The Social Health Authority (SHA) in Kenya has revised the verification timetable for certain Level-4 hospitals that have pending claims of Ksh10 million or more from the now-defunct National Health Insurance Fund (NHIF). According to a notice issued by SHA, affected providers are required to review the revised timetable posted on SHA's website and record their new appointment dates. They must also ensure that all claim-supporting documents are ready for the verification teams when they visit.
This amendment follows an earlier notice dated 18 September 2026 that initially set the verification framework for claims of Ksh10 million or higher. SHA has made the updated verification list and schedule publicly available and expects all targeted hospitals to comply with the new dates and present complete documentation for claim review. The verification exercise is part of SHA's effort to clear outstanding NHIF claims inherited from the former insurer.
SHA has reminded facilities that their current service contracts will lapse at 11:59 p.m. on 30 September 2026. Any provider wishing to continue serving SHA beneficiaries must submit new contract applications before 1 October. Facilities that do not secure a signed contract for the 2026-2029 cycle will be barred from offering services to SHA beneficiaries after the deadline.
The revision of verification dates and contract expiries is part of SHA's broader effort to transition to the new health-insurance system. SHA is working to clear outstanding NHIF claims and ensure that hospitals are able to continue providing services to beneficiaries. The authority has urged hospitals to comply with the new dates and requirements.
Level-4 hospitals with pending claims of Ksh10 million or more are required to undergo verification as part of SHA's claims settlement process. The verification exercise aims to validate the claims and ensure that hospitals are reimbursed for the services they have provided. SHA has emphasized the importance of complete documentation and compliance with the new dates.
SHA's efforts to clear outstanding NHIF claims and transition to the new health-insurance system are ongoing. The authority has been working to ensure that hospitals are able to continue providing services to beneficiaries and that claims are settled in a timely manner. The revision of verification dates is part of this effort.
Hospitals that fail to comply with the new verification dates and requirements risk being barred from offering services to SHA beneficiaries. SHA has urged hospitals to take the necessary steps to ensure compliance and avoid disruptions to their services. The authority is expected to continue working with hospitals to ensure a smooth transition to the new health-insurance system.
Key points
- SHA revises verification dates for Level-4 hospitals with over Ksh10 million in NHIF claims.
- Current service contracts for hospitals expire on 30 September 2026.
- Hospitals must submit new contract applications before 1 October to continue serving SHA beneficiaries.
