SHA reschedules verification of Level 4 hospitals over unpaid NHIF claims
SHA has rescheduled verification of selected Level 4 facilities with pending NHIF claims of Sh10 million and above.
NAIROBI, Kenya – The Social Health Authority (SHA) has rescheduled verification procedures for certain Level 4 health facilities that have outstanding claims from the defunct National Hospital Insurance Fund (NHIF). SHA CEO Dr Mercy Mwangangi announced the changes in a notice on September 28, 2026, noting that the surveillance and verification dates for these facilities have been altered.
The targeted facilities previously faced claims exceeding Sh10 million, as outlined in a September 18 notice. SHA has instructed affected healthcare providers to consult the updated schedule and prepare the necessary documentation for the upcoming verification. Dr Mwangangi emphasized the importance of facilities being ready for the exercise, with all relevant supporting documents readily available.
The SHA website now hosts the revised list of facilities and the updated verification timeline. Healthcare providers can seek further clarification by contacting the Authority's Benefits and Claims division. This rescheduling is part of SHA's ongoing efforts to manage the transition from NHIF to the new health insurance system, addressing claims and obligations inherited from the previous insurer.
The verification process will focus on verifying the documentation supporting the outstanding claims, particularly those of Sh10 million or more, as SHA works to settle legitimate medical claims inherited from the defunct NHIF. The government has been gradually settling claims ranging from zero to Sh10 million, with a budget of Sh4 billion allocated to this task.
As of August 2026, 3,526 facilities had completed reconciliation for claims in this range, receiving a total of Sh3.63 billion in payments. Health Cabinet Secretary Aden Duale highlighted the government's commitment to restoring confidence among healthcare providers and supporting the transition process. The larger claims are now undergoing verification as part of the broader reconciliation effort for obligations inherited from NHIF, ensuring the legitimacy and accuracy of claims before any payments are made.
Written by urgent.news from Capital FM Kenya's reporting — not their text. Machine-written — may contain errors; check the original before relying on it.
