# How can mental health clinics in Kenya prepare for SHA claims?

URL: https://tymirahealth.com/resources/faqs/how-can-mental-health-clinics-in-kenya-prepare-for-sha-claims
For: Clinicians | Mental health providers | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 23 October 2026

**Answer:** Mental health clinics in Kenya preparing for SHA claims should confirm their contracting status and covered services, verify patient eligibility before each visit, record diagnoses and services consistently, keep attendance and session records linked to each claim, and track rejections. Clean, connected records are the best protection against rejected or delayed claims.

### Getting claims right

**Operational checklist (verify against current SHA rules)**

- Confirm the facility's SHA contract and covered mental health services.
- Check each patient's SHA eligibility before the session.
- Record services and diagnoses using the required coding.
- Link attendance, session notes and claims for each visit.
- Submit promptly and track status, rejections and payments.
- Review rejection reasons monthly to fix recurring errors.

SHA mental health benefits are still being rolled out, and requirements can change. Keep up to date with official SHA circulars.

> **Important:** This Knowledge Hub article is operational and product-neutral education. It does not provide clinical, legal or regulatory advice. Local clinical governance, privacy and compliance review should guide live clinic decisions.

## More questions

### Why are SHA claims rejected?

Common reasons include eligibility problems, missing documentation, coding errors and services outside the contract.

### Does SHA cover counselling sessions?

The Ministry of Health has said counselling is part of the mental health benefits. Confirm limits for your facility.

### Can claims include teletherapy?

Check current SHA guidance on virtual consultations before billing them.

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