The Director of Public Prosecutions (DPP) has approved the charges against seven suspects who allegedly defrauded the Social Health Authority (SHA) Ksh2 million through fraudulent medical claims.
As per a statement issued on Saturday, October 4, the suspects two directors and five employees of a Kilifi County private clinic allegedly conspired to submit fictitious claims to the health agency.
The suspects are facing multiple charges, such as conspiracy to commit a felony, making false of alteration of information, acquisition and possession of proceeds of crime, and submission of false documents.
The move by the prosecution follows investigations by the Directorate of Criminal Investigations (DCI), whose findings were referred to the DPP last week.
“On October 1, 2025, the DPP received an inquiry file from the DCI. Upon independent and careful scrutiny, it was found that there was sufficient evidence to charge the suspects,” the DPP’s statement read in part.
The case is part of a larger investigation into the forgery of SHA funds. Yesterday, the DCI stated that five others who were part of similar scams had been arrested after the reviewing of 1,188 files submitted by monitoring agencies.
The files contained names of individuals and entities suspected of defrauding the government’s healthcare system by submitting fake claims.
It is being overseen by a multi-agency team led by the DCI, which has been monitoring the cases to ensure all those engaging in healthcare fraud are taken to the justice system.
“The DCI is committed to stopping healthcare fraud, taking all wrongdoers to court, and recovering all assets and resources obtained through fraud,” said the agency.
Kenyans have also been asked to report any information on healthcare fraud to the nearest police station or DCI headquarters in a bid to aid the ongoing investigations.
