SHA to Finalise POMSF Tariffs in 21 Days

By Ken Muthomi - Reporter

Kenya, April 13, 2026 - The Social Health Authority (SHA) has announced that the implementation of tariffs under the Public Officers Medical Scheme Fund (POMSF) is expected to be substantially concluded within the next 21 days.

In a notice on Sunday, SHA CEO Mercy Mwangangi said the authority had completed negotiations with Level 5 and Level 6 facilities, with the next phase focusing on Level 4 and Level 3 hospitals.

POMSF is a Ksh11.8 billion scheme launched in early 2026 to provide comprehensive medical coverage for civil servants, teachers, and police officers.

The scheme operates as a supplementary fund that fills financing gaps after the standard Social Health Insurance Fund (SHIF) limits are exhausted.

Tariffs under POMSF are standardised rates set by the authority for medical services offered to beneficiaries of the scheme.

These tariffs determine how much healthcare providers are paid for services such as consultations, procedures, laboratory tests, and hospital stays.

If the ongoing negotiations are successful, the tariffs will guide billing, claims processing, and reimbursement for public officers and civil servants.

“Clause 10.2(c) of the POMSF Addendum states that the Authority shall conduct a market analysis during the first three months of the scheme and, following negotiations with healthcare facilities, provide final tariffs subject to approval by the SHA Board,” Mwangangi said.

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The authority noted that tariffs will be implemented progressively in its claims system, depending on hospital level and service package.

“The exercise is expected to be substantially concluded within the next twenty-one (21) days, subject to ongoing engagements,” Mwangangi said.

“For clarification or support, providers may contact their respective SHA county offices or the SHA Contact Centre via 0800720601.”

So far, the government has onboarded 138,283 officers and their dependents from the National Police Service (NPS) and Kenya Prisons Service (KPS) into POMSF.

Additionally, over 400,000 teachers and their dependents are transitioning to the scheme, with more than 249,000 already having received treatment under it.