The Directorate of Criminal Investigations (DCI) has confirmed that it has received 1,188 fraud files from the Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC).
In a statement on Monday, September 1, the DCI said the files pertain to individuals, entities, and various parties suspected of engaging in healthcare fraud.
"The files pertain to individuals, entities and various parties suspected of engaging in health care fraud thereby undermining the government efforts aimed at delivering quality healthcare services to the citizenry," the statement read.
The DCI added that a multi-agency team has been constituted to review the files to make sure that those involved take responsibility.
"Upon receipt of the files, a multi-agency team has been constituted under the leadership of the DCI with a view of expeditiously reviewing the files. The objective of this review is to make sure that all those who have been involved in any form of healthcare fraud will be arraigned regardless of their social status and political affiliations,” the statement added.
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The agency further disclosed that it will be moving to recover all assets obtained through fraudulent means.
"In collaboration with all other law enforcement agencies, the DCI is committed to recovering all assets and other resources acquired through fraudulent means. The public will be kept informed on the progress of the investigations through regular updates," the statement further read.
Earlier Monday, the KMPDC and SHA handed over more than one thousand files to the DCI for investigations.
In a statement, Health Cabinet Secretary Aden Duale confirmed the move as part of efforts to crack down on fraudulent and non-compliant health facilities across the country.
"The Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC) has today submitted a total of 1188 files and supporting evidence to the Directorate of Criminal Investigations (DCI) - a major step in their joint fight against healthcare fraud.
"This action targets fraudulent and non-compliant healthcare facilities and individuals, marking a critical milestone in the ongoing effort to protect public funds and safeguard the integrity of Kenya's healthcare system," the statement read.
According to KMPDC, of the 1,188 files submitted, SHA provided 190 while KMPDC delivered 998.
The SHA files were categorized into three groups; 24 facilities where evidence of fraud has already been concluded, 61 facilities still under investigation, and 105 facilities that had been closed by KMPDC but still held contracts with the Authority.
KMPDC’s files focus facilities accused of operating outside the law.
"These submissions are a critical step in a multi-agency collaboration that will see the DCI investigate and prosecute those responsible," the statement further read.
