Bulk Billing Practice Incentive Program (BBPIP)

The Australian Government announced its intention to expand bulk billing eligibility to all Australians and introduce a Bulk Billing Practice Incentive Program for practices registered with MyMedicare, starting 1 November 2025.

BULK BILLING Flow Chart and Useful links

EXPANDED BULK BILLING ELIGIBILITY:

All Australians with a valid Medicare card are eligible for bulk billing incentives.
This replaces the previous restricted eligibility (children under 16 and concession card holders).

This change allows all general practices to participate in the expanded bulk billing program.

BULK BILLING PRACTICE INCENTIVE PROGRAM (BBPIP):

The Bulk Billing Practice Incentive Program (BBPIP) introduces a new financial incentive for practices registered with MyMedicare.

Key Features:

A 12.5% loading payment on every dollar of MBS benefit earned from GP non-referred attendance (NRA) services.
Practices participating in BBPIP receive an additional quarterly 12.5% incentive payment on MBS benefits paid from eligible services. This is evenly split between the GP and the practice, recognising the importance of both:
- practices
- GPs.
Participating practices must bulk bill every eligible service for every Medicare-eligible patient to receive the payment. This incentive payment is in addition to Medicare benefits and MBS BBIs.

Participation Requirements:

To be eligible for BBPIP, practices must:

Commit to bulk billing all GP NRA services
Advertise their participation within the practice and on Healthdirect’s National Health Services Directory
Be registered with MyMedicare
(Note: Accreditation requirements can be waived with an interim exemption)

How to order signage:

Practices participating in BBPIP can order Medicare Bulk Billing Practice signage and information for patients about eligible services.

The Medicare Bulk Billing Practice materials are only for use by practices currently participating in BBPIP.

Medicare Bulk Billing Practice signage for Bulk Billing Practice Incentive Program

New eligibility assessments for the Bulk Billing Practice Incentive Program

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.

The first BBPIP payment will be made in January and will be based on a two‑month period covering November and December 2025. The regular quarterly payment cycle will then resume from January 1st.

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: Bulk billing incentives in general practice | Australian Government Department of Health, Disability and Ageing

Webinar with Wendy O’Meara Navigating the Bulk Billing Practice Incentive Program (BBPIP)

https://youtu.be/FUwBF1Q-Hus

For further information and resources: