The government has released Sh4 billion to begin settling verified outstanding claims owed to healthcare facilities by the defunct National Hospital Insurance Fund (NHIF), with the Social Health Authority (SHA) outlining the process providers must complete before receiving payment.
According to SHA, the funds will be used to settle verified claims of Sh10 million and below, benefiting 3,527 healthcare facilities across the country.
“The Government of Kenya has released Sh4 billion to settle verified outstanding hospital claims owed to healthcare facilities by the defunct National Health Insurance Fund (NHIF) for claims amounting to Sh10 million and below,” SHA said in a statement.
How healthcare facilities will receive payment
Before payments are processed, eligible healthcare providers must sign agreements confirming that their verified NHIF claims have been fully settled.
SHA said the sign-off exercise is intended to ensure smooth processing and timely disbursement of the funds.
“Eligible healthcare facilities will be required to execute sign-off agreements confirming that their verified defunct NHIF claims have been fully settled,” the authority said.
To facilitate the exercise, SHA has deployed officers to county offices across the country to guide healthcare providers through the documentation process.
The authority noted that completing the sign-off process will pave the way for the release of payments.
Where and when the exercise will take place
The nationwide exercise begins on July 6 in the Western region, covering Migori, Kisii, Nyamira, Kisumu, Homa Bay, Siaya, Busia, Vihiga, Kakamega and Bungoma counties at the SHA office in Kisumu.
The programme will then move to:
| Date | SHA Office | Counties Covered |
|---|---|---|
| July 6 | Kisumu | Migori, Kisii, Nyamira, Kisumu, Homa Bay, Siaya, Busia, Vihiga, Kakamega and Bungoma |
| July 8–9 | Eldoret | Trans Nzoia, Turkana, West Pokot, Uasin Gishu, Elgeyo Marakwet, Nandi and Baringo |
| July 10 | Nakuru | Nakuru, Kericho, Bomet and Narok |
| July 13–14 | Nyeri | Nyandarua, Laikipia, Samburu, Isiolo, Nyeri, Kirinyaga, Murang’a and Marsabit |
| July 15 | Embu | Meru, Embu, Tharaka Nithi and Kitui |
| July 16–17 | SHA Headquarters, Nairobi | Nairobi, Kiambu, Kajiado, Machakos and Makueni |
| July 20–21 | Mombasa | All Coast region healthcare facilities |
| July 23–24 | Garissa | Garissa, Mandera and Wajir |
SHA has urged all eligible healthcare providers to attend the exercise at their designated centres and complete the required documentation to avoid delays.
The authority added that the list of the 3,527 eligible healthcare facilities is available on its website and at all SHA county offices.
What happens to claims above Sh10 million?
SHA said it is seeking additional funding from the National Treasury in the 2026/27 financial year to settle verified claims exceeding Sh10 million per healthcare facility.
According to the authority, the funding request covers claims owed to 451 healthcare facilities, all of which have already undergone the required verification process.
SHA said it will continue updating stakeholders as the settlement process progresses.
