Medicines under CGHS can be issued for up to 3 months at a time in chronic diseases – Amendment CGHS Order on 21.10.2014

Medicines under CGHS can be issued for up to 3 months at a time in chronic diseases on the basis of a valid prescription and for up to 6 months for those beneficiaries who are going abroad.

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

F.No 2-2/2014/CGHS PPT/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, Maulana Azad Road
New Delhi 110 108

Dated: the 21st October , 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 draw attention to paragraph (c) and (d) of the Office Memorandum of even No dated the 25th August 2014 and to state that in response to the representations received from CGHS beneficiaries in this regard , it has now been‘decided by the competent authority to withdraw the provisions under para (c) and para (d) of the Office Memorandum No 2-2/2014/CGHS HQ/ PPT/CGHS(P) dated the 25th August , 2014 [view] and to restore the status existing prior to the issue of above stated OM dated the 25th August, 2014.

In other words medicines under CGHS can be issued for up to 3 months at a time in chronic diseases on the basis of a valid prescription and for up to 6 months for those beneficiaries who are going abroad, as was the case prior to issue of OM dated 25.8.2014.

sd/-
(RAVI KANT)
Under Secretary to Government of India

Source: http://msotransparent.nic.in/writereaddata/cghsdata/linkimages/4934498220.pdf

Latest list of CGHS Hospitals & Revised Package Rates effective from 1.10.2014

Latest list of CGHS Hospitals & Revised Package Rates effective from 1.10.2014

Ministry of Health and Family Welfare published the detailed list of new Hospitals, Eye, Dental and Diagnostic Centres under Central Government Health Scheme. The fresh empanelment of private Health Care Orgnizations (HCOs) and revision of package rates applicable under CGHS Delhi and NCR.

The Directorate of General of Central Government Health Scheme issued an office memorandum, which states the revised rates and terms & conditions will come into effect from 1st October 2014. The new empanelment shall be for a period of two years from 1.10.2014.

In Delhi 54 Hospitals, 72 Exclusive Eye Centres, 50 Diagnostic Centres, 32 Exclusive Dental Clinics.

In Faridabad 5 Hospitals, 1 Exclusive Eye Centres, 1 Diagnostic Centres.

In Gurgaon 9 Hospitals, 5 Exclusive Eye Centres, 3 Diagnostic Centres, 6 Exclusive Dental Clinics.

In Ghaziabad 9 Hospitals, 2 Exclusive Eye Centres, 3 Exclusive Dental Clinics.

In Noida 10 Hospitals, 3 Exclusive Eye Centres, 2 Exclusive Dental Clinics.

Click here to view the complete list of Health Care Organizations (HCOs) Empanelled under CGHS, Delhi & NCR with effect from 1.10.2014 and revised package rates for treatment procedure / investigation list as per office memorandum No.S.11045/36/2012-CGHS (HEC) dated the 1st October 2014.

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Ceiling Rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft to beneficiaries of CGHS/CS(MA) Rules

Ceiling Rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft to beneficiaries of CGHS/CS(MA) Rules

No: 12034/02/2014/Misc/-CGHS D.III
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
CGHS(P)

 Nirman Bhawan, New Delhi
Dated the 22th July, 2014.

OFFICE MEMORANDUM

Sub: Ceiling Rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft to beneficiaries of CGHS/CS(MA) Rules.

With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memoranda No. S-11011/7/95-CGHS(P) dated 12/6/1996 and 26-164/98-R&H/CGHS/CGHS(P) dated 22/11/1999 vide which ceiling rates and guidelines were prescribed for various types of Pacemakers, Rotablator and AICD and to state that while the ceiling rates for coronary stents have been revised from time to time separately the rates and guidelines for pacemakers , Rotablator and AICD were not revised. The matter has been examined by the Ministry and it has been decided to revise the ceiling rates (incl. of all taxes) for these devices as per the details given below:

1	Single Chamber Cardiac Pacemaker without rate response -	Rs.34,840/-
2	Single Chamber Cardiac Pacemaker with rate respose	Rs.44,928/-
3	Daul Chambers Cardiac Pacemaker	Rs.83,200/-
4	Bi-Ventricular Pacemaker (CRT-P)	Rs.1,95,000/-
5	Implantable Cardioverter Defibrillator (Single Camber) (ICD/AICD-Single Chamber)	Rs. 1,75,786/-
6	Implantable Cardioverter Defibrillator (Daul Camber) (ICD/AICD-Daul Chamber)	Rs.3,75,000/-
7	Combo Device (CRT-D)	Rs.4,90,000/-
8	Aortic Stent Graft (expandable bifurcated and including delivery system)	Rs.4,40,960/-
9	Rotablator with advance	Rs.49,920/-
10	Rotablator Burr	Rs.23,920/-

2. Permission for the above mentioned implants shall be granted on the basis of advice of Govt. cardiologist by CMO in-charge / Additional Director / Joint Director, CGHS in case of pensioners, former Governors, former Vice-Presidents, ex-MPs, Freedom Fighters, etc., by Rajya Sabha / Lok Sabha Secretariat as the case may be in case of sitting Members of Parliament and by the concerned Ministry / Department / Organization in case of serving Government employees, serving employees and pensioners of autonomous bodies covered under CGHS. The reimbursement shall be limited to the ceiling rate or actual rate, whichever may be less.

3. The Warranty terms and conditions as specified by the manufacturer shall be applicable in case of replacement of a device.

4. In case of requests for replacement of a device, a copy of the details of the earlier device as well as a copy of terms and conditions of Warranty shall be enclosed along with the advice of Govt. specialist.

5. A copy of the device ‘ID No Sticker‘ and a copy of terms of warranty shall be enclosed along with the bill of device for reimbursement.

6. In case of implantation of any of the devices in emergency, reimbursement shall be subject to ex-post facto approval by Addl. Director/Joint Director, CGHS of city, in consultation with experts, if necessary.

7. These orders are in supersession of earlier guidelines and ceiling rates issued in this regard.

8. The rates shall be valid for a period of two years or till further revision, whichever may be earlier.

9. This issues with the concurrence of Integrated Finance Division vide CD No C 756 dated 14/07/2014.

sd/-
(Ravi Kant)
Under Secretary to Government of India

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File714.pdf