Understanding and Implementing the Federal Government’s New Bulk Billing Incentives


(Effective 1 November)

Understanding and Implementing the Federal Government’s New Bulk Billing Incentives


(Effective 1 November)

Education > CPD Home > Continuing professional development for GPs > MyCPD home member resources > Your CPD Solutions > Understanding and Implementing the Federal Government’s New Bulk Billing Incentives
Last updated 12 December 2025

From 1 November, the Federal Government introduced significant changes to Medicare, including new and increased bulk billing incentives for eligible patients.

1. Bulk-billing incentives now apply to all Medicare-eligible patients
Previously, incentives were limited to concession card holders and children under 16.
Under the new rules, any patient can attract a bulk-billing incentive when a GP bulk bills an eligible service.
 
2. A new payment: the Bulk Billing Practice Incentive Program (BBPIP)
A new optional incentive provides an additional 12.5% payment on every dollar of MBS benefit for eligible GP services.

To qualify, a practice must:

  • Be formally registered for BBPIP
  • Fully bulk bill all GP Non-Referred Attendances (NRAs)
  • Publicly advertise itself as a fully bulk-billing practice
    The payment is shared 50/50 between the practice and the GP.

3. Existing tripled bulk-billing incentives remain
The higher incentives for eligible face-to-face and telehealth consultations introduced in 2023 remain active and are now accessible for all bulk-billed patients.

This CPD solution guides GPs through understanding the reforms, exploring practical impacts at the practice level, engaging with available tools and calculators, and reflecting on future implications for clinical and business workflows.

Complete all activities in this CPD solution and receive

You can complete one, several or all activities in any order. As a guide, we estimate these activities will take a minimum of 6 hours to complete. However, the total time will vary depending on each GP’s individual learning needs and level of engagement with the activities.

The CPD activities contained in this CPD solution are included in your RACGP membership and features webinars developed in partnership with Cubiko, a quality RACGP Provider of CPD.

CPD solution activities:

Enhancing Your Understanding of the November Bulk Billing Incentive Changes (Suggested 2 EA hrs)

  1. Familiarise yourself with resources developed by Federal Government – including webinars developed and delivered in collaboration with Cubiko, posters, postcards, FAQs, website copy and on-hold scripts – that our members can use in waiting areas and consulting rooms, on your websites and social media pages, and to support patient conversations and MBS factsheets, policy summaries and a bulk-billing incentive calculator
  2. Identify the key changes relevant to your practice, including:
    • Eligibility criteria
    • New incentive amounts
    • Geographic loading differences
    • Consultation types impacted
    • Billing workflow considerations for your practice team

Prompts for self-recording (Quick Log):

  • What new information did I learn?
  • What areas of my current billing workflow need adjustment?
  • What questions do I still need answered before full implementation?

log this activity 

Activity 2. Applying the Incentives – Practical Modelling and Team Discussion (2 RP hrs)

Explore how the new incentives may influence the financial and operational aspects of your practice, using practical modelling and team-based discussion to evaluate their potential impact. Consider how these insights can guide workflow adjustments, staff training needs and ongoing monitoring of billing performance.

  1. Use one or more modelling tools such as:
  2. Framework for participation: navigating the maze
    • Strategic alignment – Check if bulk billing fits with your mission, values and patient base
    • Evaluate service mix against BB-PIP eligibility and item numbers
    • Financial viability – compare incentives with current income
    • Use calculators to model impact
    • Review cost such as staffing, technology, compliance and payroll tax
    • Note payments are made quarterly in arrears
  3. Model different consultation scenarios—e.g. standard Level B/C, chronic disease management, telehealth eligibility. 
  4. Conduct discussions with your manager, reception team and other GPs about:
    • Billing processes
    • Administrative adjustments
    • Training needs
    • Anticipated changes to patient behaviour
  5. Identify any gaps in understanding or workflow planning.

Prompts for self-recording (RP):

  • What did the modelling show about expected revenue changes?
  • What areas of billing require staff education?
  • Did you identify risks, compliance issues or opportunities?


Recording this whole quality improvement activity individually? 
Reviewing performance tool 

Recording this whole quality improvement activity as a group?
group or practice activity 

Activity 3: Reflection – Clinical, Financial and Workforce Implications (2 MO hrs)

Reflect on how the new incentives may influence your current and future practice operations, patient access and overall sustainability. This reflection can be ter some time has passed, re-evaluate your data and your original position. What has been the down-stream impact of the changes on your practice operations and overall viability? What has the impact been on patient access to care? This re-evaluation can be completed individually or as part of a team discussion and may consider the following:

  • Short-term implications for your clinic’s billing structure
  • Long-term sustainability of bulk-billing in your patient demographic
  • Operational changes such as rostering, appointment types, telehealth provision
  • Clinical impact: Will improved incentives increase continuity of care?
  • Workforce considerations: Will this change patient load, consult mix or workflow pressure?.

Reflection questions to guide your MO entry:

  1. Describe an improvement or change you have implemented in your practice and what prompted you to make the change. 
  2. What impact or outcome are you expecting as a result of the change/s you’ve implemented? If you have already observed an impact or outcome, please describe this below. 
  3. How do you plan to monitor and/or evaluate the effectiveness of these changes?


Recording this whole quality improvement activity individually? 
measuring outcome tool 

Recording this whole quality improvement activity as a group?
GROUP OR PRACTICE ACTIVITY