The Directorate of Criminal Investigations has announced that it has received 1,188 files from Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC).
DCI said the files pertain to individuals, entities and various parties suspected of engaging in health care fraud.
The entity said a multi-agency team has been constituted under the leadership of the DCI with a view of expeditiously reviewing the files.
The objective of the review, they said, is to make sure that all those who have been involved in any form of healthcare fraud will be arraigned regardless of their social status and political affiliations.
“In collaboration with all other law enforcement agencies, we are committed to recovering all assets and other resources acquired through fraudulent means. The public will be kept informed on the progress of the investigations through regular updates,” DCI said in a statement on Monday.
“The DCI remains at the forefront in supporting all government and non-governmental entities in the fight against all forms of fraud, while urging the public to remain vigilant and report such criminalities.”
Ministry of Health CS Aden Duale confirmed handing over the files terming the move a major milestone in the fight against healthcare fraud.
Duale claimed the files contain evidence targeting fraudulent and non-compliant healthcare facilities and individuals.
“This action targets fraudulent and non-compliant healthcare facilities and individuals, marking a critical milestone in the ongoing effort to protect public funds and safeguard the integrity of Kenya's healthcare system,” Duale said.
The CS said the files submitted to the DCI contain detailed evidence to support prosecution.
Duale added that the move underscores the government’s commitment to curbing fraud in the health sector, protecting public funds, and restoring public trust in healthcare institutions.
According to the ministry, the submission follows weeks of joint action by SHA, KMPDC, and the Clinical Officers Council (COC).
The agencies have been carrying out forensic audits and digital system checks that uncovered deeply troubling practices in the health sector.
Duale revealed that SHA had already suspended 85 health facilities to pave way for investigations.
“SHA, in line with its mandate, has suspended a total of Eighty-Five (85) health facilities for fraudulent activities to allow for investigations,” he stated.
The CS noted that the fraudulent practices unearthed directly harm the public and drain resources meant for patients. He cited three main schemes used by rogue providers.
