Technology guide

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

Kenya guidance for mental health providers searching "SHA claims mental health clinics".

Audience
Clinicians
Topic
Mental health providers
Reviewed
Oct 23, 2026
Medical reviewer
Independent clinical reviewer, Registered mental health clinician, Kenya

Quick 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.

On this page

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.

Evaluation criteria

Questions to answer before choosing technology

Professional technology pages should stay product-neutral before they reference Tymira360 capabilities.

  • Can eligibility be checked and recorded before the visit?
  • Are services and diagnoses coded consistently?
  • Is each claim linked to attendance and session records?
  • Can the clinic track claim status and rejection reasons?

Related questions

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FAQs

Common questions

FAQs are written for readers first and only use structured data if visible content supports it.

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.