The Social Health Authority (SHA) has announced a major change to its digital healthcare system, introducing new requirements that will affect how healthcare providers access and deliver services under the national health insurance scheme.
In a statement dated June 30, 2026, the Social Health Authority (SHA) Chief Executive Officer, Dr Mercy Mwangangi, announced major changes to the authority’s digital systems and requirements for healthcare providers.
Mercy Mwangangi announced that all Level 4 public healthcare facilities will now process claims through the Taifa Care Health Management Information System (HMIS) following successful completion of system testing and approval by SHA and the Digital Health Agency (DHA).
“The Social Health Authority (SHA) wishes to notify all Level 4 public healthcare facilities that, following the successful completion of system testing and approval by the Social Health Authority and the Digital Health Agency (DHA), all claims processing services will transition from the SHA Provider Portal to the Taifa Care Health Management Information System (HMIS),” Mwangangi announced.
SHA Details Smooth Transition to New Digital Claims System
According to the Social Health Authority CEO, the transition took effect from midnight on June 29, 2026, and all claims submitted through the former Social Health Authority Provider Portal before the transition will remain in the system and continue to be processed without interruption.
Following the transition, healthcare facilities have been directed to submit all new claims through the Taifa Care HMIS from the effective date.
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Further, SHA and the DHA confirmed that they will provide 24-hour technical support during the transition.
“To ensure a smooth transition, the SHA and DHA will provide 24/7 technical support through the following channels: Toll-Free Helpline: 147 and Email: [email protected],” the statement noted.
What the Transition Means for Healthcare Providers
In a separate notice, SHA said the use of an accredited Health Management Information System (HMIS) will become a mandatory requirement for all contracted and prospective healthcare providers during the FY 2026/28 contracting cycle.
The authority said the current Provider Portal will be phased out over time before being shut down and deactivated. Healthcare providers will instead be required to operate a functional HMIS that meets the technical integration requirements of SHA and DHA.
“The current Provider Portal will be progressively phased out. The current Provider Portal will be shut off and deactivated,” the statement warned.
Mwangangi also said healthcare providers must remain electronically connected to its centralized digital platform to facilitate service verification, claims processing, and information exchange.
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According to the authority, healthcare providers must ensure their HMIS is certified by the Digital Health Agency, can integrate with the Social Health Authority’s systems, train relevant staff, and complete system readiness before the new contracting cycle begins.
“The HMIS must be certified by the Digital Health Agency in accordance with the Digital Health Act. To apply for certification, visit www.dha.go.ke.,” the authority advised.
SHA said the transition is intended to improve the quality and accuracy of claims, enable real-time verification of services, strengthen fraud detection, reduce claims processing timelines, and enhance interoperability across Kenya’s digital health ecosystem.
The authority warned that healthcare providers that fail to meet the prescribed HMIS requirements will not be eligible for contracting, contract renewal, or continued participation in SHA-funded schemes during the FY 2026/28 contracting cycle.
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