40 health facilities in different parts of the country have been suspended by the Social Health Authority (SHA) for alleged involvement in fraudulent claims, submission of false hospital records and multiple billing worth millions of shillings, which has jeopardised the sustainability of the health scheme.
According to Health Cabinet Secretary Aden Duale, a forensic audit conducted by the Authority through the digital health system, which is equipped to detect and eliminate fraud, implicated eight doctors in fraudulent activities at facilities in Nairobi, Bungoma and Kilifi Counties and four clinicians associated with facilities in Nairobi and Homa Bay Counties.
Duale warned that fraud, once seen under the defunct NHIF will not be tolerated under SHA, with offenders facing personal liability and surcharges.
“We have suspended 40 health facilities found to be defrauding SHA. These suspensions take effect immediately. During the investigation period, these facilities will not receive any benefits from SHA, and we will surcharge them for the money lost. We have also identified several health professionals involved, including eight doctors in Nairobi, Bungoma, and Kilifi”, the CS disclosed.
Speaking Friday at the Ministry of Health buildings in Nairobi, Duale said the Authority has withdrawn the health workers’ user rights and cancelled their professional licenses with immediate effect.
“Any doctor or health official involved in defrauding SHA will be held responsible. We will hand over all the hospitals and the 12 health officials to the DCI for further investigations. Additionally, we have ordered the relevant regulatory bodies to cancel their licences.” He said.
He urged Kenyans to protect their SHA OTPs, announced biometric verification in major facilities to curb misuse, and called on the public to report suspected fraud via toll-free 147.
The list of the suspended facilities 
