Delegation of powers to Heads of Offices for treatment availed in emergency circumstances- relaxation of rules regarding

Delegation of powers to Heads of Offices for treatment availed in emergency circumstances- relaxation of rules regarding

1967/2013/0EL/CGHS/SZ/DSZ-CGHS (P)
Government of India
Ministry of Health and Family Welfare
CGHS (P) Section

Nirman Bhavan, New Delhi
Dated the 10th December, 2015

OFFICE MEMORANDUM

Sub: Delegation of powers to Heads of Offices for treatment availed in emergency circumstances- relaxation of rules regarding.

The undersigned is directed to refer to this Ministry’s OM No. 5.12020/4/97-CGHS (P) dated 27/12/2006 and OM No. 5.14025/01/2014-MS dated 5/6/2014 vide which powers were delegated to the Head of Departments (HODs) to decide the cases of medical claims in respect of treatment obtained in emergency at private hospital/private nursing home/private clinics, subject to item-wise ceiling prescribed under CGHS/CS (MA) rules, 1944, irrespective of the financial limit on the total amount to be reimbursed.

2. The matter has been examined in this Ministry. In view of undue hardships being faced by the employees whose offices are located in far flung areas and whose HoD are at New Delhi or at any other place far away from the respective offices, if has been decided to further delegate the powers as follows:

“The Heads of Office not below the rank of Joint Secretary to the Govt.of India may decide the cases of medical claims in respect of treatment obtained in emergency at private hospital/private nursing home/private clinics, as per the item-wise ceiling prescribed under CGHS/CS (MA) rules, 1944, subject to an overall limit of Rs. 2 lakhs per case.

3. Other contents of OM No. 5.12020/4/97-CGHS (P) dated 27/12/2006 and OM No. S.14025/01/2014-MS dated 5/6/2014 will remain unchanged.

4. This issues with the approval of Additional Secretary & Director General, CGHS and shall be effective from the date of its issue.

(Sunil Kumar Gupta)
Under Secretary to the Govt. of India

Authority: CGHS Official Website
Click to view the order

CGHS Hospitals under surveillance by the aegis of CGHS Officer to check irregularities including exploitation of patients

CGHS Hospitals under surveillance by the aegis of CGHS Officer to check irregularities including exploitation of patients

While replying to a question in Parliament today, Minster of Health & Family Welfare Shri Jagat Prakash Nadda said that to ensure that the terms and conditions of the Memorandum of Agreement are followed scrupulously by the empanelled hospitals, a monitoring cell under the aegis of a senior officer of CGHS has been established to check irregularities including exploitation of patients”,

Treatment by CGHS empanelled hospitals in emergency cases

Recently, the Government has amended the terms and conditions for empanelment of private hospital under the Central Government Health Scheme (CGHS). Now, the hospitals are empanelled as a whole, meaning that all facilities available in the hospital would be provided to CGHS beneficiaries. Disease – specific empanelment has now been stopped.

To ensure that the terms and conditions of the Memorandum of Agreement are followed scrupulously by the empanelled hospitals, a monitoring cell under the aegis of a senior officer of CGHS has been established to check irregularities including exploitation of patients. There are provisions in the MoA including issue of Show Cause Notice, issue of warning, recovery of amount charged illegally from the beneficiaries, also confiscation of part or whole of PBG (Performance Bank Guarantee), and ultimately removal from the CGHS list, that can be resorted to in appropriate cases

CGHS: Issue of medicines / reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices under CGHS- regarding

CGHS orders on issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and other medical devices under CGHS

No. 2-2/2014/CGl-IS. HQ/PPT/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi

Dated: the 25th August , 2014

OFFICE MEMORANDUM

Sub- Issue of medicines / reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices under CGHS- regarding

With reference to the above mentioned subject the undersigned is directed to state that this Ministry has examined the matter in detail and with a View to streamlines the procedures regarding issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and medical devices and with a View to plug the loopholes in the system, it has now been decided that:

a) CGHS shall supply / indent only those medicines, which are included in the CGHS formulary, except for para (b) below. However, for medicines prescribed outside formulary, medicines with identical formulations and /or similar therapeutic effect may be supplied from CGHS formulary against such medicines. CGHS formulary containing 1447 generic and 622 branded medicines is available on CGHS Website at http://msotransparentnic.in/cghsnew/index.asp

b) Anti Cancer and other similar medicines are however supplied on a case to case basis. Only the medicines approved by DCGI for use in India shall be supplied. In case an Indian version is available, which is cheaper than the imported medicine, only the Indian medicine shall be supplied even if, an imported medicine has been prescribed.

c) Medicines shall be supplied for a maximum period of one month.

d)In case of CGHS beneficiaries going abroad, issue of medicines shall be restricted for a maximum period of three months.

e) CGHS shall hereinafter allow only the listed investigations / treatment procedures for which there are prescribed CGHS rates, to be under taken in CGHS empanelled diagnostic centres and hospitals.

f) Similarly, only listed implants / medical devices with a CGHS prescribed ceiling rate shall be permitted for treatment / reimbursement under CGHS.

g) In those cases where any unlisted investigation / treatment procedure is undertaken the reimbursement shall be limited to the rate of nearest similar investigation / treatment procedure under CGHS. Addl. Director of the city /zone shall take a decision based on justification in such cases, in consultation with experts in the field, if necessary.

h) In those cases where any unlisted implant / device is installed reimbursement shall be limited to the CGHS rate of nearest similar implant / device. Addl. Director of the city / zone shall take a decision based on justification in such cases in consultation with experts in the field, if necessary.

i) Registration of Mobile number with CGHS has been made compulsory as a guard against misuse of CGHS Card.

j) In order to provide a mechanism to update the investigations / treatment procedures / implants , etc., as an ongoing process , a Technical Committee is being constituted to consider inclusion / exclusion of investigations /treatment procedures / implants , etc., under CGHS.

sd/-

(RAVI KANT)
Under Secretary to Government of India
011-2306 1441

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File738.pdf

Denying cashless /credit facilities to eligible CGHS beneficiaries - Action taken against Fortis Escort Hospital

The Department of Central Government Helath Scheme has issued an order regarding suspension of empanelled hospital due to denying cashless/credit facility to eligible CGHS beneficiaries...

 

GOVERNMENT OF INDIA

Office of the Additional Director

Central Government Helath Scheme

Kendriya Sadan Parisar, Block-B, GF, Sector-10,

Vidhyadhar Nagar, Jaipur

No.CGHS/JPR/12-58/2014(Admn.) 

Dated: 14/03/2014

ORDER

 

CGHS has empanelled private hospitals and diagnostic centres in various CGHS covered cities to provide health care facilities to CGHS beneficiaries.

Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospitals and diagnostic centres on mutually agreed terms and conditions.

It was reported that your hospital has taken a unilateral decision of denying cashless/credit facilities to eligible CGHS beneficiaries, which is tantamount to violation of terms and conditions of MOA. Provision of treatment to pensioners and other eligible CGHS beneficiaries is one of the terms of essence, as denial of credit facility causes immense hardship to pensioners beneficiaries, who have to spend money from their meagre savings.

 

In this connection a Show Cause Notice was issued vide this office letter No.No.CGHS/JPR/12-58/2014(Admn.)/23567-68 dated 10.3.2014 giving an opportunity to your hospital to put forth your stand on the Issue.

