The rollout of the Public Officers Medical Scheme Fund (POMSF) tariff system has entered an active phase after the Social Health Authority (SHA) completed early market assessment work and held negotiations with contracted healthcare providers, paving the way for phased implementation across different hospital levels.
In a notice dated April 12, 2026, SHA said talks with Level 5 and Level 6 hospitals have already been concluded, while the next phase now targets Level 4 and Level 3 facilities as the new rates are gradually built into the claims processing system.
“The Social Health Authority (SHA) wishes to update all contracted healthcare providers on the ongoing implementation of Public Officers Medical Scheme Fund (POMSF) tariffs,” the notice stated.
SHA explained that the rollout follows Clause 10.2(c) of the POMSF Addendum, which requires a market analysis to be carried out within the first three months of the scheme’s launch, followed by structured negotiations with health facilities before final tariff approval.
It further stated that this process is being implemented in stages depending on hospital level and service package, as the Authority works to align payments under the scheme with the negotiated rates.
“As a result, SHA has commenced the required market analysis and tariff negotiations under POMSF,” the authority said.
According to SHA, the approved tariffs will now be integrated into its claims system and applied across key stages of service delivery and payment processing under the scheme.
“The approved POMSF tariffs will be implemented progressively in the SHA claims system by hospital level and package, and shall apply to service access, claims submission, adjudication, and reimbursement under POMSF,” the notice added.
Facilities that have already agreed to the negotiated terms will continue serving beneficiaries under the approved benefit package and the agreed payment arrangements as the rollout continues.
“Facilities that have accepted the negotiated tariffs will continue providing services to POMSF beneficiaries in line with the approved benefit package and agreed reimbursement terms,” SHA said.
The Authority noted that the implementation process is nearing completion, with remaining engagements expected to be finalised within a short period depending on ongoing discussions with providers.
“The exercise is expected to be substantially concluded within the next twenty-one (21) days, subject to the outcome of ongoing engagements,” the notice read.
SHA has urged healthcare providers requiring clarification or support to reach out through county offices or the SHA contact centre as the phased rollout continues across the country.
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