Changes to Bulk Billing Incentives for General Practices

General practices across Australia can now register for the Bulk Billing Practice Incentive Program (BBPIP).

The BBPIP commenced on 1 November 2025, alongside expanded eligibility for Medicare Benefits Schedule (MBS) bulk billing incentives, which now apply to all Medicare-eligible patients.

A fact sheet, frequently asked questions (FAQs), and a financial modelling calculator on eligible MBS services and the impact of these investments are available on the Department of Health and Aged Care website.

In addition, from 1 November, a new initiative, the Bulk Billing Practice Incentive Program (BBPIP) which offers practices an additional 12.5% incentive payment on eligible MBS services. Unlike BBI, BBPIP requires practices to bulk billing all eligible services for all patients to qualify for the incentive payment.

Information correct as of 16 December 2025

From 1 November 2025, practices can choose to participate in the new Bulk Billing Practice Incentive Program (BBPIP).

  • Practices receive an additional 12.5% incentive payment on every $1 of MBS benefit earned from eligible services.
  • The payment is evenly split between the GP and the practice.
  • This is in addition to existing MBS benefits and bulk billing incentives.
Participation Requirements

To join the program, practices must:

  1. Bulk bill all eligible services for all patients.
  2. Advertise participation in the program.
  3. Be registered with MyMedicare.
  • Note: Practices not yet registered with MyMedicare will be exempt from accreditation requirements when joining BBPIP.

General practices and providers can now monitor and confirm eligibility for BBPIP incentive payments with new BBPIP eligibility assessments available through Services Australia.

Practices and providers can use:

  • Forecast assessments to monitor and confirm eligibility for BBPIP incentive payments and check if there are any issues with registration or eligible item claims.
  • Final assessments to confirm if they have met all BBPIP requirements and view the corresponding incentive payment after the end of the quarter.
  • BBPIP payment details to view the Services Australia incentive payment for each quarterly assessment period, available after the quarter ends.

If a practice is registered and meets program requirements, its first BBPIP incentive payment will be made in January 2026.

To ensure smooth payment, practices should:

  • Check the registration start date.
  • Provide bank details for the practice and all linked providers for BBPIP, even if they previously provided bank account details for other programs.
  • Keep accreditation up to date.
  • Link all providers with separate provider numbers for each site.

For more information visit the BBPIP website.

A new BBPIP Calculator helps GPs, practice owners, and managers estimate annual earnings from incentives.

  • Accessible online with a step-by-step User Guide.
  • Uses MBS data to project payments based on practice type and location.
  • To get the most accurate estimate, have details ready such as:
    • Practice location by Modified Monash Model (MMM) classification
    • Percentage of billings paid to the practice
    • Billing type – bulk billing only, mixed billing or private billing
    • Number of BBPIP MBS eligible services provided per year
    • Percentage of BBPIP MBS eligible services provided to concession card holders or children under 16 years old
    • Your bulk billing rates, average privately billed fees and annual proportion of BBPIP MBS eligible service types, including:
      • Short (level A)
      • Standard (level B)
      • Long (level C)
      • Extended/Prolonged (level D/E)
      • Management plans and reviews
      • Other BBPIP MBS eligible services

These details can be found in your practice management system. Please refer to the User Guide for step-by-step instructions to support use of the calculator

General practices can register for the BBPIP through MyMedicare in HPOS via PRODA.

Order Signage and update Healthdirect to meet eligibility requirements  – Medicare Bulk Billing Practice Signage for BBPIP – DHDA

For the latest FAQs, fact sheets, and registration details are available on the Department of Health and Aged Care website.