When Does PhilHealth Pay YAKAP Clinics? Tranche 1 vs Tranche 2 Timelines

PhilHealth pays YAKAP clinics in two tranches: Tranche 1 (P680 per validated First Patient Encounter, 40% of the P1,700 capitation) is computed monthly and released within 60 days after SAP1 is generated on the 8th of the following month; Tranche 2 (up to P1,020, the remaining 60%) is computed once, after year-end, based on your December FPE count and performance scores. In other words, FPEs are your monthly cashflow, and consultations, labs, and dispensing are your year-end bonus — each gated by specific documentation and hard upload deadlines.

The two tranches at a glance

Under Annex I of PhilHealth Circular No. 2024-0013, the maximum per capita rate has been P1,700 since January 1, 2024, for both government and private Konsulta Package Providers (now YAKAP clinics), split as follows:

Tranche 1 — P680 per beneficiary (40%). Earned when a registered beneficiary completes a validated First Patient Encounter (FPE). Computed and paid on a monthly cycle.
Tranche 2 — up to P1,020 per beneficiary (60%). Based on the number of registered members with FPE as of December of that year, multiplied by your performance factor. Paid once, after year-end.

Private clinics have 2% withholding tax deducted from both tranches; public facilities do not. In Annex I's own example, a private KPP with 14,850 FPEs grosses P10,098,000 in Tranche 1 but nets P9,896,040 after P201,960 withholding — a public KPP keeps the full amount. For the full capitation breakdown, see The P1,700 YAKAP Capitation, Fully Explained.

Tranche 1: monthly payments after FPE validation

Tranche 1 runs on a strict monthly clock defined in Annex I:

You upload XML data continuously — the circular says clinics shall submit required XML files through the HCI Portal or LHIOs "regularly, preferably on a daily basis."
Cutoff: 11:59 PM of the 7th calendar day of the succeeding month. Only complete data uploaded by then counts for that cycle.
SAP1 generated on the 8th of that month by PhilHealth's Benefit Administration System. SAP1 generation happens only once a month.
Release within 60 days after the 8th, "as soon as possible," provided all records passed PhilHealth's system validation.

Practical example: FPEs done in March must be uploaded by April 7, 11:59 PM. SAP1 generates April 8, and payment should land within 60 days after that. Miss the cutoff and the FPE isn't lost — any unpaid FPE from late uploads is automatically rolled into the next month's SAP1 — but your cash arrives a month (or more) later.

Two more Tranche 1 rules that matter for cashflow:

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 don't need a repeat FPE — the first tranche is paid in full in succeeding years, provided you conducted at least one medical consultation for that beneficiary within the previous year. If you didn't, a new FPE is required before Tranche 1 pays out again.

The system does pay when clinics comply: PhilHealth reported settling 98.74% of first-tranche (SAP1) YAKAP claims for 2026 as of mid-June.

What documentation gates Tranche 1 now

Since January 1, 2026, an FPE alone is not enough. Per PhilHealth Advisory No. 2025-0072, every SAP1 submission must attach:

A PCU Transaction Number — the PhilHealth Check Utility liveness check is required at every patient encounter, including the FPE, and generates the transaction number used for claims validation.
A signed MCA / YAKAP Empanelment Slip (YES) — required at every FPE for both new and rolled-over members, and re-accomplished annually. PhilHealth Circular No. 2025-0017 makes signed MCAs an explicit requirement for first-tranche payment, retained or newly assigned.

Claims without these "will likely encounter delays in processing or non-payment." Worse, clinics that miss the compliance deadline for CY 2025 rolled-over members (extended to December 15, 2026 by PhilHealth Advisory No. 2026-0011) must return SAP1 payments for every rolled-over beneficiary with no signed MCA, under PhilHealth's Payment Recovery policy. More on clawbacks in Why YAKAP Clinics Get Paid Less Than Expected.

Tranche 2: year-end, performance-gated

Tranche 2 is a single annual computation: registered beneficiaries with validated FPE as of December × performance factor × P1,020.

The performance factor is a weighted score across four indicators (primary care consultation at 100% target / 30% weight; laboratory utilization at 50% / 30%; antibiotics dispensing at 15% / 10%; NCD medicines dispensing at 20% / 30%). Annex I's worked example — 14,850 FPEs with 8,000 consulted, 3,000 with labs, 2,000 on antibiotics, and 1,500 on NCD meds — scores just 0.52, yielding P7,876,440 for a public clinic and P7,718,911.20 for a private one after 2% withholding. A weak year of consultations can cut your biggest payment roughly in half, which is why the indicators deserve their own read: YAKAP Performance Factor: The 4 Indicators That Decide 60% of Your Income.

The Tranche 2 timeline:

Submit complete consultation data daily or weekly, or at latest by end of January of the succeeding year.
Cutoff: 11:59 PM of January 7 for the SAP2 computation.
SAP2 generated January 8.
Release within 60 days after January 8, provided data passed system validation.

Deadlines shift — track the advisories

PhilHealth issued three SAP-deadline advisories in January 2026 alone (PA 2026-0005, PA 2026-0008, PA 2026-0011), per the official YAKAP issuances index. The CY 2025 SAP data deadline was ultimately extended to March 31, 2026 — with the warning that data submitted after that date "will no longer be accommodated for computation." That is income permanently lost, and clinics had to sign a Letter of Compliance Affirmation acknowledging exactly that. Note also that if generated SAP ledgers don't match the applicable masterlists, the LHIO can cancel the SAP outright pending a replacement.

Cashflow planning rules of thumb:

Treat Tranche 1 as your operating income: front-load FPEs early in the year and upload before every 7th-of-the-month cutoff.
Treat Tranche 2 as earned all year but received the following Q1 at the earliest — budget accordingly.
Never bank on deadline extensions; upload as if the original cutoff is final.

How RecordKo keeps your tranches on schedule

RecordKo is built for YAKAP end-to-end: PCU liveness checks with transaction numbers captured at registration and every consultation, empanelment slip generation, eKAS and ePresS PDFs, and encrypted XML claims validated and transmitted straight to PhilHealth — so your SAP1 submissions carry the attachments that get paid, before the 7th-of-the-month cutoff. Consultations, labs, and medicine dispensing are encoded onto the correct T2 records as you work, protecting your performance factor, and migration tooling imports XML from other EMR systems for the certified-EMR era.

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