 

The reply dated 12.3.2014 submitted by you in response to the Show Cause Notice has been examined. CGHS signed MOA with individual hospitals and not with any association and hence association has no locus stand in the matter. Hence, the reference is not relevant, Even if any hospital has some grievance and consider not viable for it to continue on the panel, it can withdraw from the list of empanelled hospitals, Government has taken several steps to clear the pending bills on priority basis and therefore, there is no major issue regarding pendency of hospital bills. It is felt that denying the treatment on cashless basis is a gross violation of terms and conditions of the MOA signed by your hospital for empanelment with CGHS.

 

Since, it is open for your hospital to withdraw from the panel and since denial of cashless facility to eligible beneficiaries is not acceptable from any hospital on the penal, it has been considered appropriate to suspend the CGHS empanelment of your hospital with immediate effect for a period of six months or till further orders, whichever may be earlier. The hospital shall no longer be a part of the list of CGHS empanelled hospitals / Diagnostic Centres for any purpose under CGHS. Patients already admitted prior to issue of this order shall however, be provided treatment at CGHS rates.

 

sd/-

(DR.D.K.GUPTA)

ADDITIONAL DIRECTOR,

C.G.H.S., JAIPUR.

 To,

The Medical Superintendent, 

Fortis Escort Hospital, 

J.LN. Marg, Malviya Nagar, Jaipur — 302017

 

Copy to The Addl.Dy.Director General.(HQ), Directorate General of CGHS, Nirman Bhawan, New Delhi.

Officer I/c, CGHS WC No.1, 2, 3, 4 5, 6, 7 and Polyclinic, Jalpur.

All the Central Govt. Office situated at Jaipur.

UTI/TSL, Bangalore.

 

View the order

 

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File679.pdf

Extension of validity of empanelment of private hospitals empanelled under CGHS

Extension of validity of empanelment of private hospitals empanelled under CGHS

No.S.11045/36/2012/CGHS(HEC)
Government of India
Directorate General Of Central Govt. Health Scheme

Maulana Azad Road, Nirman Bhawan,
New Delhi 110108, dated the 31st March, 2014

 

OFFICE ORDER

Subject: Regarding extension of validity of empanelment of All Health Care Organizations empanelled under CGHS.

Attention is drawn to the Office Memorandum issued earlier extending validity of empanelment of all health care organizations under CGHS till 31st March, 2014.

2. It has now been decided to extend the validity of empanelment of all Health Care Organizations under CGHS for further period of three months or till finalization of next empanelment of health care organizations under CGHS whichever is earlier on same terms and conditions as defined in OM on which they were empanelled earlier.

sd/-
(Dr.Sharda Verma)
Director CGHS(HQ)

Source: http://msotransparent.nic.in/cghsnew/index.asp

List of Emergency Conditions in CGHS Treatment

List of Emergency Conditions in CGHS Treatment

The medical emergency conditions included under the purview of CGHS Act are enlisted below:

a) Acute Coronary Syndromes viz. (Coronary Artery By-pass Graft or Percutaneous Trans-Luminal Coronary Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra- Ventricular Tachycardia, Cardiac Tamponade, Acute Left-Ventricular Failure, Severe Congestive Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stokes-Adams Attack, Acute Aortic dissection.

b) Acute Limb Ischemia, Rupture of Aneurism, Medical and surgical shock and peripheral circulatory failure.

c) Cerebro-Vascular Attack, Strokes, sudden Unconsciousness, Head Injury, Respiratory failure, De-compensated Lung Disease, Cerebro-Meningeal Infection, Convulsions, Acute Paralysis, Acute Visual Loss.

d) Acute Abdomen

e) RTA (Road Traffic Accident) with injuries including fall

f) Acute Poisoning

g) Acute Renal Failure

h) Acute Abdomen in females including Acute Obstetrical and Gynecological Emergencies.

i) Heat Stroke
O.P.D. (Outdoor Patient Department) treatment and subsequent follow-up after hospitalization is not permitted in Private Hospitals and Diagnostic Centres recognized under CGHS. Exceptions for follow-up treatment are permissible in following conditions for a period of 3 to 6 months after conducting the surgical procedure, are as follows:

a. Neuro-surgery
b. Cardiac Surgery including Angioplasty
c. Cancer Surgery, Radiotherapy and Chemotherapy
d. Organ transplant viz. Kidney
e. Knee replacement.
f. RTA (Road Traffic Accident)

Source: employeesnews.in
[http://www.employeesnews.in/2014/03/list-of-emergency-conditions-in-cghs.html]

CREDIT TO CGHS BENEFICIARIES IN EMPANELLED PRIVATE HOSPITALS TO CONTINUE

CREDIT TO CGHS BENEFICIARIES IN EMPANELLED PRIVATE HOSPITALS TO CONTINUE

 Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare

Nirman Bhawan, New Delhi

PRESS RELEASE

 

CREDIT TO CGHS BENEFICIARIES IN EMPANELLED PRIVATE HOSPITALS TO CONTINUE

There have been reports in the Media that private hospitals on the panel of CGHS are denying credit facilities to the eligible CGHS beneficiaries for delay in settlement of hospitals bills. Lower package rates and inadmissible deductions etc. have also been reported to be the other reasons for withdrawal of agreed cashless /credit facilities.

24 out of 407 Private hospitals empanelled under CGHS decided unilaterally to discontinue credit facility to the eligible categories of CGHS beneficiaries. Show Cause Notices stand issued to these Hospitals and the empanelment of five Hospitals has been suspended for a period of six months or till further orders, whichever is earlier.

In this regard, the CGHS beneficiaries are advised not to be guided by misleading information as most of the private hospitals are continuing to extend the cashless facilities to the CGHS beneficiaries. The Ministry of Health and Family Welfare will ensure that the CGHS empanelled private hospitals continue to extend cashless /credit facilities to the eligible CGHS beneficiaries in compliance with the terms and conditions as laid down in the Memorandum of Agreement signed by them with CGHS.

Ministry of Health and Family Welfare has already taken special steps for clearance of pending hospital bills on a priority basis and the pendency of bills is almost cleared.

CGHS has already invited bids for revision of package rates through a transparent tender process, where the last date for submission of bids was 16th March, 2014. Steps are underway to conclude the tender process early.

Source : http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File670.pdf

CGHS ORDERS - Permission for treatment / investigations in respect of CGHS beneficiaries availing treatment for Diabetes, Hypertension & other Cardiac Diseases, Dialysis and Cancer.

CGHS ORDERS - Permission for treatment / investigations in respect of CGHS beneficiaries availing treatment for Diabetes, Hypertension & other Cardiac Diseases, Dialysis and Cancer.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

S-11045140 /2012/CGHS/HEC/CGHS (P)

Nirman Bhawan, New Delhi
Dated the 1st October, 2012

OFFICE MEMORANDUM

Sub: Permission for treatment / investigations in respect of CGHS beneficiaries availing treatment for Diabetes, Hypertension & other Cardiac Diseases, Dialysis and Cancer.

The undersigned is directed to refer to the subject mentioned above and to state that at present the CGHS beneficiaries undergoing treatment for Diabetes, Hypertension & other Cardiac Diseases, Dialysis and Cancer require repeated investigations / treatment procedures over a period of time and as per the existing guidelines they are required to procure permission every time to get the prescribed treatment / investigations done at CGHS empanelled hospitals /diagnostic centres.

