diff --git a/homeassistant/components/bluetooth/scanner.py b/homeassistant/components/bluetooth/scanner.py
index a80386c25ef..911862a4221 100644
--- a/homeassistant/components/bluetooth/scanner.py
+++ b/homeassistant/components/bluetooth/scanner.py
@@ -91,12 +91,16 @@ def create_bleak_scanner(
         "detection_callback": detection_callback,
         "scanning_mode": SCANNING_MODE_TO_BLEAK[scanning_mode],
     }
-    if platform.system() == "Linux":
+    system = platform.system()
+    if system == "Linux":
         # Only Linux supports multiple adapters
         if adapter:
             scanner_kwargs["adapter"] = adapter
         if scanning_mode == BluetoothScanningMode.PASSIVE:
             scanner_kwargs["bluez"] = PASSIVE_SCANNER_ARGS
+    elif system == "Darwin":
+        # We want mac address on macOS
+        scanner_kwargs["cb"] = {"use_bdaddr": True}
     _LOGGER.debug("Initializing bluetooth scanner with %s", scanner_kwargs)
 
     try:
diff --git a/tests/components/bluetooth/test_scanner.py b/tests/components/bluetooth/test_scanner.py
index 81f9765de03..fcff8c15d58 100644
--- a/tests/components/bluetooth/test_scanner.py
+++ b/tests/components/bluetooth/test_scanner.py
@@ -2,7 +2,7 @@
 import asyncio
 from datetime import timedelta
 import time
-from unittest.mock import MagicMock, patch
+from unittest.mock import ANY, MagicMock, patch
 
 from bleak import BleakError
 from bleak.backends.scanner import AdvertisementDataCallback
@@ -18,6 +18,7 @@ from homeassistant.components.bluetooth.scanner import NEED_RESET_ERRORS
 from homeassistant.config_entries import ConfigEntryState
 from homeassistant.const import EVENT_HOMEASSISTANT_STARTED, EVENT_HOMEASSISTANT_STOP
 from homeassistant.core import HomeAssistant
+from homeassistant.setup import async_setup_component
 from homeassistant.util import dt as dt_util
 
 from . import (
@@ -27,7 +28,7 @@ from . import (
     generate_ble_device,
 )
 
-from tests.common import async_fire_time_changed
+from tests.common import MockConfigEntry, async_fire_time_changed
 
 
 async def test_config_entry_can_be_reloaded_when_stop_raises(
@@ -580,3 +581,50 @@ async def test_restart_takes_longer_than_watchdog_time(
         await hass.async_block_till_done()
 
     assert "already restarting" in caplog.text
+
+
+async def test_setup_and_stop_macos(
+    hass: HomeAssistant, mock_bleak_scanner_start: MagicMock, macos_adapter: None
+) -> None:
+    """Test we enable use_bdaddr on MacOS."""
+    entry = MockConfigEntry(
+        domain=bluetooth.DOMAIN,
+        data={},
+        unique_id="00:00:00:00:00:00",
+    )
+    entry.add_to_hass(hass)
+    init_kwargs = None
+
+    class MockBleakScanner:
+        def __init__(self, *args, **kwargs):
+            """Init the scanner."""
+            nonlocal init_kwargs
+            init_kwargs = kwargs
+
+        async def start(self, *args, **kwargs):
+            """Start the scanner."""
+
+        async def stop(self, *args, **kwargs):
+            """Stop the scanner."""
+
+        def register_detection_callback(self, *args, **kwargs):
+            """Register a callback."""
+
+    with patch(
+        "homeassistant.components.bluetooth.scanner.OriginalBleakScanner",
+        MockBleakScanner,
+    ):
+        assert await async_setup_component(
+            hass, bluetooth.DOMAIN, {bluetooth.DOMAIN: {}}
+        )
+        hass.bus.async_fire(EVENT_HOMEASSISTANT_STARTED)
+        await hass.async_block_till_done()
+
+        hass.bus.async_fire(EVENT_HOMEASSISTANT_STOP)
+        await hass.async_block_till_done()
+
+    assert init_kwargs == {
+        "detection_callback": ANY,
+        "scanning_mode": "active",
+        "cb": {"use_bdaddr": True},
+    }