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