2. With a view to alleviate the inconvenience to CGHS beneficiaries in obtaining the requisite permission(s) every time, this Ministry has decided to permit issue of permission (referral) letters by competent authorities with a validity of six months from the date of issue of the original prescription for undergoing the prescribed treatment /investigation procedures to be conducted at the prescribed intervals over a period of six months as advised by a Government Specialist. The same permission (referral) letter shall be valid for undergoing the prescribed treatment procedures / investigations on multiple times during the six months, at intervals as advised by the Government Specialist.

sd-
(V.P.Singh)
Deputy Secretary to Government of India

Source: http://msotransparent.nic.in/cghsnew/index.asp

CGHS Orders : Empanelment of private hospitals, dental clinics, eye centres, diagnostic laboratories and imaging centres under CGHS Delhi & NCR.

CGHS Orders : Empanelment of private hospitals, dental clinics, eye centres, diagnostic laboratories and imaging centres under CGHS Delhi & NCR.

No: S.11045/03/2013-CGHS / HEC
Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Bikaner House Hutments, Shahjahan Road
New Delhi 110 108 dated the 11th December    2013

OFFICE ORDER

Subject : Empanelment of private hospitals, dental clinics, eye centres, diagnostic laboratories and imaging centres under CGHS Delhi & NCR.

The undersigned is directed to invite reference to the empanelment of hospitals under CGHS vide Ministry of Health and Family Welfare's Office Memorandum No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013, vide which 'Continuous Empanelment Scheme' for private hospitals, dental clinics, eye centres, diagnostic laboratories and Imaging Centres under CGHS was revived with a view to empanel more health care organizations for CGHS beneficiaries.

Accordingly, after following due process, a list of following hospitals, dental clinics, eye centres, diagnostic laboratories and Imaging centres have been finalized as per terms and conditions laid down in the O.M. referred to above as well as signing of MOA and execution of performance Bank Guarantee by them signifying acceptance of terms and conditions of empanelment and rates notified by CGHS in 2010 & in OM No. Misc.1002/2006/CGHS(R&H)/ CGHS (P) dated 7/2/2013.

2.    The hospitals, dental clinics, eye centres, diagnostic laboratories and Imaging Centres, which find their names in the enclosed list of health care organizations approved for empanelment under CGHS in Delhi & NCR are empanelled for a period of one year from the date of issue of this Office Order or till next new empanelment, whichever is earlier.

3.    This Office Order and the rates applicable under CGHS for hospitals, dental clinics, eye
centre, diagnostic laboratories and Imaging Centres can be downloaded from the website of CGHS, http://msotransparent.nic.in/cghsnew/index.asp.

End: As above

sd/-
[Dr. Sharda Verma]

Additional Director CGHS (HQ) ADDITIONAL LIST OF EMPANELLED HOSPITALS, EXCLUSIVE DENTAL CLINICS, EXCLUSIVE EYE CENTRES, DIAGNOSTIC LABORATORIES / IMAGING CENTRES UNDER CGHS,

DELHI &NCR: CATEGORY WISE

Sr. No.	Name of the Hospital	Specialties Empanelled for
1	Satya Bhama Hospital,  126/105, Najafgarh Road,  Nangloi, New Delhi - 41.Ph. 011-25943107, 9311116607.	General Medicine, Gynae & Obs., Orthopedics  and joint replacements, General and Laproscopic Surgery, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including dialysis, Eye, ENT & Laboratory & Imaging Facilities.
2	Sonia Hospital, 1, Gulshan  Park, Rohtak Road,  Nangloi, Delhi - 110041.  Ph. No. 011-30777777.	General Medicine, Gynae & Obs., Orthopedics and joint replacements, General and Laproscopic Surgery, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including dialysis, Eye, ENT & Laboratory & Imaging Facilities.
3	Maharaja Agrasen Hospital,  Road No. 35, West Punjabi  Bagh, Near Police Station,  New Rohtak Road, New  Delhi. Ph. No. 011-  40777555/777	General Medicine, Gynae & Obs., Orthopedics and joint replacements, Cardiology and Cardiothoracic Surgery, General and Laproscopic Surgery, Neurology & Neuro  Surgery, Gastroenterology, Dental, Urology & Nephrology including dialysis, Medical and Surgical Oncology, Eye, ENT & Laboratory & Imaging Facilities.
4	Yatharth Wellness Hospital  and trauma centre,32-  Omega-I , Greater Noida.  Helpline numbers  8800447777,8826447777	General Medicine, Gynae & Obs., Orthopedics and joint replacements, Cardiology, General  and Laproscopic Surgery, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including dialysis, Eye, ENT & Laboratory & Imaging Facilities.

EXCLUSIVE EYE CARE CENTRES NON-NABH

Sr. No.	Name of the Eye Centres	Empanelled for
1	Retina Point, Q-53, Ground  Floor, Rajouri Garden, Delhi - 110027. Ph. No. 011- 25434662.	All Available Eye Care Facilities
2	Max Multi Specialty Centre,  Panchsheel (A unit of Max  Health Care Institute Ltd.), N-110, Panchsheel Park, New  Delhi. Ph. No. 011-26499870.	All Available Eye Care Facilities

EXCLUSIVE DENTAL CLINICS NON-NABH

Sr. No.	Name of the Dental Clinics	Empanelled for
1	Professional Dentistry Multispecialty Dental Care Centre, 3427, D.B. Gupta  Road, Paharganj, New Delhi -  110055. Ph. No. 011- 23562457.	All Available Dental Care Facilities
2	Perfect 32 Dental Clinic,  Suvidha Market Netaji Nagar, New Delhi. Mob.No.9711928585	All Available Dental Care Facilities
3	Batra Dental Clinic, Shop No.6, New Municipal Double  Storey Market, Lodhi Road,  New Delhi - 110003. Ph. No. 011-24631819.	All Available Dental Care Facilities
4	Dr. Mittal Dental Care &  Implant Centre, Flat No.36,  Pocket C/12, Sector-3,  Rohini, Delhi - 110085. Ph. No. 011-43686207	All Available Dental Care Facilities
5	Bahl Dental Clinic & Implant  Centre, 21/39-B, 1st Floor,  Tilak Nagar, New Delhi -110018. Ph. No. 9810899666.	All Available Dental Care Facilities

IMAGING CENTRES NON-NABH

Sr. No.	Name of the Dental Clinics	Empanelled for
1	Orbit Imaging & Path Lab  Pvt. Ltd., 35 B, Pusa Road,  Opp. Metro Pillar-124, Delhi -  110005. Ph. No. 011- 46243301.	MRI, CT Scan, Ultra Sound, X-ray, Colour Doppler
2	Must & More Health Care  Pvt. Ltd., Kings Mall, Rohini  West Metro Station, Sector- 10, Rohini, New Delhi. Ph. No. 011-66373737.	X-ray, MRI, CT-Scan, USG, Colou r Doppler, Bone densitometry
3	Mahavir International, 264-B-  1, Hauz Rani Market, Opp.  Press Enclave, Malviya  Nagar, New Delhi - 110017. Ph. No. 011-65191130.	MRI, CT-Scan
4	Ganesh Diagnostic & Imaging  Centre Pvt. Ltd., C-1/8,  Yamuna Vihar, Near 'C'  Block, Red Light, New Delhi  - 110053. Ph. No. 011- 22910034.	X-ray, CT-Scan, Ultrasound, Colour Doppler.
5	Ganesh Diagnostic & Imaging  Centre Pvt. Ltd., C-1, Hari  Nagar, Near DDU Hospital, New Delhi. Ph. No. 011- 25126431.	X-ray, CT-Scan, Ultrasound, Colour Doppler.

