Ministry of Health reveals categories of facilities submitted to DCI for fraud probe
The Ministry of Health has issued an update on the categories of health facilities submitted by the Social Health Authority (SHA) to the Directorate of Criminal Investigations (DCI) for further fraud investigations.
According to the Ministry of Health, SHA submitted at least 190 health facilities that were placed into at least 3 categories in line with the level of investigations already conducted by the Authority.
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The Health Ministry has revealed that the first category included at least 24 health facilities, whereby SHA had already concluded investigations, and full evidence was then presented to the DCI.
“Ministry of Health categories of facilities submitted to DCI, SHA submissions at the category one 24 facilities cases with concluded evidence of fraud,” MOH said.
In addition, the ministry has also acknowledged that sixty-one of the health facilities presented had pending and ongoing investigations by SHA.
“Category two consists of 61 health facilities with cases under ongoing investigation,” MOH said.
Likewise, the Ministry of Health has revealed that one hundred and five facilities were closed by the Kenya Medical Practitioners and Dentists Council (KMPDC), yet they had contracts with the Social Health Authority
“Category three, 105 Facilities closed by KMPDC that also had contracts with SHA,” MOH noted.
DCI receives files from Duale
Meanwhile, the report by the Ministry of Health follows a statement by the Directorate of Criminal Investigations, where it announced that it has received 1,188 files from the Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC).
According to the DCI, the files linked to individuals, entities and various parties suspected of engaging in health care fraud.
DCI said a multi-agency team has been constituted under the leadership of the DCI with a view to expeditiously reviewing the files.
The objective of the review, they said, 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.
“In collaboration with all other law enforcement agencies, we are 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,” DCI said in a statement on Monday.
“The DCI remains at the forefront in supporting all government and non-governmental entities in the fight against all forms of fraud, while urging the public to remain vigilant and report such criminalities.”
Ministry of Health CS Aden Duale confirmed handing over the files terming the move a major milestone in the fight against healthcare fraud.
