Defence: RELAXATION OF RULES FOR CONSIDERATION OF REIMBURSEMENTS IN EXCESS OF THE APPROVED RATES PERTAINING TO MEDICINAL CLAIMS UNDER ECHS

Defence: RELAXATION OF RULES FOR CONSIDERATION OF REIMBURSEMENTS IN EXCESS OF THE APPROVED RATES PERTAINING TO MEDICINAL CLAIMS UNDER ECHS

File No.22 A(37)/2018/WE/D(Res-l)

Government of India
Ministry of Defence
(Department of Ex-Servicemen welfare)
Sena Bhavan, New Delhi

Dated- 15 January, 2019

To
The Chief of Army Staff
The Chief of Naval Staff
The Chief of Air Staff

Subject: RELAXATION OF RULES FOR CONSIDERATION OF REIMBURSEMENTS IN EXCESS OF THE APPROVED RATES PERTAINING TO MEDICINAL CLAIMS UNDER ECHS.

Sir,
With reference to Gol, MoD letter No 22(1)/01/US(WE)/D(Res) dated 30 Dec 2002 and Gol, MoD letter No. 24(8)/03/US(WE)/D(Res) dated 19 Dec 2003 and in light of M/o Health and Family Welfare order No. Z.15025/ 38/ 2018/ DIR/ CGHS/ EHS dated 22nd May 2018 and No. Z15025/ 51/ 2018/ DIR/ CGHS/ EHS dated 6-6-2018, partial amendments are hereby made to the procedure for payment and reimbursement of medical expenses under ECHS with relaxation of rules for consideration of reimbursement in excess of the approved rates as per the details given under the succeeding paragraphs.

2. The request for full reimbursement which fall under the defined criteria indicated in para 3 below and cases indicated in para 4 below shall be examined by a High Powered Committee whose constitution is indicated in para 5 below. After recommendation of HPC, the concurrence of MoD (Finance/Pension) and approval of Secretary, ESW will be required in all these cases.

3. The request for full reimbursement which fall under the following defined criteria would be considered by the High Powered Committee.

• Treatment was obtained in non empanelled hospital under emergency condition and the patient was admitted by others when the beneficiary was unconscious or severely incapacitated and was hospitalized for a prolonged period.
• Treatment was obtained in non empanelled hospital under emergency and was admitted for prolonged period for treatment of head injury, coma, septicaemia, multiorgan failure etc.
• Treatment was obtained in non empanelled hospital under emergency and was admitted for prolonged period for treatment of head injury, coma, septicaemia, multiorgan failure etc.
• Treatment was obtained in a non empanelled hospital under emergency for treatment of advanced malignancy.
• Treatment was taken under emergency in a higher type of accommodation as rooms as per his/her entitlement were not available during that period.
• Treatment was taken in higher type of accommodation under specific conditions for isolation of patients to avoid contacting infections.
• Treatment was obtained in a non-empanelled hospital under emergency when there was a strike in Govt. Hospitals.

4. Cases falling in the following categories would also be considered by the High Powered Committee.

• Settlements of medical claims in relaxation of rules.
• Approval of air fare with or without attendant on the advice of the treating doctor, for treatment in another city even though he/she is not eligible for air travel/treatment facilities are available in city of residences.
• Representation from ECHS beneficiaries seeking full reimbursement under special circumstances, which are not covered under para 3 above

5. Composition of the High Powered Committee would be as follows :

• JS, ESW - Chairman
• Government Hospital Specialist Doctor (of concerned speciality) - Member
• Director/DS/US, DoESW - Member
• Director(Medical), CO, ECHS - Member-Secretary
• Representative of MoD(Fin/Pen) - Member

6.. The other terms and conditions mentioned in the procedure for payment and reimbursement of medical expenses under ECHS vide Gol, MoD letter No.24(8)/03/US(WE)/D(Res) dated 19 Dec. 2003 shall remain unchanged.

7. This has the concurrence of Ministry of Defence(Finance/Pension) vide their U.O. No32(23)/2018/Fin/Pen dated 3-1-2019.