DIAGNOSTIC LABORATORIES NABL, NON NABH

1	ONCQUEST Laboratories  Ltd., 3-Factory Road, ADJ-  Safdarjung Hospital, New  Delhi - 110029. Ph. No. 011- 26101240.	Laboratory Services
2	SRL Diagnostic, Fortis Flt.  Lt. Rajan Dhal Hospital,  Pocket-B-1, Aruna Asaf Ali  Marg, Vasant Kunj, New  Delhi. Ph.No. 011-42776222	Laboratory Services
3	SRL Diagnostic, Fortis  Hospital, B-22, Sector-62,  Noida. Ph.No. 0120- 240334525.	Laboratory Services
4	SRL Diagnostic, Fortis Escorts Heart Institute and Research Centre Ltd., Okhla  Road, Delhi. Ph. No. 011- 47134972.	Laboratory Services
5	SRL Diagnostic, GP-26, Maruti Industrial Estate, Udyog Vihar, Sector-18,  Gurgaon. Ph.No. 0124-  3940111	Laboratory Services
6	SRL Diagnostic, C-57,  Ground Floor, Preet Vihar, Delhi. Ph.No. 011-44121212.	Laboratory Services
7	SRL Diagnostic, Fortis  Hospital, A-Block, Shalimar Bagh, New Delhi. Ph.No. 011-45302222.	Laboratory Services
8	SRL Diagnostic, Fortis  Escorts Hospital, Neelam  Bata Road, Faridabad, New Delhi. Ph. No. 0129-40009983	Laboratory Services
9	National MRI CT Scan &  Diagnostic Centre ( A unit of Shree Hari Diagnostic Pvt. Ltd.) 19/35, Main Rohtak Road, Punjabi Bagh, Near  Maharaja Agrasen Hospital, New Delhi - 110026. Ph. No. 011-25220079.	MRI, CT-Scan, X-ray, Ultrasound, Colour Doppler and Laboratory facilities.

Source: http://msotransparent.nic.in/cghsnew/index.asp

Government to revise rates for CGHS empanelled hospitals

Government to revise rates for CGHS empanelled hospitals
 In a good news for lakhs of beneficiaries under the Central Government Health Scheme (CGHS), the Government is in the process of revising the rates of medical procedures offered by empanelled hospitals and diagnostic centres and giving them early payment assurance to encourage more medical institutions join the scheme.

The Ministry of Health and Family Welfare has floated e-tenders for empanelment of hospitals and decided that the rates of various medical procedures would be fixed by an average of rates quoted in e-tenders instead of the old system where the lowest quotation became the rate.

Rates of all medical procedure centres under CGHS would be revised by April next year.

Not just that, the Government is also revising its policy by providing empanelled hospitals assured upfront payment of 70 per cent of the total bill within five days of its presentation and balance admissible amount within a maximum period of 30 days.

The direction for a 10 per cent deduction in case of early/cash payment to hospitals under CGHS has also been done away with, highly-placed sources in the Ministry told PTI.

"These measures will put an end to the problems of delayed payments which discourage hospitals from getting empanelled under the scheme," a Health Ministry official said.

Under the new policy finalised by the Ministry, the category of super specialty hospitals empanelled under the CGHS has also been done away with.

"Now, hospitals, exclusive eye hospitals/centres, exclusive dental clinics and diagnostic centres shall be empanelled for all facilities available in the health care organisation as approved by National Accreditation Board for Hospitals/National Accreditation Board for Labs and the Quality Council of India and shall not be empanelled for selected specialities/facilities," the new policy says.

The changes will help rope in more hospitals, clinics and diagnostic centres under the CGHS as many renowned and big hospitals were shying away from being empanelled under the scheme due to pending payments and low rates for medical procedures.

Sources said payments of bills amounting to around Rs 100 crore of private hospitals are pending with the government under CGHS alone, even though hospitals are crying hoarse that pending payments are to the tune of over Rs 400 crore.

Officials, however, say this huge amount is not pending under CGHS and it may include payments under ECHS, ESI and health bills of other big departments like Delhi Police and others.

Source : www.business-standard.com
[http://www.business-standard.com/article/pti-stories/govt-to-revise-rates-for-cghs-empanelled-hospitals-113122900482_1.html]

CGHS Orders - Withdrawal of Super-Specialty status of Paras hospital Gurgaon under CGHS with immediate effect.

CGHS Orders - Withdrawal of Super-Specialty status of Paras hospital Gurgaon under CGHS with immediate effect.

No: S.11045/23/2013-CGHS.D.II/HE
Government of India
Directorate General of Central Government Health Scheme
Department of Health and Family Welfare

Nirman Bhawan, New Delhi,
Dated the 11th December, 2013

To,
The Medical Superintendent,
Paras Hospital,
Shushant Lok,
Gurgaon.

Subject : Withdrawal of Super-Specialty status of Paras hospital Gurgaon under CGHS with immediate effect.

With reference to the empanelment of hospitals under CGHS vide Ministry of Health and family Welfare Office Memorandum No: S.1011/23/2009-CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013 and subsequent CGHS Directorates Office Order of even no. dated 27.08.2013 vide which Paras hospital was categorized as Super-Specialty hospital under CGHS, the undersigned is directed to convey that It has been decided to withdraw Super specialty status of Paras Hospital Gurgaon under CGHS with immediate effect till further orders.

You are required to treat COilS beneficiaries and raise the bills as per CGHS approved rates of NABH accredited hospitals. Overcharging if any would be recovered from the pending bills of the hospital.

This issues with approval of competent authority.

sd/-
Sr. CMO(HEC)
Room No. 524-A Wing
Nirman Bhawan. New Delhi

Source: http://msotransparent.nic.in/cghsnew/index.asp

Eye tests in CGHS empanelled hospitals labs

Eye tests in CGHS empanelled hospitals labs
While answering to a question about the issue of visiting Eye Specilists in CGHS dispensaries in the Rajya Sabha on 17th December 2013 by the Minister of Health and Family Welfare Shri Ghulam Nabi Azad as follows...

The Eye specialists refer CGHS beneficiary patients for eye tests to CGHS empanelled private hospitals / eye clinics for getting the prescribed tests done. The beneficiary is at liberty to go to any empanelled centre of his choice for getting the prescribed tests done without any prior permission from Department / CGHS Wellness Centre provided the tests are as per CGHS approved list and for which a CGHS approved rate is available. The list of empanelled hospitals / eye clinics are available at the CGHS website http://msotransparent.nic.in .

Eye Specialist do advise for Fundus Photo Tests. However, since these particular tests are not included in the existing approved list of CGHS, pensioners are required to obtain prior permission from the Competent Authority as per the financial powers to undergo these tests at empanelled private hospital / eye clinic. They are also entitled facility at the empanelled centres on the basis of permission letter issued by CMO- In charge of CGHS Wellness Centre.

