… The suspension, which took effect on June 23, 2026, was announced by SHA Chief Executive Officer Mercy Mwangangi and affects services provided under the Primary Healthcare Fund (PHCF), Social Health Insurance Fund (SHIF), Emergency, Chronic and Critical Illness Fund (ECCIF), and …
… In a statement signed by SHA Chief Executive Officer Dr Mercy Mwangangi, the authority said: "SHA wishes to clarify that a marriage certificate is not a requirement for accessing IVF services. …
… Chief Executive Officer Mercy Mwangangi told the Senate Health Committee that Nairobi County leads with Sh3.8 billion worth of the rejected claims, with the legislators wondering what has been done to address the matter. …
… es and health centres). “All registered beneficiaries will have access to free delivery services at Level 2 and Level 3 primary healthcare facilities, on a walk-in, walk-out basis,” reads a section of the public notice, made by SHA Chief Executive Officer (CEO) Dr Mercy Mwangangi …
… an section procedures and newborn care will attract reimbursements of Sh30,000. “The enhancements mark a significant milestone in our commitment to Universal Health Coverage and leaving no Kenyan behind,” SHA said in the notice signed by Chief Executive Officer Dr Mercy Mwangangi …
… "These enhancements mark a significant milestone in our commitment to universal health coverage and leaving no Kenyan behind," said Chief Executive Officer Mercy Mwangangi.The changes follow President William Ruto's directive during the 2025 State of the Nation Address and resolu …
… o have been forced to pay cash at hospitals despite holding active cover under the scheme."Providers with whom tariffs are not successfully agreed will be notified of termination of the POMSF contract immediately," the notice, signed by SHA Chief Executive Officer Mercy Mwangangi …
President Ruto has launched the National Ambulance Dispatch Centre, a digital command centre at the Social Health Authority that links more than 600 accredited public and private ambulances into a single nationwide emergency response system accessible by dialling 922. The platform is designed to improve coordination of emergency medical services and disaster response across all 47 counties, with trained medical dispatchers using GPS technology to identify the nearest available ambulance.
President Ruto has launched the National Ambulance Dispatch Centre, a digital command centre at the Social Health Authority that links more than 600 accredited public and private ambulances into a single nationwide emergency response system accessible by dialling 922. The platform is designed to improve coordination of emergency medical services and disaster response across all 47 counties, with trained medical dispatchers using GPS technology to identify the nearest available ambulance.
The Social Health Authority has directed all contracted healthcare providers to provide emergency medical care without discrimination based on ability to pay or benefit verification, threatening loss of accreditation for those who deny or delay treatment. The directive invokes Article 43(2) of the Constitution and addresses concerns over patients being asked for upfront payments before receiving urgent care.
The Social Health Authority has announced a new reimbursement model that will reduce payments to contracted primary healthcare facilities that fail to dispense prescribed medicines, aiming to ensure patients receive the full range of services covered under the Primary Healthcare Fund. SHA will monitor each facility's medicine-dispensing rate through the Digital Health Agency platform and reimburse based on services delivered.
The Principal Secretary for Medical Services chaired a meeting of the Healthcare IT Digitization Programme Steering Committee, bringing together the Safaricom Consortium, Digital Health Authority, Social Health Authority, Kenya Medical Supplies Authority and other agencies to review progress on Universal Health Coverage digital transformation and accelerate programme delivery.
The Social Health Authority has introduced biometric fingerprint identification for registered children aged 7–17 to verify their identity at healthcare facilities and prevent fraud. Parents or guardians must consent to the capture, and alternative verification using contributor ID and one-time password is available where fingerprint capture is not possible.
Public servants have called for urgent reforms to the Social Health Authority, citing delays in accessing treatment, lengthy pre-authorisation procedures, and biometric verification failures. They urged SHA to establish dedicated customer service desks, expand physical offices, publish monthly performance reports, and guarantee uninterrupted medical cover for retirees.
The Social Health Authority has given healthcare providers three months to integrate with the Health Management Information System, with the SHA CEO warning that non-compliant facilities will face consequences. The move is part of Kenya's digital health transformation aimed at Universal Health Coverage.
Cabinet Secretary Aden Duale has directed the Social Health Authority to release Sh4 billion allocated to settle verified legacy debts owed to small healthcare facilities by the defunct NHIF within two weeks, after the SHA CEO said disbursements would begin in July.
The Social Health Authority has temporarily suspended MP Shah Hospital from its panel of contracted healthcare providers pending the conclusion of ongoing investigations. The suspension, effective June 23, 2026, affects critical services under multiple funds, though current patients may continue receiving care until discharge.
The Social Health Authority has temporarily suspended MP Shah Hospital from its panel of contracted healthcare providers pending the conclusion of ongoing investigations, effective June 23, 2026. Patients already admitted will complete their care, but new admissions have been redirected to other SHA-contracted providers.
M.P. Shah Hospital has been temporarily suspended from offering services under government-funded health insurance schemes following billing complaints, effective June 23, 2026. The hospital said it will cooperate with the Social Health Authority's investigation.
A high school teacher reported being asked to provide a marriage certificate before accessing IVF treatment under the Social Health Authority's new fertility coverage for teachers, sparking outcry over the requirement. SHA later stated the request was an error.
Starting Monday, hospitals accredited by the Social Health Authority to offer primary healthcare will face surcharges if they do not dispense prescribed drugs to patients after treating them.
The Social Health Authority has rejected Sh16 billion worth of claims since October 2024, with Nairobi County accounting for Sh3.8 billion of the rejections. CEO Mercy Mwangangi told the Senate Health Committee that Sh139.5 billion in payments have been made to health facilities as of April 30, while Sh31.5 billion in claims remain under review.
Kenya's Health Cabinet Secretary has gazetted a new healthcare benefit package under the Social Health Act, 2023, that includes maternity, haematology, and oncology services. Patients with sickle cell anaemia say the allocations—such as Sh70,000 for red cell exchange, covered up to three times per policy period—remain unchanged and too low, with care limited to understaffed public hospitals.
The Social Health Authority has expanded health benefit packages to include free maternity services at primary healthcare facilities and increased cancer treatment coverage, following directives from President Ruto and findings from public participation data. Facilities will receive Sh10,000 for normal delivery and Sh30,000 for caesarean sections.
The Social Health Authority will provide free delivery services at Level 2 and Level 3 facilities, reimbursing them Sh10,000 for normal deliveries and Sh30,000 for caesarean sections, ending out-of-pocket costs for mothers. SHA also raised cancer benefit packages and expanded coverage for oncology consultations, chemotherapy, radiotherapy, and diagnostic services.
The Social Health Authority has warned contracted healthcare providers that failure to agree on new tariffs under the Public Officers Medical Scheme Fund will result in immediate contract termination, with nationwide negotiations beginning Monday. During negotiations, providers must not charge POMSF beneficiaries out-of-pocket fees or co-payments, and talks are set to conclude within four weeks.