CGHS ORDERS 2013 : Regarding investigations at private
hospitals / diagnostic laboratories/ Imaging centres empanelled under
CGHS
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S-11045/40/2012/CGHS/HEC/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated the 1st January, 2013.
OFFICE MEMORANDUM
Sub: Regarding investigations at private hospitals / diagnostic laboratories/ Imaging centres empanelled under CGHS.
With
reference to the above mentioned subject the undersigned is directed to
state that this Ministry has been receiving representations for
simplification of procedure for undergoing investigations at private
hospitals / diagnostic laboratories / imaging centres empanelled under
CGHS. The matter has been examined and with a view to alleviate the
inconvenience to CGHS beneficiaries in obtaining requisite permission
for undergoing investigations at CGHS empanelled private hospitals /
diagnostic laboratories / imaging centres, it has now been decided that
CGHS beneficiaries shall herein after be allowed to undergo
investigations at private hospitals /diagnostic laboratories /imaging
centres empanelled under CGHS after specific investigations have been
advised by a CGHS Medical Officer or a Government Specialist without requirement of any other referral(permission) letter.
2.
Private empanelled hospitals/ diagnostic laboratories / imaging centres
shall perform the investigations / diagnostic tests on cashless basis
in respect of pensioners, ex-MPs, freedom fighters and other eligible
categories of CGHS beneficiaries, who are presently eligible for credit
facility and shall enclose the prescription issued by a CGHS Medical
Officer or a Government Specialist, in original along with the hospital
bill submitted to competent authorities.
3.
Serving government employees shall enclose the prescription issued by a
CGHS Medical Officer or a Government Specialist in original, while
submitting the medical claim to the concerned Ministry
/department/office for reimbursement.
4. CGHS
Medical Officer / Government Specialist shall not refer the
beneficiaries to any particular diagnostic laboratory or imaging centre
by name but, shall specify the Investigation and mention referred to
CGHS empanelled centre.
5. These orders are
applicable only in respect of investigations for which CGHS rates are
available, It shall come into force with immediate effect.
6. This issue with the concurrence of Integrated Finance Division vide FTS No 31560 /2012.
sd/-
[V.P.Singh]
Deputy Secretary to the Government of India
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