Clinic proprietor charged for allegedly defrauding SHA over KSh2.5 million

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Clinic proprietor charged for allegedly defrauding SHA over KSh2.5 million

A proprietor of a private medical facility in Kakamega County has been charged at the Milimani Law Courts with multiple offences related to the alleged falsification of medical records and laundering of funds obtained from the Social Health Authority (SHA).

Josephat Ouma Omoto, the proprietor of Zion Ahadi Mediclinic Limited, is accused of falsifying health documents contrary to Section 48(3) of the Social Health Insurance Act.

According to the prosecution, between 1 January and 30 June 2025, Omoto knowingly and fraudulently altered medical records by inserting patient details to falsely indicate that patients had consented to or received treatment, with the intention of defrauding the Social Health Authority and unlawfully obtaining benefits.

In Count III, Omoto and Zion Ahadi Mediclinic Limited are jointly charged with acquiring proceeds of crime, contrary to Section 4(a) as read with Section 16(1) of the Proceeds of Crime and Anti-Money Laundering Act (POCAMLA).

The prosecutor allege that during the same period, the accused received KSh2,591,125 from SHA through a Cooperative Bank account, while knowing or having reasonable grounds to believe that the funds were proceeds of criminal activity.

Omoto also faces a separate charge of using proceeds of crime, contrary to Section 4(b) as read with Section 16(1) of POCAMLA. It is alleged that he knowingly used the funds despite being aware, or reasonably expected to be aware, that they originated from unlawful conduct.

Additionally, the accused is charged with three counts of uttering false documents, contrary to Section 353 of the Penal Code.

The prosecution alleges that Omoto fraudulently submitted false inpatient discharge summaries to the Chief Executive Officer of the Social Health Authority to facilitate the processing of claims.

The charges relate to discharge summaries for three patients: Florence Rachael Atero (Claim No. 4745787), allegedly submitted between 11 and 16 March 2025; Elida Munyokho Omukoyia (Claim No. 2262927), allegedly submitted between 11 and 21 January 2025; and Milka Omwaka Winnie (Claim No. 1506677), allegedly submitted between 2 and 5 January 2025.

All the alleged offences are said to have occurred at Zion Ahadi Mediclinic Limited in Kakamega County.

Omoto, who was described in court as a father of three and a diabetic, was presented before Magistrate Dolphina Alego where he pleases not guilty.

The Magistrate directed that a pre-bail report be prepared and submitted by Monday to enable the court determine bail terms.

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