Fundus Photo tests have been included in revised list of CGHS treatment procedures prepared for the next empanelment process.

Source: http://90paisa.blogspot.in/2013/12/eye-tests-in-cghs-empanelled-hospitals.html

GUIDELINES FOR CGHS BENEFICIARIES - DAPWA

GUIDELINES FOR CGHS BENEFICIARIES - DAPWA
Central Govt. Health Scheme is a boon for Central Govt. pensioners in the twilight year of their lives since the cost of Medical care has reached the seventh haven and affording treatment for diseases and other ailments has gone out of reach of the pensioners.

In order to dispel some doubts prevalent amongst beneficiaries of the scheme an effort has been made to provide some guidelines for the benefit of the members.

ELIGIBILITY
Central Govt. pensioners their spouses, dependent sons. below 25 years of age, daughters till the date of marriage or the date from which they start earning and dependent parents are eligible. Disabled Sons with 40% or more disability are also eligible even beyond the age of 25 years.

RATES OF CONTRIBUTION AND ENTITLEMENT FOR WARD/PRIVATE ROOM
Rate of contribution to the scheme is based on the grade pay appropriate to the scale of
pay prescribed by 6th CPC whereas the entitlement for hospital accommodation for Indoor
treatment is determined with reference to Basic Pay/Pension.

Contribution				Entitlement as Indoor Patient
Grade Pay	Per Month	Annual	Whole Life	Basic Pay/Pension	Ward/Room	CHARGES  PER DAY
Upto-1650	50	600	6,000	Upto-13,950	General Ward	1,000
1800-2800	125	1,500	1,5000	Upto-19,530	Semi Pvt. Ward	2,000
4200	225	2,700	27,000	19540-above	Pvt.Ward	3,000
4600-6600	325	3,900	39,000
7600-above	500	6,000	60,000

RATES FOR MEDICAL PROCEDURES

 Rates for medical procedures, tests/investigations carried Out by NABL, Non-NABL hospitals and diagnostic laboratories are prescribed by Govt. from time to time.

ISSUE OF CGHS CARDS
Persons retiring from offices/establishments, located in CGHS covered areas, will be issued CGHS cards on the day of retirement, if they opt for CGHS coverage after retirement. Pensioner residing in Non-CGHS covered areas can also enroll themselves and eligible family members in the Weliness Centers nearest to their place of residence or any Wellness Centre by submitting application along with necessary documents to Addl/Jt. Director of the area. CGHS cards can also be issued to pensioners for indoor treatment only while they can continue to draw F.M.A.

VALIDITY
Plastic Card and CGHS token cards are valid for obtaining treatment at Wellness Centers throughout India.

INDOOR TREATMENT
Indoor treatment is provided to the beneficiaries in any of the empanelled hospitals on the recommendation of CMO Incharge. Depending upon the nature of treatment required the patient is referred to the hospital registered for the specific treatment viz. cardio, ortho, eye, general purpose etc.

EMERGENCY TREATMENT
In case of medical emergency beneficiaries and eligible members may obtain indoor treatment from any Govt./Recognized, Private Hospital approved under CSMA rules besides empanelled hospitals without recommendation of the CMO Incharge. Reimbursement for treatment in Private/Govt. Hospitals will be subject to CGHS approved rates.

DIAGNOSTIC TEST
Patients referred to Govt. Hospitals/Institutes for OPD Treatment can undertake diagnostic tests/investigations at the empanelled laboratories/centers, if recommended by the hospital, directly without reverting to Wellness centre for permission. It may be ensured in such cases that the hospital prescription slip is signed by the assistant professor / specialist of the hospital.

NOTE :- Please do carry your token card / plastic card while attending Wellness Centre, Collecting indented medicines, attending empanelled hospitals / labs / diagnostic centers.

R.P. Sharma
Legal Secretary
DAPWA(Regd.)

Source : www.dapwa.org
[http://dapwa.org/pdfdocs/Guidelines_for_CGHS_Beneficiaries.pdf]

CGHS Orders - New list of Private Hospitals & Diagnostic Centres under Continuous Empanelment Scheme of CGHS, Ahmedabad

CGHS Orders - New list of Private Hospitals & Diagnostic Centres under Continuous Empanelment Scheme of CGHS, Ahmedabad

New list of Private Hospitals & Diagnostic Centres under Continuous Empanelment Scheme of CGHS, Ahmedabad

GOVERNMENT OF INDIA
OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVERNMENT HEALTH SCHEME

CGHS/AHMD/PVT.HOSPITAL/1683

7/11/2013

OFFICE MEMORANDUM

The undersigned is directed vide Directorate General of Central Govt Health Services New Delhi office order No.S.11045/23/2013/CGHS D-II(HEC)/CGHS(P)(Pt) dated 15th July, 2013 to invite reference to Ministry of Health & FW office memorandum No.S 11011/23/2009-CGHS.D,II /Hospital Cell (Part IX) dated 14/2/2013 vide which continuous empanelment scheme was initiated for empanelment of private hospital/ diagnostic centres under CGHS.

In response to the O.M dated 14/2/2013 under continuous empanelment scheme the following hospitals/ diagnostic centres have applied for empanelment under CGHS, Ahmedabad.

1. SAL Hospitals, Drive-in Road. Ahmedabad
2. EYE CARE HOSPITAL P.Ltd, Ambawadi, Ahmedabad.
3. Infocus diagnostic centre, Stadium Commerce Road, Ahmedabad

On recommendation of the committee, constituted for verification of application, the above hospitals/ diagnostic centres, who are signed, MOU and submitted performance bank guarantee are empanelled as per annexure under CGHS, Ahmeabad. The hospitals/diagnostic centres will treat CGHS beneficiaries and charge at the revised rates as per MOU from the date of issue of this office memorandum.

sd/-
(Dr. ML Verma)
Additional Director,
CGHS, Ahmedabad

CENTRAL GOVERNMENT HEALTH SCHEME. AHMEDABAD

NEW LIST OF EMPANELED HOSPITAL UNDER CGHS, AHMEDABAD W.E.F. ______

	NEW EMPANELLED	SPECIALITY HOSPITALS
1.	SAL HOSPITAL   Opp. Doordarshan, Drive-in Road, Ahmedabad 380054    +91 79 66115600(16 lines)	Multi-speciality general purpose and specialized purpose in Cardiology, Cardiovascular and Cardio-throracic surgery, Urology including dialysis, Lithrotripsy and renal transplantation,Orthopaedic surgery including artroscopic surgery and joint replacement, Neurology & Neurosurgery, Gastroenterology & GI surger (excluding liver transplant) Oncology including surgery, chemotherapy and radiotherapy, Paediatrics and Paeduatric surgery Endoscopic/ Laparoscopic surgery, ENT including specialized surgeries, Opthamology, palmonology, Gynecology, Dental etc..
2.	EYE CARE HOSPITAL PVT.LTD   Polytechnic Road, Gulbai Tekra, Ambawadi, Ahmedabad 380015    Phone: - 26446133, 16430503	All diagnostic & Surgical treatment for cataract, Glucoma, Cornea, Retina, Ocolopesty i.e.(OCT, Perimetry, IOL Master, Ultrasound, Yag laser, Phaco-emulsification AOS, Pteryglm surgery etc.)
DIAGNOSTIC CENTRE
3.	INFOCUS DIAGNOSTICS    Radio diagnosis division, 45-B, Swastic Society, Opp. Vipul Dudhiya ,Stadium commerce Road, Ahmedabad. 380009    Phone:26467285/26467286	DIAGNOSTIC CENTRE    Heamatology, Biochemistry, Immunology, Histopathology    1.5T MRI, 64 slice MDCT(Coronary Angiography in< 5 seconds) ,PET-CT(16slice), Nuclear Medicine Department(Dual Head Gamma Camera), Digital X-Ray, Fetal Medicine Department, 3D-4D sonography, Colour Doppler, Mammography and Interventional Radiology, Teleradiolgy

