SHA Announces New Claims Processing System Affecting Level 4 Public Hospitals

The Social Health Authority (SHA) has launched a major transition affecting Level 4 public healthcare facilities across the country.

In a notice dated June 30, 2026, SHA confirmed that it has moved all claims processing services from the SHA Provider Portal to the Taifa Care Health Management Information System (HMIS).

The authority made this move after the Digital Health Agency (DHA) successfully tested and approved the system, clearing the way for immediate rollout.

Notably, the authority implemented the transition at midnight on June 29, 2026, ushering in a new digital phase for Level 4 healthcare facilities.

At the same time, the authority reassured providers that the shift will not disrupt existing claims.

“All claims that were submitted through the SHA Provider Portal before the transition will remain securely in the system and will continue to be processed without interruption,” SHA stated.

Also Read: 11 Counties Set to Benefit from KSh 43M Maternal Health Boost Across Hospitals

SHA Enforces New Claims Submission Requirement

Going forward, all Level 4 healthcare facilities must submit new claims exclusively through the Taifa Care HMIS platform.

As a result, the authority has directed facilities to comply immediately to avoid delays in service delivery.

“Healthcare facilities are advised to submit all new claims through the Taifa Care HMIS from the effective date and time,” the notice emphasized.

Meanwhile, SHA, in collaboration with DHA, has rolled out 24-hour technical support to facilitate a smooth transition.

Healthcare providers can now access assistance through a toll-free helpline (147) and an official support email: helpdesk@dha.go.ke to ensure quick resolution of system-related challenges.

Strengthening Kenya’s Digital Health System

Beyond the transition, the authority continues to focus on improving efficiency, strengthening data security, and streamlining healthcare service delivery nationwide.

In addition, the authority has called on healthcare providers to actively support the transition process.

“The Social Health Authority appreciates the cooperation of all healthcare providers as we continue to strengthen Kenya’s digital health ecosystem and enhance efficient, secure, and seamless healthcare service delivery,” the authority noted.

SHA Orders Mandatory HMIS Adoption

Elsewhere, in a separate but related notice, SHA has directed all contracted and prospective healthcare providers to adopt accredited Health Management Information Systems (HMIS) for the 2026/28 contracting cycle, signalling a broader transformation in healthcare service delivery.

In this directive, the authority announced plans to progressively phase out and ultimately shut down the current Provider Portal.

Consequently, the authority now requires all facilities to transition to compliant digital systems integrated with its centralized platform.

“This transition is necessary to ensure uninterrupted service delivery and efficient claims processing. Every healthcare provider must have a functional HMIS that meets SHA and Digital Health Agency requirements,” the notice stated.

Also Read: Kenya Launches Biometric Health Tracking System for Minors

Push for Continuous Electronic Connectivity

Furthermore, SHA now requires providers to maintain continuous electronic connectivity with its platform to support service verification, claims processing, and seamless data exchange.

At the same time, facilities must comply with the Digital Health Act, 2023, meet data protection standards, and secure certification from the Digital Health Agency.

Importantly, the authority expects the transition to improve data accuracy, enable real-time verification of services, strengthen fraud detection, and streamline claims processing.

In addition, the system will enhance tracking of patient outcomes, resource utilization, and provider performance.

Consequently, the authority has instructed healthcare providers to take immediate action.

Facilities must acquire accredited HMIS platforms, integrate them with SHA systems, and train both medical and administrative staff to ensure compliance before the new contracting cycle begins.

Ultimately, SHA has warned that non-compliant providers risk exclusion from contracting, renewal, or continued participation in SHA-funded programs.

Follow our WhatsApp channel for instant news updates

SHA headquarters in Nairobi. PHOTO/ SHA