Common questions

Can a GP care plan be done by phone?

Yes, from 1 November 2026: item 92033 to prepare it and 92034 to review it, at $160.60, the same as in person. Until then, a care plan is prepared or reviewed in person (965 and 967) or by video (92029 and 92030). MBS release of 1 November 2026 Item 965 Item 92029

What is the item number for a care plan review by phone?

Item 92034, from 1 November 2026, at $160.60. A prescribed medical practitioner uses 92064, at $128.55. MBS release of 1 November 2026

Do MBS fees change on 1 November 2026?

No. Schedule fees last changed on 1 July 2026. What changes is the 85% benefit on 329 items with fees of $700 or more, which falls by up to $4.00 as the greatest permissible gap is indexed. MBS release of 1 August 2026 MBS release of 1 November 2026 GN.10.26

What is the Medicare Healthy Kids Check?

A health assessment for a Medicare-eligible 3-year-old from 1 November 2026, done once in the child’s lifetime by a GP or prescribed medical practitioner. It checks development, behaviour, growth, eyesight, hearing, and teeth, and leads to support or referral where needed. MBS Online: Medicare Healthy Kids Check factsheet (PDF)

What item number is the Medicare Healthy Kids Check?

There’s no new item. A GP bills 701, 703, 705, or 707, by the time taken (from 30 minutes or less to 60 minutes or more), and a prescribed medical practitioner bills 224 to 227. MBS Online: Medicare Healthy Kids Check factsheet (PDF) Item 701 Item 707

How often can the Medicare Healthy Kids Check be claimed?

Once per child, at age 3. A second assessment at 3, or one for a child under 3 or over 4, is billed as an ordinary time-based consultation. MBS Online: Medicare Healthy Kids Check factsheet (PDF)

Which bulk billing incentive item does a practice claim from 1 November 2026?

The one for its Modified Monash area under the 2023 categories, which the Health Workforce Locator shows. A metropolitan (MM 1) practice, for example, claims 75870 with a Level B–E consult and 10990 with most other bulk-billed services. MBS Online: November 2026 news MN.1.1 MN.1.3 Health Workforce Locator

Can a patient still use a GP management plan from before July 2025?

Yes, until 30 June 2027, for allied health, Aboriginal and Torres Strait Islander health worker, and practice nurse services. When they need a new plan, it’s prepared as a GP chronic condition management plan (965), not reviewed. Item 10960 Item 10997 Services Australia: allied health referrals AN.15.5

Can a child have 24-hour blood pressure monitoring under Medicare?

From 1 November 2026, from age 5: item 11607 covers a patient aged 5 to under 18 with readings on consecutive clinic visits within limits based on their age, sex, and height. It can be claimed once in 12 months. MBS release of 1 November 2026

Sources

• MBS release of 1 November 2026
• MBS Online: November 2026 news
• MBS Online: Medicare Healthy Kids Check
• MBS Online: Medicare Healthy Kids Check factsheet (PDF)
• Note MN.1.1: Bulk Billing Incentives
• Health Workforce Locator
• MBS release of 1 August 2026
• Item 965: Group A15 GP chronic condition management plans, multidisciplinary care plans and case conferences › Subgroup 1 GP chronic condition management plans and multidisciplinary care plans
• Item 967: Group A15 GP chronic condition management plans, multidisciplinary care plans and case conferences › Subgroup 1 GP chronic condition management plans and multidisciplinary care plans
• Item 92029: Group A40 Telehealth attendance services › Subgroup 13 GP management plans, team care arrangements and multidisciplinary care plans services – Video Services
• Note AN.0.47: GP chronic condition management plans (MBS items 392, 393, 965, 967, 92029, 92030, 92060, 92061)
• Item 701: Group A14 Health Assessments
• Item 703: Group A14 Health Assessments
• Item 705: Group A14 Health Assessments
• Item 707: Group A14 Health Assessments
• Item 224: Group A7 Acupuncture and Non-Specialist Practitioner Items › Subgroup 5 Prescribed medical practitioner health assessments
• Item 23: Group A1 General Practitioner Attendances To Which No Other Item Applies
• Item 36: Group A1 General Practitioner Attendances To Which No Other Item Applies
• Item 715: Group A14 Health Assessments
• Modified Monash Model
• Note MN.1.3: – Modified Monash 1
• Note MN.1.4: – Modified Monash 2
• Note MN.1.5: – Modified Monash 3-4
• Note MN.1.6: – Modified Monash 5
• Note MN.1.7: – Modified Monash 6
• Note MN.1.8: – Modified Monash 7
• Item 10997: Group M12 Services Provided by a Practice Nurse, an Aboriginal and Torres Strait Islander Health Worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a Medical Practitioner › Subgroup 3 Services Provided By A Practice Nurse Or Aboriginal And Torres Strait Islander Health Practitioner On Behalf Of A Medical Practitioner
• Item 10960: Group M3 Allied health and Aboriginal and Torres Strait Islander health and wellbeing services › Subgroup 1 Individual chronic condition management services
• Item 10950: Group M3 Allied health and Aboriginal and Torres Strait Islander health and wellbeing services › Subgroup 1 Individual chronic condition management services
• Services Australia: allied health referrals
• Note GN.10.26: Schedule fees and Medicare benefits
• Note AN.15.5: GP chronic condition management plans – transition arrangements for existing patients with a GP Management Plan and/or Team Care Arrangement