Would Anxiety and or panic attacks qualify for 721 + 723? Which allied health would you refer to?

Question: A doctor is asking if Anxiety and or panic attacks would qualify for 721 + 723 (GPMP+TCA). Which allied health would you refer to?

Answer: Yes, Anxiety and Panic Disorder can qualify for 721 and 723 plans as they are often chronic conditions that require ongoing care and coordination. Here’s a detailed breakdown:

1. Eligibility: Anxiety is generally considered a chronic condition and it requires complex, ongoing care. It meets the requirements for a GP Management Plan (721) and Team Care Arrangement (723).
2. Considerations: Medicare may question the use of 721 + 723 for mental health cases. The GP must ensure a clear rationale and clinical justification, showing that the care needed extends beyond psychological support. e.g. some co-morbidities raised along or due to anxiety disorder. e.g. anxiety related IBS symptoms.
3. Rebates: Note that psychologists usually prefer GP Mental Health Care Plan referrals due to the higher rebate (about $100 per session) compared to the EPC referrals under a 723 (roughly $50). This distinction might impact patient access to services if costs are a factor.
4. Avoiding Double-Dipping: Caution is advised to avoid “double-dipping” by using both the GP Management Plan and GP Mental Health Plan for the same treatment goals or instance of anxiety, as this may be flagged by Medicare.
5. Allied Health Inclusions: When proceeding with a 721 + 723 for Anxiety Disorder, a suitable care team may include:
   • Psychologist or counsellor.
   • Practice Nurse (as a health educator)
   • Pharmacist (for medication review or dispensing)
   • HMR Pharmacist (for comprehensive medication review)
   • Leader of a self-help or social support group
   • Allied health professionals or specialists for any additional comorbidities (e.g., physiotherapist if the patient has physical health issues related to anxiety, dietitian for management of IBS symptoms).

The GP can construct a well-rounded care plan using this approach while aligning with Medicare’s compliance requirements.

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