Bulk Billing Practice Incentive Program

In addition to the Bulk Billing Incentive Expansion, from 1 November 2025 general practices can choose to participate in the new Bulk Billing Practice Incentive Program (BBPIP). Under this incentive, practices receive an additional 12.5% payment on every $1 of MBS benefit earned from eligible services, and this payment is split evenly (50/50) between GPs and the practice.

Bulk Billing Practice Incentive Program Guidelines

The Bulk Billing Practice Incentive Program (BBPIP) Guidelines outline the eligibility requirements, assessment approach, payment system, and appeals process for the program. Please note that the guidelines are subject to change.
Download guidelines

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 not confirmed at this stage)
  • Register to participate in BBPIP via the Organisation Register. Registration instructions are available here

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).


The calculator draws on data for BBPIP-eligible MBS services to estimate annual payments for providers and practices, based on your practice type and location. The 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 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. Refer to the Bulk Billing Incentives Calculator User Guide for step-by-step instructions to support use of the calculator.

MyMedicare and Strengthening Medicare

MyMedicare

General Practice in Aged Care Incentive (GPACI)

Chronic Conditions Management: MBS Item Reform

Better Access: MBS Item Reform

Bulk Billing Incentive Expansion

Bulk Billing Practice Incentive Program

Resources

Last modified: January 6, 2026