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Now Available: 2026 Capitation Schedule
2025/12/29 • Posted by Provider Relations

As you know, Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments. The date for receiving this information from the SDOH varies from month to month. In certain months, the availability of data may be delayed as much as one week. Nevertheless, Fidelis Care has historically made capitation payments as close to the first of each calendar month as possible. 

 

Presented below is Fidelis Care’s 2026 capitation check and Electronic Funds Transfer (EFT) schedule. Please refer to this to determine the timing of your monthly payment.  Over the years, we have strictly adhered to the schedule, however, these dates are subject to change pending membership data availability from SDOH.  Please note that 2026 EFT payments will be made in advance of the check mailing.

 

Capitation Month

EFT Dates

Check Mailing Dates

 

Capitation Month

EFT Dates

Check Mailing Dates

February

02/03/2026

02/06/2026

 

August

08/04/2026

08/07/2026

March

03/03/2026

03/06/2026

 

September

09/01/2026

09/04/2026

April

04/07/2026

04/10/2026

 

October

10/06/2026

10/09/2026

May

05/05/2026

05/08/2026

 

November

11/03/2026

11/06/2026

June

06/02/2026

06/05/2026

 

December

12/01/2026

12/04/2026

July

07/07/2026

07/10/2026

 

January

01/05/2027

01/08/2027

 

Fidelis Care supports the use of electronic transmissions for claims, remittance advices and payments in efforts to save paper and reduce costs. Fidelis Care encourages providers to contact their Provider Engagement Account Manager to learn how to sign up for EFT.

 

Providers who electronically submit claims for non-capitated services will, in most cases, receive their reimbursement faster than those submitting via paper claims. Fidelis Care receives electronic claims through multiple electronic data clearinghouses that expedite and guarantee receipt of claims data and accelerate processing time. Fidelis Care strongly encourages all providers to submit electronically and will assist in developing appropriate protocols to accept electronic claims.

 

If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please click here

 

Fidelis Care is proud to be your health care partner.

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