Ministry of Health Hands Over 1,188 Fraud Files to DCI in Major Crackdown

𝐍𝐚𝐢𝐫𝐨𝐛𝐢, 𝐊𝐞𝐧𝐲𝐚 - 𝐒𝐞𝐩𝐭𝐞𝐦𝐛𝐞𝐫 𝟏, 𝟐𝟎𝟐𝟓

The Ministry of Health has formally handed over 1,188 case files and supporting evidence to the Directorate of Criminal Investigations (DCI) for further investigation and prosecution, marking a major milestone in the government’s efforts to protect public funds and uphold integrity in the healthcare system.

This follows an intensive forensic review and a comprehensive digital audit that led to the closure of 1,300 health facilities implicated in fraudulent or non-compliant practices. Offenses uncovered include upcoding, falsification of records, conversion of outpatient services into inpatient claims, and phantom billing.

To strengthen accountability, Health Cabinet Secretary Hon. Aden Duale announced the creation of a multi-agency investigation team comprising officers from the DCI, Ministry of Health, Social Health Authority (SHA), Kenya Medical Practitioners and Dentists Council (KMPDC), and the Digital Health Agency (DHA). The team will ensure that all offenders—whether health facilities, providers, or patients—face the full force of the law, while fast-tracking recovery of public funds and advancing the rollout of Universal Health Coverage (UHC).

CS Duale also highlighted the Ministry’s cutting-edge AI-powered fraud detection system, built on a big data engine under TaifaCare. The system monitors every transaction in real time, detecting suspicious patterns and blocking fraudulent claims before disbursement.

He urged Kenyans to support the crackdown by reporting suspected fraud through SHA’s toll-free line 147.

The press briefing was attended by senior officials, including PS Dr. Ouma Oluga (Medical Services), PS Ms. Mary Muthoni (Public Health and Professional Standards), Inspector General of Police Douglas Kanja, DCI Director Mohamed Amin, DIG Gilbert Masengeli, and CEOs Dr. Mercy Mwangangi (SHA), Dr. David Kariuki (KMPDC), and Eng. Anthony Lenayara (DHA), among others.