Bulk billing incentives 2025: Understanding Medicare changes and the Practice Incentive Program
29 Sep 2025
At the same time, a new Bulk Billing Practice Incentive Program (BBPIP) will begin. Practices that choose to participate will share in an additional 12.5% incentive payment on eligible MBS services.
Bulk Billing Incentives Calculator
To help practices understand the changes, a Bulk Billing Incentives Calculator has been released. It estimates annual earnings from both:
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Medicare bulk billing incentives (BBIs), and
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the new BBPIP.
A User Guide is also available with step-by-step instructions.
To get the most accurate estimate, practices will need information such as:
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GP or practice manager role
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Practice location (MMM classification)
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Billing model (bulk, mixed, or private)
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Number and type of eligible services billed each year
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Proportion of services for children under 16 or concession card holders
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Bulk billing rates and privately billed fees
These details can be accessed through your practice management system.
Registration and participation
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Practices interested in BBPIP can complete an Expression of Interest (EOI) form now and will receive communications material to display from 1 November.
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Registration for BBPIP opens on 1 November 2025.
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To participate, practices must be registered for MyMedicare.
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Participation is voluntary, but if a practice joins BBPIP, all GPs at the practice must bulk bill all eligible services.
Support for practices
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RACGP has resources to help with planning and communicating billing changes, including:
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Optimising your billing strategy
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Guide to introducing mixed billing in your practice
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Additional fact sheets and videos are available at Strengthening Medicare.
For further support, contact your Practice Support Officer or Practice Advancement Officer.
This article appeared in Practice Pulse on Wednesday, 1 October 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not receive the weekly Practice Pulse email, please contact your Practice Support Officer.
