Medicare Reform
Changes to bulk billing incentives in general practice
From 1 November 2025, every general practice will benefit from expanded eligibility for MBS bulk billing incentives to all patients with a Medicare card.
Expanding eligibility for MBS BBIs to all Medicare-eligible patients and introducing  the Bulk Billing Practice Incentive Program (BBPIP) will support doctors to continue to bulk bill, improving access to general practice care for all Medicare-eligible patients.
BBPIP will also support GPs and practices to grow their teams, upgrade their facilities and expand their services.
Published 29 October, 2025
Overview of the changes to the Bulk Billing Practice Incentives Program (BBPIP)
From 1 November 2025, every general practice will benefit from expanded eligibility for MBS bulk billing incentives to all patients with a Medicare card.
Currently, MBS bulk billing incentives can only be claimed where a medical practitioner bulk bills patients under the age of 16 or those holding a Commonwealth concession card.
From 1 November 2025, these eligibility requirements will be lifted, and medical practitioners will be able to claim relevant bulk billing incentive (BBI) items for all Medicare-eligible patients.
This expanded access to BBIs will be available to all GPs, regardless of whether they participate in the Bulk Billing Practice Incentive Program (BBPIP).
From 1 November 2025, practices will be able to choose if they wish to participate in the new Bulk Billing Practice Incentive Program (BBPIP).
Practices participating in BBPIP will receive an additional 12.5% incentive payment on MBS benefits earned from eligible services, split evenly (50/50) between the GP and the practice. To receive the BBPI, all GPs at participating practices must bulk bill all eligible services for all Medicare-eligible patients and meet advertising requirements.
Collectively, these measures amount to an investment of $7.9 billion in general practice by the Australian Government. Information on both of these bulk billing measures is available on the Department of Health, Disability and Ageing website including frequently asked questions, and details on eligible MBS services.
Supporting Resources
Webinar – To Bulk Bill or Not to Bulk Bill Navigating the new Bulk Billing Program
In consultation with Larter Consulting, we have developed a webinar to help support your decision making on wether you want to participate in the new Bulk Billing Incentives Program.
Checklist and New Bulk Billing Kit
- Bulk Billing Practice Incentive Payment (BBPIP) Practice Readiness Checklist
- BBPIP Practice Readiness Checklist for practices that plan to register for BBPIP. Practices will need to consider each of these steps to inform their planning and prepare their practice for BBPIP.
- New Bulk Billing Kit
- Developed by PHNs nationally through the National MyMedicare PHN Implementation Program. This resource has been designed to support change management with general practices across Australia, as part of the Government’s commitment to Strengthening Medicare. The kit is intended to help practices consider their own unique circumstances and plan for any changes to their billing approach. It is not designed to be prescriptive. Instead, it provides a set of flexible questions and considerations that practices can adapt to suit their context.
Additional BBPIP resources
- HealthPathways – Guide to MBS Items
- BBPIP program requirements
- Bulk Billing Practice Incentive Program (BBPIP) – shows steps to register for BBPIP (which will be live from the 1st November to register). Practices can backdate their BBPIP registration in the Organisation Register by 180 days when selecting a start date.
- MyMedicare BBPIP Services Australia E Learning Module –Â
- Bulk Billing Practice Incentive Program: eligible services
- Bulk Billing Practice Incentive Program: frequently asked questions for practices and providers
- Bulk Billing Incentives Calculator: user guide for practice managers and GPs
Bulk Billing Incentives resources
Mixed Billing resources
Questions? Contact your Primary Care Regional Manager
If you have any questions or need support navigating the new Bulk Billing expansion or BBPIP, please contact your local Regional Manager.
