Healthcare providers affected by discrepancies in facility records can expect payments for verified claims by Wednesday, December 24, 2025, the Social Health Authority (SHA) has confirmed. The announcement follows the completion of the first round of contract and facility verification reviews.
In a public notice on X dated December 22, 2025, SHA Chief Executive Officer Mercy Mwangangi said: “The Social Health Authority (SHA) notifies healthcare providers affected by facility-level mismatches that the first batch of contractual and facility record reviews has been completed.”
SHA also explained how claims will be handled: “SHA reviewed claims submitted during the amendment period in accordance with the updated contract status. Validated claims will be paid by Wednesday, 24/12/2025.”
The move is designed to help healthcare providers maintain uninterrupted services as the festive season approaches. It is part of SHA’s ongoing efforts to improve claim accuracy and streamline facility contract management under the Social Health Insurance system.
Facility Verification and Contract Adjustments
SHA detailed the verification process that took place.
“SHA verified facility licensing records with the Kenya Medical Practitioners and Dentists Council (KMPDC). SHA also confirmed the applicable Kenya Essential Package for Health (KEPH) Level. Facilities needed to amend their contracts to align with their declared status. Those who have finished this process have been cleared.”
The contract adjustment process ensured that the facilities’ declared capacities matched their licensing and service levels. Facilities that completed the required amendments have now been cleared for payments.
Guidance for Healthcare Providers
Providers seeking updates on their facility status are advised to use SHA’s official communication channels. The authority said: “To access the list of facilities that have been cleared or are seeking assistance, please contact the SHA through the following authorised channels: [email protected], SHA County Office Manager, or the toll-free line 0800 720 601.”
The notice concluded by acknowledging the cooperation of healthcare providers: “We appreciate your dedication and partnership.”
Following joint verification with KMPDC and confirmation of KEPH levels, SHA has ensured that all facility contracts are accurate. Providers who promptly aligned their contracts are now eligible for the upcoming payments.
