𝗗𝗖𝗜 𝗔𝗥𝗥𝗔𝗜𝗚𝗡𝗦 𝗙𝗜𝗩𝗘 𝗜𝗡 𝗦𝗛𝗔 𝗙𝗥𝗔𝗨𝗗 𝗜𝗡𝗩𝗘𝗦𝗧𝗜𝗚𝗔𝗧𝗜𝗢𝗡

The Directorate of Criminal Investigations (DCI) has arraigned five directors of Nissi Medical Centre and Dawa Front Healthcare Services before the Milimani Law Courts in connection with an ongoing investigation into an alleged fraud scheme targeting the Social Health Authority (SHA).

The arrests followed a formal complaint lodged by the SHA after a forensic audit uncovered widespread irregularities in medical claims submitted by several contracted healthcare providers. 

The audit further established that some healthcare facilities previously closed by the Kenya Medical Practitioners and Dentists Council (KMPDC) for non-compliance continued to operate under active SHA contracts.

Subsequent investigations established that the suspects allegedly orchestrated fraudulent schemes involving irregular and fictitious medical claims, including claims for patients who were never admitted, falsified medical records, and false statements made to obtain payments from SHA. 

Detectives further established that some claims were allegedly submitted by facilities operating outside the requirements of the Social Health Insurance Act and other applicable regulatory frameworks.

Investigations also revealed that Nissi Medical Centre allegedly received more than Sh38.7 million through fraudulent claims, while Dawa Front Healthcare Services is suspected to have fraudulently obtained more than Sh2.5 million. Detectives also intercepted additional claims worth over Sh8.1 million before payment.

Before the Milimani Law Courts, the five accused persons, two Nissi Medical Centre Directors: Dominic Atieno, Peter Atieno; and three Dawa Front Healthcare Services Directors, Eugine Ochieng, Enos Osire and Elija Otieno, faced charges including conspiracy to commit a felony, making false statements to obtain benefits under the Social Health Insurance Act, and acquisition and use of proceeds of crime contrary to the Proceeds of Crime and Anti-Money Laundering Act (POCAMLA).

Meanwhile, detectives are pursuing additional suspects believed to be linked to the alleged fraud scheme.

The DCI remains steadfast in protecting public resources and ensuring that individuals who exploit public health financing systems through fraud are brought to justice in accordance with the law.

#FichuaKwaDCI. Call 0800 722 203 (Toll-free) or WhatsApp at 0709 570 000 to report anonymously. Usiogope!