The ₱1,700 YAKAP Capitation, Fully Explained (Circular 2024-0013)

PhilHealth pays YAKAP clinics a maximum of P1,700 per registered beneficiary per year, and it arrives in two very different tranches: 40% (P680) paid monthly for every completed First Patient Encounter (FPE), and 60% (up to P1,020) paid after year-end based on a four-indicator performance formula. Both the rate and the math come from PhilHealth Circular No. 2024-0013 and its payment schedule, Annex I — effective January 1, 2024 for both government and private Konsulta Package Providers (KPPs), and still the governing payment rules now that Konsulta has evolved into YAKAP under PhilHealth Circular No. 2025-0017.

The 40/60 Split at a Glance

The P1,700 is never paid as one lump sum — it is split 40/60, and each half has its own trigger, timing, and risk profile.

First tranche — 40% = P680 per beneficiary. Triggered by the FPE. Computed monthly, paid within 60 days.
Second tranche — 60% = up to P1,020 per beneficiary. Computed once, after December, based on your validated FPE count and your performance factor. Most clinics will not receive the full P1,020 — the performance factor scales it down.

In practice, the first tranche is your predictable cash flow and the second tranche is your incentive pool. We break down the payment calendar in detail in When Does PhilHealth Pay YAKAP Clinics? Tranche 1 vs Tranche 2 Timelines.

Tranche 1: The P680 FPE Trigger

Every registered beneficiary who completes an FPE earns your clinic P680, and Annex I's sample computations all use exactly this figure (for example, 1,500 FPEs × P680 = P1,020,000 in a single month). Key mechanics from Annex I:

The FPE is not a medical consultation. PC 2025-0017 defines it as the initial yearly episode of patient contact where the clinic takes or updates basic health data to identify health risk.
No pro-rata. Since January 1, 2023, pro-rata computation is canceled — a beneficiary registered in November earns the same full P680 as one registered in January.
Retained beneficiaries roll over. In succeeding years, you receive the first tranche in full without repeating the FPE — provided you conducted at least one medical consultation for that beneficiary in the previous year. If you did not, a new FPE is required before the tranche is paid.
Data cutoff is strict. The monthly computation uses complete data uploaded as of 11:59 PM of the 7th calendar day of the following month; PhilHealth's system generates the SAP1 ledger every 8th. SAP1 runs only once a month, so a late upload is not lost — it rolls into the next SAP1 — but your cash arrives a month later.
Payment window. The computed amount is released as soon as possible within 60 days after the 8th, provided all records passed PhilHealth's system validation.

Since January 1, 2026, tranche 1 has extra documentary teeth: per PhilHealth Advisory No. 2025-0072, every SAP1 submission must carry a PCU (PhilHealth Check Utility) Transaction Number from the liveness check and a signed Mutual Care Agreement / YAKAP Empanelment Slip — for new and rolled-over members alike. Claims without them face delays or non-payment, and clinics that miss the compliance deadline must return SAP1 payments for unsigned rolled-over beneficiaries under PhilHealth's Payment Recovery policy. More on that in Why YAKAP Clinics Get Paid Less Than Expected.

Tranche 2: The Annex I Performance Formula

The year-end tranche is computed with one formula: validated FPE count × performance factor × P1,020. The performance factor is a cumulative weighted score across four indicators, each scored as (your actual ratio ÷ the target) × the indicator's weight. All denominators are your registered beneficiaries with validated FPE.

Primary care consultation — unique beneficiaries who consulted a primary care doctor. Target 100%, weight 30%.
Laboratory utilization — unique individuals who received a laboratory service. Target 50%, weight 30%.
Communicable-disease medicines — unique beneficiaries who received prescribed antibiotics. Target 15%, weight 10%.
NCD medicines — unique beneficiaries who received prescribed non-communicable-disease medication. Target 20%, weight 30%.

Annex I's own worked example: a KPP with 14,850 validated FPEs, of whom 8,000 consulted, 3,000 had labs, 2,000 received antibiotics, and 1,500 received NCD meds, scores 16% + 12% + 9% + 15% = a 0.52 performance factor. Second tranche: 14,850 × 0.52 × P1,020 = P7,876,440 — roughly half of the theoretical maximum. That is why the four indicators deserve their own playbook; see YAKAP Performance Factor: The 4 Indicators That Decide 60% of Your Income.

Deadlines matter here too: consultation data must be submitted daily/weekly or by end of January of the succeeding year; SAP2 is generated January 8 from data complete as of 11:59 PM January 7, and released within 60 days after that.

The 2% Withholding for Private KPPs

Private clinics receive slightly less cash than the formulas suggest, because a 2% withholding tax is deducted from capitation payments to private facilities — public KPPs are exempt. Using Annex I's own numbers for 14,850 FPEs:

First tranche: gross P10,098,000; a private KPP nets P9,896,040 after P201,960 withholding, while a public KPP keeps the full amount.
Second tranche: P7,876,440 − P157,528.80 = P7,718,911.20 net for a private KPP.

Two more private-KPP specifics from Annex I: balance billing/co-payment is allowed but capped at P900 per beneficiary per annum, and the Local Health Insurance Office can cancel a SAP outright if the generated ledger conflicts with the applicable masterlist (a replacement SAP may follow).

What This Means for Your Clinic's Numbers

Your realistic revenue model is P680 × FPEs (near-certain, monthly) plus P1,020 × FPEs × your projected performance factor (uncertain, year-end), minus 2% if you are private. Three operational takeaways:

FPE volume is the master lever — it multiplies both tranches. Empanelment headroom is real: PhilHealth-Davao paid P447 million in YAKAP claims in 2025 with only about 30% of regional members enrolled.
Upload discipline is revenue. The 7th-day cutoff, the end-of-January tranche-2 deadline, and hard cutoffs like the March 31, 2026 CY-2025 extension in PhilHealth Advisory No. 2026-0011 mean data submitted late is income delayed — or permanently lost.
Documentation is now a payment condition, not paperwork: PCU transaction numbers and signed MCAs are attached to money. For the full playbook, read How to Maximize YAKAP Clinic Income (Compliantly).

How RecordKo Handles YAKAP Capitation End-to-End

RecordKo is built for YAKAP end-to-end and designed for the certified-EMR era. The FPE and consultation workflows capture the PCU liveness result and transaction number at registration and at every encounter, generate the eKAS, ePresS, and YAKAP Empanelment Slip PDFs on the spot, and build the encrypted XML claims that PhilHealth validates and accepts — one transmittal number per consultation, with duplicate uploads blocked. A built-in Reports dashboard projects your capitation income under the Circular 2024-0013 formula and tracks your four performance indicators through the year, so the SAP2 number is never a surprise. Migrating from eKonsulta or another EMR? RecordKo imports your existing XML batches and masterlists so your beneficiary history — and your retained-beneficiary tranche-1 entitlement — comes with you.

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