SHA recovers at least Sh300 million from fraudulent claims. [File, Standard]
The Social Health Authority (SHA) has recovered at least Sh300 million from fraudulent claims, with more cases still under investigation by the Directorate of Criminal Investigations (DCI), the authority has said.
SHA Chief Executive Officer (CEO) Dr Mercy Mwangangi said the authority was pursuing suspected fraud through several channels, including internal investigations, administrative action, the DCI, the Office of the Director of Public Prosecutions (ODPP) and the courts.
“We have been able to recover close to Sh300 million to date, and we are still recovering more,” said Dr Mwangangi.
Speaking to the media, the CEO said some providers had admitted to fraudulent claims and voluntarily refunded the money, while other cases were yet to be determined.
Currently, about 15 cases are before the courts, undergoing judicial process, whereas others are being handled by the DCI and ODPP.
The authority is also investigating cases internally, with some expected to be handed over to DCI and ODPP for more investigations and action.
“Cases under DCI are still ongoing, not yet determined, whereas those in court are undergoing judicial process,” added Mwangangi.