Yours faithfully
(A.K. Karn )
Under Secretary to the Govt. of India

Source: CGDA

Cashless Facility under PMJAY

Ministry of Health and Family Welfare
Cashless Facility under PMJAY

12 FEB 2019

The details of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) are given below:

1. Government of India has launched Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) on 23.09.2018. PMJAY is centrally sponsored scheme. It is entirely funded by Government and the funding is shared between Centre and State governments as per prevailing guidelines of Ministry of Finance.
2. PMJAY provides health coverage up to Rs. 5 lakh per family per year for secondary and tertiary hospitalization to around 10.74 crore poor and vulnerable families (approx. 50 crore beneficiaries).
3. PMJAY is an entitlement based scheme. This scheme covers poor and vulnerable families based on deprivation and occupational criteria as per SECC data.
4. PMJAY provides cashless and paperless access to services for the beneficiary at the point of service in any (both public and private) empanelled hospitals across India. In other words, a beneficiary from one State can avail benefits from an empanelled Hospital anywhere in the Country.
5. Under PMAJY, the States are free to choose the modalities for implementation. They can implement the scheme through insurance company or directly through the Trust/ Society or mixed model.
6. There is no restriction on family size, ensuring all members of designated families specifically girl child and senior citizens get coverage.
7. At National level, National Health Authority (NHA) has been set up to implement the scheme.
8. MoU has been signed between National Health Agency (now National Health Authority) and 33 States/UTs to implement PMJAY.
9. About 1393 treatment packages are available for the beneficiaries under PMJAY.
10. The details of package, operational guidelines and key features are available at www. pmjay.gov.in.

Any beneficiary of PMJAY can approach any empanelled hospital in the country under PMJAY to avail the benefits. It is an entitlement based scheme and does not involve enrolment, or issue of plastic cards. On establishment of the beneficiary’s identity, services are rendered to him/her in a cashless manner.

The Minister of State (Health and Family Welfare), Shri Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

PIB

Pay revision of National Mineral Development Corporation (NMDC) unionized category workmen signed

Pay revision of National Mineral Development Corporation (NMDC) unionized category workmen signed

06.02.2019

PRESS RELEASE

Pay revision of NMDC’s unionized category workmen signed

The 10th pay revision of NMDC Unionized category workmen wage agreement signed today. In NMDC, Pay scales and other benefits of work men are revised every five years. Last time the pay revision was effective from 1st Jan’2012. The pay revision was due with effect from 1st January, 2017.

The NMDC management and All India NMDC Workers Federation had long negotiation for revision of their pay scales and other benefits. An agreement was arrived in a bipartite committee between NMDC management and Unions on 22nd Nov’2018. Today the tripartite agreement for revision of pay scales and other benefits was arrived in a meeting organized at Constitution Club, New Delhi in the presence of the leaders of All India NMDC Workers Federation lead by Shri R.D. Tripathi, Vice President; Shri R.D.C.P. Rao, Vice President and NMDC management lead by Shri Sandeep Tula, Director (Personnel) and other senior officers in the presence of Shri Rajan Verma, Chief Labour Commissioner, Dy. Chief Labour Commissioner, Regional Labour Commissioner of Govt. of India, New Delhi.

Shri N. Baijendra Kumar, IAS, CMD, NMDC said this revision would boost the morale of the employees and would also go a long way in improving production, productivity and profits of NMDC.

Source: NMDC

Child Care Leave (CCL) - Amendment to the Indian Railway Establishment Code, Volume-I, 1985 Edition (Reprint Edition 2008) Chapter V - Indian railways

Child Care Leave (CCL) - Amendment to the Indian Railway Establishment Code, Volume-I, 1985 Edition (Reprint Edition 2008) Chapter V - Indian railways

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)

RBE No.18/2019
No.E(P&A)I-2008/CPC/LE-8

New Delhi dated 05.02.2019

The General Managers/Principal Financial Advisers,
All Indian Railways and Production Units.

Sub: Amendment to the Indian Railway Establishment Code, Volume-I, 1985 Edition (Reprint Edition 2008) Chapter V – Child Care Leave (CCL).

In exercise of the powers conferred by the proviso to Article 309 of the Constitution, the President is pleased to direct that Rule No. 551(E) of the Indian Railway Establishment Code, Volume-I, 1985 Edition (Reprint Edition- 2008) may be amended as in the enclosed Advanced Correction Slip No.136

1. This issues with the concurrence of the Finance Directorate of the Ministry of Railways.
2. Please acknowledge receipt.

DA:- Correction Slip.

(N P Singh)
Joint Director Estt.(P&A),
Railway Board

ADVANCE CORRECTION SLIP TO THE INDIAN RAILWAY ESTABLISHMENT CODE, VOLUME-I, 1985 Edition - (THIRD REPRINT EDITION - 2008)

Advance Correction Slip No.135
The following amendments may be made to Rule No.551 (E) of the Indian Railway Establishment Code, Volume-I,1985 Edition (Reprint Edition – 2008):-

551(E) - Child Care Leave.

(a) In point No.(1) for the words "upto the age of 22 years in case of disabled Children", the words "an offspring of any age in case of disabled Children" shall be substituted.

(b) In Point No.(5), for the Words "less than 15 days", the words "ess than 5 days" shall be substituted.

Source: Indian Railways