All doctors who bulk bill Medicare-eligible patients on eligible items can attract bulk billing incentive payments.

See RACGP Bulk Billing Incentives Factsheet

No.

BBIs are additional MBS payments made when a doctor bulk bills an eligible patient for an eligible service.

Yes.

From 1 November 2025, the bulk billing incentives (BBIs) eligibility has expanded to apply to all Medicare-eligible patients, meaning that mixed-billing practices choosing to bulk bill eligible services can still attract an incentive.

However, unlike BBPIP, mixed-billing practices wishing to access BBIs for individual eligible services are not required to advertise as a bulk billing practice and can remain mixed billing.

• General Practices, inclusive of mobile practices, outreach practices and sole providers.
• Aboriginal Community Controlled Health Services (ACCHOs) and Aboriginal Medical Services.
• After Hours and Medical Deputising Services

To meet eligibility requirements for BBPIP, the practice must;

• Bulk bill all eligible services for all Medicare-eligible patients.
• Advertise their participation in BBPIP by registering as a ‘Bulk Billing Only’ practice on Healthdirect (Australia’s National Health Services Directory (NHSD).
• Display Medicare Bulk Billing Practice signage at the entrance and reception areas of the practice. Healthdirect signage requirements.
• Be registered with MyMedicare. Noting that practices registering in MyMedicare for the first time to participate in BBPIP are exempt from MyMedicare accreditation requirements.
• Register to participate in BBPIP via Services Australia.
• Practices must also meet the requirements set out in the BBPIP Program Guidelines.

No.

Involvement in BBPIP is voluntary, practices can opt-in or opt-out at any time.

Yes.

In order to participate in BBPIP, the practice is required to be registered with MyMedicare.

However, practices registering for MyMedicare for the first time to participate in BBPIP are exempt from MyMedicare accreditation requirements.

Noting that practices that receive a BBPIP accreditation exemption for MyMedicare are not automatically eligible for any other MyMedicare linked incentive or initiative.

No.

The patients do not need to be signed up to MyMedicare for the practice to be involved in BBIs or BBPIP.