GAZETTE NOTICE NO. 3858

IT IS notified for general information of the public that the Cabinet Secretary for Health has constituted a Committee to be known as the National Health Insurance Fund (NHIF) Pending Medical Claims Verification Committee (hereinafter referred to as “the Committee”). 1. The Committee shallcomprise of the following－ CPA Edward Kiplimo Bitok – Chairperson, Anne Wamae (Dr.) – Vice-Chairperson, Members: Meshack Matengo, Meboh Atieno Awour, Tom Nyakaba, Catherine Karori Bosire, Paul Wafula, Catherine Mungania, James Oundo, Jackline Mukami Njiru, Judith Awinja (Dr.), David Dawe, Secretariat: Peter Kitheka – Head of the Secretariat Shawn Mogaka, Consolata Ogot (Dr.), Halima Yussuf, Wilbert Kurgat, 2. The terms of reference of the Committee shall be to: (a) scrutinize and analyze the existing NHIF Pending Medical Claims that have accumulated between the 1st July, 2022 and the 30th September, 2024 and make recommendations to the Ministry of Health on settlement of the same; (b) establish a clearly defined criteria for detailed examination and analysis of such pending medical claims with a view to determining the genuineness of each or otherwise; (c) make recommendations to the Ministry of Health on the necessary actions to be taken for satisfactory disposal or settlement of the identified pending medical claims; (d) identify any cases where they may have been corrupt, fraudulent and false medical claims and make appropriate recommendations to the relevant Government agencies; (e) propose reforms or measures that will ensure future accumulation of pending medical claims is avoided; and (f) perform any other function incidental to the foregoing. 3. In the execution of its mandate, the Committee shall – (a) have access to any previous reports relevant to its mandate; (b) regulate its own procedures with respect to the orderly conduct of its proceedings, quorum for the transaction of business and other related matters; (c) carry out or cause to be carried out such studies or research as is necessary in furtherance of its mandate; and (d) in consultation with the Cabinet Secretary for Health, co- opt any person as may be necessary to assist the Committee to discharge its mandate. 4. The Chairperson, Vice-Chairperson and the members of the Committee shall prior to embarking on their duties, subscribe to the Declaration set out in the Schedule. 5. The Secretariat of the Committee shall be responsible for— (a) accurately capturing the deliberation of the Committee; (b) keeping the records of the Committee; (c) preparing the Committee’s reports and disseminating any information deemed relevant by the committee; (d) undertaking research and liaising with relevant Government agencies or departments and any other institution for purposes of collecting relevant information necessary in furtherance of the Committee’s mandate; and (e) any other responsibility as may be assigned by the Committee. 6. The Committee shall be domiciled at the Social Health Authority building. 7. The members of the Committee shall serve for a period of three (3) months with effect from the date of this Gazette Notice. Dated the 25th March, 2025. DEBORAH BARASA, Cabinet Secretary for Health.