Source: http://msotransparent.nic.in/cghsnew/index.asp

CGHS Orders - Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

CGHS Orders - Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

GOVERNMENT OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVT. HEALTH SCHEME
1544/A NAPIER TOWN
JABALPUR

No.6-8/13-Estt/CGHS/JBP/ 2101-13

Dated:-24.07.2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

In reference to (I) the Ministry of Health & F.W. O.M. No. S.11011/23/2009-CGHS D.II/ Hospital Cell(Part IX) dated 14.02.2013 vide which the 'Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived and (ii) Dte. General of CGHS Office Order No. S.11045/23/2013/CG HS D-ll(HEC)/CGHS(P)/(Pt.) dated 15.07.2013, vide which powers for empanelment & issuance of notifications have been delegated to all the ADs/JDs in respect of their respective CGHS cities, a list of additional private hospitals (including dental clinics and eye centres) and Imaging Centre has been finalized for a period of one year from the date of issue of this O.M. or till the next new empanelment, whichever is earlier. This list has been finalized after following the due process and terms & conditions as laid down in the O.M. dated 14.02.13 as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010/2011 and subsequent orders.

2. The list of empanelled hospitals (including dental clinics and eye centres) and Imaging Centre is enclosed herewith.

3. This list is in addition to the list of hospitals (including Eye Care Centres and Dental Clinics), diagnostic laboratories and imaging centres issued vide Ministry of Health & F.W. OM dated 22.03.11, 12.07.11, 27.07.11, 8.9.11, 1.11.11, 16.11.11 & 5.1.12 for Jabalpur.

sd/-
Additional Director
CGHS, Jabalpur

Annexure-I

CGHS JABALPUR

List of hospitals for All available facilities  On CGHS panel as on 31.03.2013, now enlisted with additional facilities  NABH, Applied For
SI.No.	Name of Hospital	Specialities empanelled for
1.	Jabalpur Hospital & R.Centre, Russel Chowk, Jabalpur. Tel.No.2450761-62	Interventional Cardiology Cath procedures, Cardiovascular and Thoracic surgery procedures, Non-Invasive Cardiology procedures, Internal medicine, Neurology, Neurosurgery, Paediatric Neonatology, Paediatric Surgery, Urology, Nephrology & Haemodialysis, General Surgery & Laparoscopic Surgery, Orthopaedic & Joint Replacement Surgery, Dental Oral & Maxi lofacial Surgery, Orthodontic Surgery, Gynaecology & Obstetrics, Ophthalmology, IOL Implantation, ENT, Skin and VD, Gastroenterology & Endoscopies, Anaesthesia and pain clinic, Radiology & Imaging & CT Scan, Pathology & Blood Bank, Physiotherapy, medical oncology and chemotherapy, Oncosurgery.
2.	Metro Hospital & Cancer Research Centre, (A Unit of Satya Sai Cancer Society) Kuchaini Parisar, Near Damoh Naka Bus Stand, Jabalpur. Tel. No. 2641661, 4062000.	General Medicine, General Surgery and Specialized purpose in Neurology & Neuro surgery, Urology and Nephrology including Dialysis, Orthopaedic Surgery including Joint Replacement & Arthroscopy, Gastroenterology and G.1. Surgery, Paediatrics and Paediatrics Surgery, Obstetrics and Gynaecology, Endoscopic/Laparoscopic Surgery, Opthalmology, Dental, ENT, Physiotherapy, Oncology (Medical & Surgical, Radiotherapy, Chemotherapy), Cardiology, Cardiovascular and Cardiothoracic Surgery, Diagnostic and Imaging Centre (CT, USG, X-ray & Pathology)

List of Imaging Centres  On CGHS panel as on 31.03.2013, now enlisted with additional facilities  NON-NABL (Not Applicable for Imaging Centre)
SI.No.	Name of Centre	Specialities empanelled for
1.	MP MRI And CT Scan Centre(A Unit of Sanya Hospital and Diagnostics Pvt, Ltd. Delhi) NSCB Medical College Campus Jabalpur Tel.No.0761- 2673130, 4027200	CT Scan & MRI

Annexure-II 

 CGHS JABALPUR

Additional list of New Hospitals for All available facilities  NABH Applied For
SI.No.	Name of Hospital	Specialities empanelled for
1.	Mahakoshal Hospital Opp. Gate No. 03 Wright Town Stadium Jabalpur Tel. 2401909, 2610480,4064780	Medicine, Plastic Surgery & Burn, General Surgery & Laparoscopic Surgery, Opthalnriology, Gynae & Obst. Anaesthesia and pain clinic, Neurology, Neurosurgery, Oncology, Onco Surgery, Paediatrics & Paediatric Surgery, Urology, Nephrology including Dialysis, Respiratory Medicine, ENT, Psychology, Psychiatrics, Physiotherapy. Diagnostic & Imaging
2.	Aditya Super Speciality Hospital & Trauma Centre Opp. Little Kingdom School, MLB School Road Napier Town. JEW Tel. 4218312-13	Trauma & Joint Replacement, Neurology, Neuro Surgery, Minimally invasive Brain & Spine Surgery, Pain Clinic, Arthroscopy, Uro Surgery, GI Surgery, Gastroenterology, General Surgery, Plastic Surgery, Cardiology, Internal Medicine, Obst. & Gynaecology, Opthalmology, Pulmonology, ENT, Dermatology, Dentistry, Psychiatry & Psychology, Physiotherapy, Infertility, Diagnostic & Imaging

Additional list of New Eye Care Centres  Non-NABH
Sl.No.	Name of Hospital	Specialities empanelled for
1.	Batalia Eye Hospital Dr. Batalia Road, Near Ghantaghar, Jabalpur Tel. 4065919, 2622136	As Eye Care Centre for All Available Facilities

Additional list of New Dental Clinics  Non- NABH
Sl.No.	Name of Hospital	Specialities empanelled for
1.	Shubham Dental Clinic, Near Ashirwad Baratghar Ranjhi Jabalpur, 9329572500, 9300161600	As Dental Clinic for All Available Facilities

Source: http://msotransparent.nic.in/cghsnew/index.asp
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File642.pdf]

CGHS Orders 2013 - Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

CGHS Orders 2013 - Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
CGHS Division

No. S-11030/4/2013-CGHS (P)

Dated the 13th September, 2013

OFFICE MEMORANDUM

Sub: Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

The undersigned is directed to state that CGHS has empanelled private hospitals in various CGHS covered cities to provide inpatient healthcare facilities to its beneficiaries. Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospital on mutually agreed terms and conditions.

