A private medical facility owner in Kakamega County has been charged at the Milimani Law Courts over an alleged scheme to defraud the Social Health Authority (SHA) of more than KSh 2.5 million through falsified medical claims.
Josephat Ouma Omoto, the proprietor of Zion Ahadi Mediclinic Limited, was arraigned and charged with multiple offences, including falsification of medical records, acquisition and use of proceeds of crime, and uttering false documents.
According to the prosecution, between January 1 and June 30, 2025, Omoto knowingly and fraudulently altered medical records by inserting patient details to create the false impression that patients had consented to or received treatment, with the intention of defrauding SHA and unlawfully obtaining payments.
In one of the main charges, Omoto and his clinic are jointly accused of acquiring proceeds of crime contrary to the Proceeds of Crime and Anti-Money Laundering Act.
Prosecutors allege that during the same period, the accused received KSh 2,591,125 from SHA through a Cooperative Bank account, despite knowing or having reasonable grounds to believe that the funds were proceeds of criminal activity.
Omoto also faces a charge of using the alleged proceeds of crime, with the prosecution stating that he knowingly utilised the funds while aware, or reasonably expected to be aware, of their unlawful origin.
Additionally, the court heard that Omoto is charged with three separate counts of uttering false documents.
The prosecution alleges that he fraudulently submitted false inpatient discharge summaries to the Chief Executive Officer of SHA to support claims for payment.
The first count relates to a discharge summary for Florence Rachael Atero, allegedly submitted between March 11 and March 16, 2025.
The second involves a discharge summary for Elida Munyokho Omukoyia, allegedly submitted between January 11 and January 21, 2025, while the third concerns a discharge summary for Milka Omwaka Winnie, allegedly submitted between January 2 and January 5, 2025.
All the offences are alleged to have been committed at Zion Ahadi Mediclinic Limited in Kakamega County.
When presented in court, Omoto was described as a father of three and a diabetic as police sought custodial orders.
The court directed that a pre-bail report be prepared and filed by Monday, after which it will issue further directions on bond and bail.
The case will be mentioned for further proceedings once the pre-bail report is availed.