Bulk Billing Incentive Program
In addition to the bulk billing incentive expansion, from 1 November 2025, general practice can choose to participate in the new Bulk Billing Practice Incentive (BBPIP).
Under the incentive, practices will receive an additional 12.5% incentive payment on every $1 of MBS benefit earned from eligible services. This payment will be split evenly (50/50) between GPs and practices.
Bulk Billing Practice Incentive Program – Program Guidelines
The Bulk Billing Practice Incentive Program (BBPIP) Program Guidelines (guidelines) provide guidance to practices and providers that participate in BBPIP. The guidelines provide advice on the eligibility requirements, assessment approach, payment system, and the appeals process. Please note, the guidelines are subject to change.To participate, practices must:
- Bulk bill all eligible services for all patients (all GPs in the practice must participate)
- Advertise participation in the program, including on the National Health Services Directory
- Be registered with MyMedicare. New practices registering in BBPIP will be exempt from MyMedicare accreditation requirements (end date for exemption not confirmed at this stage).
- Register to participate in BBPIP via the Organisation Register. Practices will be able to register in BBPIP from 1 November 2025. Instructions on how to register have not been released.
Bulk Billing Incentives Calculator
A new calculator has been released for general practice owners, managers and individual general practitioners to estimate annual earnings from Medicare Bulk Billing Incentives (BBIs) and the new Bulk Billing Practice Incentive Program (BBPIP), starting 1 November 2025. Access to the Bulk Billing Incentives Calculator can be obtained here.
A Bulk Billing Incentives Calculator User Guide is also available explaining how to use the calculator.
The calculator uses MBS information about BBPIP MBS eligible services only. It uses data to build an average annual provider and practice payment estimate for BBPIP MBS eligible services for your practice type and location. The payment model can be used as a baseline to estimate if you will benefit from joining BBPIP.
To get the most accurate estimate, have these details handy before you commence using the calculator:
- Select your role as a general practitioner (GP) or a practice manager (or equivalent)
- 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.
Bulk Billing Practice Incentive Program – Program Guidelines
The Bulk Billing Practice Incentive Program (BBPIP) Program Guidelines (guidelines) provide guidance to practices and providers that participate in BBPIP. The guidelines provide advice on the eligibility requirements, assessment approach, payment system, and the appeals process. Please note, the guidelines are subject to change.BBPIP Practice Readiness Checklist
This BBPIP Practice Readiness Checklist is for practices that plan to register for BBPIP from 1 November. Consider each of these steps to inform your planning and prepare your practice for BBPIP.BBPIP Planning Kit for General Practice
The purpose of this planning kit is to inform practices of the bulk billing changes and assist general practices in making an informed decision about BBPIP participation, based on their unique individual circumstances. This includes considering a wide range of factors that may include business models; care models; workforce; patient characteristics and expectations; appointment availability/demand; and practice infrastructure.Resources for practices who plan to stay private/mixed billing
The RACGP have developed a suite of resources for practices to assist them in communicating to their patients their intentions to remain a private/mixed billing practice. This includes webinars, posters, postcards and scripts for reception and phone hold messages.Useful resources
- BBI and BBPIP Calculator
- Bp Premier Reporting Tool: Bulk Billing Practice Incentive Program Statistics
- Factsheets and further information
- Information from Services Australia