2. This Ministry has received a number of complaints against Saket City Hospital (formerly- Gujar Mal Modi Hospital & Research Centre), Saket, New Delhi regarding deficiency in services ranging from denial of credit facilities and over charging to illtreatment, harassment and rude behavior by staff/doctors to CGHS beneficiaries. The issues raised by the beneficiaries have been viewed seriously by this Ministry as it tantamount to violation of the terms and conditions of empanelment as laid down in the 'Memorandum of Agreement'.

3. A 'Show Cause Notice' was issued to Saket City Hospital seeking clarifications on the grievances raised by the beneficiaries. However, the reply received from Saket City Hospital has not been found satisfactory.

4. It has, therefore been decided to suspend the CGHS empanelment of Saket City Hospital, New Delhi with immediate effect, for a period of one year or till further orders whichever is earlier. The hospital shall no longer be a part of the list of empanelled hospitals/centers for any purposes under CGHS. Patients already admitted prior to the issue of this OM, shall be provided treatment and discharged within seven days from the date of issue of this OM. However, in respect of the patients who remain admitted beyond seven days, their bills would be accepted only on submission of the proper justification for stay.

5. This OM shall be effective from the date of its issue.

sd/-
(V.P.Singh)
Deputy Secretary to the Government of India

Source: http://msotransparent.nic.in/cghsnew/index.asp
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File638.pdf]

Treatment from CGHS Empanelled Hospitals

Treatment from CGHS Empanelled Hospitals

Ministry of Health and Family Welfare

Treatment from CGHS Empanelled Hospitals

As per the existing guidelines, a CGHS beneficiary is required to obtain permission from his administrative Department / Office or CMO in charge (in case of pensioner beneficiary) to avail medical treatment in a CGHS empanelled private hospital. However, in case of emergency he can go to any hospital whether empanelled or not, to avail medical treatment. This provision is necessary to ensure proper medical treatment of a CGHS beneficiary in consultation with the Government specialists. This is also a measure of ‘checks and balances’ to ensure financial propriety and optimum utilization of public money.

This Ministry has been receiving representations from the individuals; Pensioners Associations etc. to allow the CGHS beneficiaries to take treatment from the CGHS empanelled private hospitals without obtaining the requisite permission. However, their requests have not been acceded to as the present referral system is considered necessary in the interest of the beneficiaries and it is also necessary as a check and balance measure to ensure financial propriety.

CGHS is already providing comprehensive and hassle free healthcare services to its beneficiaries through its large network of Wellness Centres and empanelled private hospitals and diagnostic /imaging centres. With a view to further simplify and liberalize the procedures in CGHS to make its services more hassle free, the requirement of mandatory permission for undertaking diagnostic tests and investigations has been done away with w.e.f. 1st January, 2013. In addition, ‘Continuous Empanelment Scheme’ has also been revived at all CGHS locations to empanel more number of eligible private hospitals to enhance accessibility and availability of medical services to the beneficiaries in a hassle free manner.

This information was given by the Union Minister of Health & Family Welfare ShriGhulamNabi Azadin written reply to a question in the LokSabha yesterday.

Source: http://90paisa.blogspot.in/2013/08/treatment-from-cghs-empanelled-hospitals.html

CGHS Orders : Empanelment of private hospitals (including denial clinics and eye centres) and diagnostic centres under CGHS DELHI & NCR

CGHS Orders : Empanelment of private hospitals (including denial clinics and eye centres) and diagnostic centres under CGHS DELHI & NCR

No: S.11045/23/2013-CGHS D.II/HEC
Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Bikaner House Hutments Shahjahan Road
New Delhi 110 108 dated the 1st Aug 2013

OFFICE MEMORANDUM

Subject : Empanelment of private hospitals (including denial clinics and eye centres) and diagnostic centres under CGHS DELHI & NCR

The undersigned is directed to invite reference to the empanelment of hospitals under CGHS vide Ministry of Health and Family Welfare’s Office Memorandum No:S.10111/23/2009-CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013, vide which 'Continuous Empanelment Scheme’ for private hospitals (including dental clinics and eye centres), diagnostic laboratories and Imaging Centres under CGHS was revived with a view to empanel more health care institutions for CGHS beneficiaries. Accordingly, after following due process, a list of following hospitals (including dental clinics and eye centres), diagnostic centres and Imaging centres has been finalized as per terms and conditions laid down in the O.M. referred to above as well as signing of MOA and execution of performance Bank Guarantee by them signifying acceptance of terms and conditions of empanelment and rates notified by CGHS in 2010 & in O.M No.Misc.1002/2006/CGHS(R&H)/CGHS (P) dated 7/2/2013.

2. The hospitals (including dental clinics and eye centres), diagnostic laboratories and Imaging Centres, which find their names in the list of hospitals, diagnostic laboratories and Imaging Centres approved for empanelment under CGHS in Delhi & NCR are empanelled for a period of one year from the date of issue of this Office Memorandum or till next new empanelment, whichever is earlier.

3. This Office Memorandum and the rates applicable under CGHS for hospitals (including dental clinics and eye centre), diagnostic laboratories and Imaging Centres can be downloaded from the website of CGHS, http://msotransparent.nic.in./cghsnew/index.asp.
End: As above

sd/-
(Dr. Sharda Verma)
Additional Director CGHS (HQ)

Source : www.msotransparent.nic.in/cghsnew/index.asp
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File607.pdf]

Promotion Scheme for CGHS Homoeopathic and Unani Doctors

Promotion Scheme for CGHS Homoeopathic and Unani Doctors

As per the 5th Central Pay Commission’s recommendation, career progression had been granted to the ISM&H (Indian Systems of Medicine & Homeopathy) Physicians possessing the medical qualifications approved by the Central Council for Indian Medicines/Central Council of Homoeopathy on the pattern available to the Allopathic doctors//General Duty Medical Officers of Central Health Service (CHS).


According to the Recruitment Rules for Chief Medical Officer (Non Functional Selection Grade), Union Public Service Commission has to conduct the Departmental Promotion Committee (DPC) process for promotion to this grade. In respect of the Unani Doctors, the CMO (NFSG) grade has already been granted to 8 eligible Unani doctors. In respect of Homoeopathic doctors, UPSC has asked for certain information / documents in respect of the officers under consideration.

This information was given by the Minister for Health & Family Welfare Shri Ghulam Nabi Azad in written reply to a question in the Rajya Sabha today.

PIB

PERMISSIONS FOR TREATMENT IN PRIVATE CGHS EMPANELLED HOSPITALS / CENTRES

PERMISSIONS FOR TREATMENT IN PRIVATE CGHS EMPANELLED HOSPITALS / CENTRES.

Can I get permission for any Pvt Hospital of my choice?
Yes, provided the Hospital is empanelled for that particular procedure.

