Directorate of Criminal Investigations (DCI) on Monday arraigned in court a Nairobi clinic director accused of fraudulently claiming more than Sh11 million from the Social Health Authority (SHA).
In a statement shared on social media , DCI stated that the suspect Mishael Otieno Okumu, who runs a medical facility in the Pipeline area of Nairobi, is alleged to have orchestrated irregular practices including false patient admissions, use of expired or unauthorized practitioner credentials, suspicious admission patterns, and fraudulent medical billing.
Investigators say the scheme enabled the submission of fake claims to SHA through Salama Yard Medical Center Laboratory and Maternity Services, leading to losses exceeding Sh11 million.
“The suspect and Salama Yard Medical Center Laboratory and Maternity Services were charged with seven offences, including obtaining registration by false pretence contrary to section 320 of the Penal Code, making a false statement and falsification of documents contrary to section 48 (1) (c) of the SHA Act. He was also charged with acquisition of proceeds of crime contrary to section 4 (a), as read with section 16 (1) (b) of the Proceeds of Crime and Anti-Money Laundering Act (POCAMLA), and use of proceeds of crime contrary to section 4 (b), as read with section 16 (1) (b) of POCAMLA,”statement read.
Okumu faces seven charges including obtaining registration by false pretence, making false statements under the SHA Act, and acquisition and use of proceeds of crime under the Proceeds of Crime and Anti-Money Laundering Act.
He pleaded not guilty and was remanded at Capitol Hill Police Station pending bail and bond terms set for March 16, 2026.
The DCI says investigations into the SHA fraud cases are ongoing, warning that all individuals involved will be held accountable.
