The Social Health Authority (SHA) has announced nationwide talks with contracted medical providers ahead of fresh agreements under the Public Officers Medical Scheme Fund.
In a statement on Sunday, April 26, the agency said the talks will be held across the country to review key operational areas under the scheme.
“The Social Health Authority informs all contracted Health Care Providers that it will conduct countrywide negotiations on the Public Officers Medical Scheme Fund from 28th April 2026, to agree on tariffs, service delivery arrangements, and claims management processes, in line with Clause 10.2(c) of the POMS Addendum,” the statement read.
SHA said the move comes after consultations with several government agencies and workers’ unions involved in the scheme.
“The negotiations follow consensus reached through engagements with key stakeholders, including the State Department for Public Service, the Teachers Service Commission, the National Police Service, the Kenya Prisons Service, KNUT, KUPPET, and the Union of Kenya Civil Servants,” the statement added.
The authority also directed hospitals and clinics currently serving members under the scheme not to impose extra charges while the talks continue.
“During the negotiation period, contracted providers offering POMSF services should not charge beneficiaries out-of-pocket fees or co-payments,” the statement continued.
SHA further warned that facilities that fail to reach agreements after the negotiations risk losing their contracts.
“Upon conclusion of the negotiations, each provider will be required to sign the agreed tariffs. Providers with whom tariffs are not successfully agreed will be notified of the termination of the POMS contract immediately,” the statement concluded.