Can I opt for better implant by meeting extra cost over and above the ceiling? If yes,how?
Yes,you can.you will have to give an undertaking to the Hospital to that effect.

rom where can I get the Specialist consultation as I am suffering from Diabetes and heart disease	Either the Visiting Specialist in WC ( by Appointment ) Or In CGHS Wings of Safdarjang Hospital and Dr. RML Hospital in Delhi Or Specialists of any Govt. Organizations in Delhi and other cities Or Specialists of Pvt Empanelled Hospitals of satellite towns in NCR region upon referrals by CMO I/c of WC
2.	I am entitled for Direct Consultation and Nursing Home facility at Govt Hospitals, Can I go directly for consultation at Govt. hospitals	Yes with prior appointment
3.	I am entitled for Direct Consultation and Nursing Home facility at Govt Hospitals, Can I go directly for consultation at pvt empanelled Hospitals	No. Except the Specialists of Pvt Empanelled Hospitals of satellite towns in NCR region upon referrals by CMO I/c of WC
4.	In emergency who are all entitled to get treatment at Pvt Empanelled Hospital	Any beneficiary holding a Valid CGHS card.
5.	Do I get treatment on credit in emergency at Pvt empanelled Hospital?	Yes, on production of Valid CGHS card
6.	I want to get my Cataract Surgery done at Pvt empanelled hospital ? How can I get it done	Get a Govt. Specialist advice Pensioners to Apply to CMO I/c of WC for permission Serving employees to apply to Head of Deptt. of office
7.	Can I get permission for any Pvt Hospital of my choice?	Yes, provided the Hospital is empanelled for that particular procedure.
8.	How to know which Hospital is empanelled for what purposes / facilities?	Information is available on CGHS Website and on Notice boards of all CGHS WCs
9.	Is there any updated Govt. publication on CGHS facilities available for sale?	Not at present
10.	Is it necessary that the Govt specialist should write ”referred to CGHS empanelled Hospital “for obtaining permission?	No.
11.	I am a serving CGHS beneficiary. Can I get treatment on credit at Pvt. empanelled Hospital in emergency?	Yes.
12.	In charge does not refer me to Pvt Hospitals on my request?	As per CGHS guidelines OPD referrals are not permissible except in satellite towns of NCR
13.	I am a serving beneficiary. Can I get treatment on credit in non-emergency on producing permission from my office?	No. You will have to make payment and claim reimbursement.
14.	Is cost of implants reimbursed?	Yes.As per ceiling fixed by the Govt.
15 .	Can I opt for better implant by meeting extra cost over and above the ceiling? If yes,how?	Yes,you can.you will have to give an undertaking to the Hospital to that effect.
16.	As a serving beneficiary making payment for my treatment at Pvt.empanelled Hospital.Do I get any rebate while paying the bill?	Yes. The hospital will allow 5% rebate on the bill.
17.	Can I get advance from my office for treatment in Pvt Hospital as I have obtained permission on the recommendation of a Govt specialist?	Yes. You can apply for 90% of the package rates as advance.
18.	I am a CGHS Pensioner beneficiary receiving treatment in AIIMS	It is a Govt. institute, Still I have been asked for payment in advance Will CGHS give me advance Yes 90 % advance is given Apply through CMO i/c with an estimate from Treating Doctor and all relevant documents
19.	I am entitled for Private ward facilities. The hospital has charged 15% extra for investigations even though the investigations are performed on OPD basis. Is this correct?	No. Charges for investigations are same for all categories whether investigated as In patients or Out patients.
20.	The Pvt empanelled Hospital ask me to make payment even in an emergency. what to do?	Do not pay Make a complaint to AD / JD of the city
21.	I suffered a fall .I suspect a fracture.Can I go to a diagnostic center in an emergency for xray?	In emergency you are expected to seek treatment in a hospital which also has diagnostic facilities.
22.	I am an accredited journalist with CGHS Card Can I seek treatment in Pvt empanelled Hospitals in emergency and get credit facility?	No. Journalists are entitled only for OPD treatment from dispensaries and treatment from Dr.RML Hospital. Journalists are not entitled for reimbursement and are not entitled for treatment from empanelled hospitals.
23.	The specialist recommends me to go a particular Pvt hospital but it is too far from my residence. Can I go to a nearby empanelled Hospital?.	Yes. Specialists are expected only to advice a specific line of treatment and are not authorized to refer to any identified centre. The choice of the Hospital is of the beneficiary.
24.	I am a serving employee of an autonomous body ,holding CGHS card. who will give me permission for treatment on the recommendation of Govt specialist?	Office of the serving employee.
25.	I am a pensioner beneficiary of an autonomous organization, having valid CGHS card. Can I obtain permission for treatment at Pvt Hospital from CMO I/c of wellness center?	No. Pensioners of autonomous organizations will be granted permission by their respective offices.
26.	I am a pensioner beneficiary of Kolkata. In case of emergency, can I get treatment on credit at any empanelled Pvt Hospitals in other CGHS cities when I am on a visit to such city?	Yes.
27.	I want to take treatment in a non-empanelled Hospital of my choice for my planned surgery, recommended by Govt specialist Can I get reimbursement at CGHS rates.?	Permission is granted only for empanelled hospitals. No reimbursement is allowed for taking planned surgery in a non-empanelled hospital.
28.	In case there is no CGHS prescribed ceiling for an implant, what is the cost reimbursable in such a case?	As per actual.
29.	There is no facility for the treatment advised by Govt specialist in Pvt empanelled Hospital in the CGHS city I am residing. Can I get T A for travelling to and fro for my treatment at nearby CGHS city?	Yes. TA is admissible to the nearest CGHS city only when treatment facilities are not available in city of residence.
30.	I am denied treatment at CGHS rates and on credit in emergency in a Pvt empanelled Hospital as I did not carry my card. Is this correct?	Yes, Facilities under CGHS at Pvt empanelled Hospitals are available to the beneficiaries on production of a valid CGHS card.
31.	I have been advised Dentures by Govt Hospital Dental Surgeon Will CGHS provide me	Apply to AD / JD of city through CMO I/c of WC Submit Photocopies of Valid CGHS Card & Specialist Advice Permission shall be granted for dentures @ Rs. 2000 / max. and submit the medical claim for reimbursement
32.	I was advised Cataract surgery by Govt. specialist. I took permission for pvt. Empanelled hospital . Shall I be reimbursed the full cost of lens.	Reimbursement shall be made as per CGHS rates Rates are available on CGHS Website.
33.	I have been advised BTE Hearing Aid by ENT Specialist. Will CGHS provide me Hearing Aid	Apply to AD / JD of city through CMO I/c with Copy of Govt. Specialist advice Copy of Audiogram Copy of Valid CGHS Card Undertaking that no hearing aid has been received from CGHS in the past five years Permission shall be granted to you. Ceiling rate is Rs. 10,000 /- Medical claim may be submitted after purchase of Hearing aid.
34.	I have been advised Digital Hearing Aid by ENT Specialist. Will CGHS provide me Digital Hearing Aid	Apply to AD / JD of city through CMO I/c with Copy of advice of two Govt. Specialists of different hospitals Copies of two Audiograms Copy of Valid CGHS Card Undertaking that no reimbursement for hearing aid was received from CGHS in the past five years. Permission shall be granted for Digital Hearing aid with a ceiling rate of Rs.30,000/- Medical Claim may be submitted after purchase of Hearing Aid.
35.	Do Pvt. Empanelled laboratory Centers provide free home collection facility as per CGHS	agreement No
36.	I have been advised CPAP / BI-PAP / Oxygen Concentrator machine by specialist. How can I get it	Apply to AD / JD of city through CMO I/c of WC along with copies of advice (from Deptt. of Respiratory Medicine of Govt. hospital) and medical documents for permission to procure CPAP / BI-PAP machine Expert Committee shall examine and as per the recommendation of the expert committee permission shall be granted for purchase of the machine.

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File119.pdf