The Financial Monitoring Agency (FMA) has reported the detection of schemes involving the fictitious registration of around 140,000 citizens with medical organisations and the entry of false information about medical services provided. According to the agency, this led to the illegal receipt of funding from the Social Health Insurance Fund (SHIF). The established damage exceeds 3.5 billion tenge.
WHAT VIOLATIONS THE FMA HAS DETECTED
During investigations, instances of fictitious registration of citizens with medical organisations and the entry of inaccurate information about medical services provided have been established. As reported by the FMA, this made it possible to illegally receive funding from the SHIF.
In total, 36 criminal cases are under investigation, and the amount of established damage, according to the investigation, exceeds 3.5 billion tenge.
WHAT IS KNOWN ABOUT THE INVESTIGATION IN THE TURKESTAN REGION
In the Turkestan region, an investigation is being conducted into officials of the Zhetysay Multidisciplinary District Hospital.
According to the investigation's version, funds allocated under the Compulsory Social Health Insurance (CSHI) scheme were transferred to the accounts of more than 20 individual entrepreneurs (IEs) without the actual provision of services or supply of goods. The investigation materials state that the entrepreneurs did not conclude contracts with the medical institution, and their details were used to withdraw and subsequently cash out the funds.
The damage to the state exceeded 501 million tenge. Two suspects have been placed in custody.
WHAT COURT DECISIONS HAVE ALREADY BEEN MADE
The director of the capital's private clinic Forte Clinic LLP has been found guilty by the court and sentenced to 5 years' imprisonment for organising a scheme of illegally obtaining funding from the SHIF.
His accomplice — an employee of the National Scientific Centre for Healthcare Development — has been found guilty by the court and sentenced to 3 years' imprisonment for illegally approving applications for the registration of citizens.
More than 15,000 citizens were illegally registered with the clinic, and fictitious medical services amounting to 79 million tenge were processed through the Damu Med information system.
THE CASE OF DENTAL CLINICS IN THE ALMATY REGION
In the Almaty region, the director of the clinics Mydental.kz LLP and Dr. Nurzhanova Dentistry LLP has been found guilty by the court under Article 190 of the Criminal Code of the Republic of Kazakhstan ("Fraud") and sentenced to 4 years' imprisonment with confiscation of property.
In reality, dental services were not provided to patients, and doctors' accounts and the personal data of minor patients were used to process them. As a result, more than 4,500 instances of fictitious provision of medical services were identified, and the damage to the state amounted to 66 million tenge.
CONTEXT
This is not the first major investigation by the FMA involving the use of medical organisations in illegal financial schemes.
In January 2026, it became known that fictitious contracts and forged medical documents were processed through 42 dental clinics, allowing funds to be withdrawn from the Unified Accumulative Pension Fund (UAPF). According to the agency, the total volume of funds withdrawn exceeded 200 billion tenge.
In April 2026, the prosecutor's office identified instances of illegal receipt and spending of funds in the CSHI system in the Turkestan region. Checks showed that medical services in a number of cases were processed without licences or were entirely fictitious in nature. Inflated dental service claims totalling 203 million tenge were also identified.
Previously, the Supreme Audit Chamber (SAC) identified underpayments by the state for preferential categories of citizens, instances of double funding of medical services, and insufficient transparency in the spending of SHIF funds. It also became known that more than 3 million residents of Kazakhstan remain outside the CSHI system, despite the growth in the organisation's funding.
