DCI confirms arrests in probe of 1,188 SHA and KMPDC fraud files
The Directorate of Criminal Investigations (DCI) has confirmed that five people are in custody following ongoing investigations into fraudulent and non-compliant healthcare files received from the Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC).
In a statement on Friday, October 3, 2025, DCI revealed that a total of 1,188 files were handed over on September 1, 2025, for scrutiny.
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The files, which involve individuals, organisations, and other entities, are suspected to be linked to healthcare fraud schemes that undermine government efforts to deliver quality health services to Kenyans.
“On September 1, 2025, the Directorate of Criminal Investigations (DCI) received 1,188 files from the Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC). The files pertain to individuals, organisations, and various parties believed to be involved in healthcare fraud, thereby undermining government initiatives to provide quality healthcare services to the public,” the statement read in part.
This comes after 35 private health facilities were closed due to SHA fraud, according to Health CS Aden Duale, affected hospitals had misrepresented claims, forced unnecessary admissions, misused patient codes, abused pre-authorisation procedures, admitted ghost patients, and double-charged legitimate ones.
The DCI stated that thorough investigations were immediately initiated upon receipt of the files.
The agency explained that a multi-agency team, led by its officers, was established to conduct a comprehensive review of the documents to hold all those implicated in fraud accountable.
“A multi-agency team, led by the DCI, was formed to conduct a comprehensive review of the materials. The aim is to ensure that all individuals involved in any form of healthcare fraud are held accountable for their actions.”
In its update, it confirmed that the five persons of interest currently in custody are due to be arraigned on Monday, October 6, 2025.
The agency added that efforts to apprehend additional persons of interest are underway following approvals from the Office of the Director of Public Prosecutions (ODPP).
“We wish to inform the general public that the 1,188 files are at various stages of investigation. Currently, five suspects are in custody pending arraignment on Monday, October 6, 2025. Efforts to apprehend additional suspects are already underway, following approval from the ODPP,” the agency added.
Also watch: Duale credits SHA for exposing fraud in the health system.
DCI indicated that the charges to be preferred include offences under the Penal Code, the Proceeds of Crime and Anti-Money Laundering Act, the Social Health Insurance Act, and the Anti-Corruption and Economic Crimes Act.
The agency stressed that it remains committed to ensuring justice is served in all cases tied to the 1,188 files.
“The suspects will be arraigned on various charges, including offences under the Fenal Code, the Proceeds of Crime and Anti-Money Laundering Act, the Social Health Insurance Act, and the Anti-Corruption and Economic Crimes Act.”
In the update, DCI further reiterated its resolve to stop healthcare fraud and recover all assets and resources acquired through fraudulent means. The agency maintained that in collaboration with other law enforcement partners, no effort will be spared in safeguarding the integrity of the healthcare system.
“The DCI remains resolute in ita commitment to stopping healthcare fraud, holding all offenders accountable, and, in collaboration with other law enforcement agencies, ensuring that all assets and resources acquired fraudulently are recovered,” DCI added.
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Steve Ireri
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