CGHS

Revision of ceiling rates for reimbursement of the cost of Cardiac pacemaker, AlCD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS(MA) Rules

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Revision of ceiling rates for reimbursement of the cost of Cardiac pacemaker, AlCD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS(MA) Rules.

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
Office of the Director, CGHS

No: S-11011/29/2018-CGHS(HEC)/ DIR/CGHS

Nirman Bhawan, New Delhi
Dated the 6th August, 2018

OFFICE MEMORANDUM

Subject:- Revision of ceiling rates for reimbursement of the cost of Cardiac pacemaker, AlCD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS(MA) Rules.

With reference to the above subject attention is drawn to the OM No 12034/02/2014/Misc./- CGHS D.lll dated 22nd July 2014 vide which ceiling rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS (MA) Rules were prescribed and to state that the matter has been reviewed by the Ministry and it is decided to revise the ceiling rates as per the details given under:

Sl.No. Cardiac Device Ceiling Rate
1 Single Chamber Cardiac Pacemaker without Rate Response Rs.34,840/- + GST
2 Single Chamber Cardiac Pacemaker with Rate Response Rs. 44,9281-+ GST
3 Dual Chamber Cardiac Pacemaker Rs.83,200/-+ GST
4 Bi-Ventricular Cardiac Pacemaker Rs.1,95,000/-+ GST
5 Implantable Cardioverter Defibrillator (Single Chamber) (ICD/AICD-Single Chamber) Rs.1,75 786/-4+ GST
6 Implantable Cardioverter Defibrillator (Dual Chamber) (ICD/AICD-Single Chamber) Rs. 3,75,000/-+ GST
7 Combo Device (CRT-D) Rs, 4.90,000/-+ GST
8 Aortic Stent Graft (expandable, bifurcated and including delivery system) Rs. 4,40.960/- + GST
9 Rotablator with Advancer Rs.49,920/-+ GST
10 Rotablator Burr Rs.23,920/-+ GST

2. Other terms and conditions prescribed under OM No 12034/02/2014/Misc./-CGHS D.III dated 22nd July 2014 shall remain unchanged.

3. These rates shall remain valid till the rates for the above devices are notified by National Pharmaceutical Pricing Authority (NPPA).

4. Issued with the concurrence of SS&FA, Ministry of Health & Family Welfare vide CD – No.1295 dated 25.07.2018.

(Dr. Atul Prakash)
Director, CGHS

 

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CHANGE IN SYSTEM OF REFERRAL : NO REFERRAL TO BE IN THE NAME OF ANY PRIVATE EMPANELLED MEDICAL FACILITY

Change In System Of Referral: No Referral To Be In The Name Of Any Private Empanelled Medical Facility

Central Organisation
ECHS Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Maude Lines
Delhi Cantt-110010

Tele: 25683476 Mil 36833

B/49774/AG/ECHS/Referral/18

Dated: 3 Aug 2018

IHQ of MoD (Navy)/Dir ECHS (N) Air HQ (VB)/DPS
HQ Southern Command (A/ECHS)
HQ Eastern Command (A/ECHS)
HQ Western Command (A/ECHS)
HQ Central Command (A/ECHS
HQ Northern Command (A/ECHS)
HQ South Western Command (A/ECHS)
HQ Andaman & Nicobar Command (A/ECHS)

CHANGE IN SYSTEM OF REFERRAL : NO REFERRAL TO BE IN THE NAME OF ANY PRIVATE EMPANELLED MEDICAL FACILITY

Copy of GOI. DoESW letter No 18(54)/2018/WE/D(Res-1) dated 02 Aug 18 is fwd
Kindly instruct to all in your jurisdiction to follow the orders with immediate effect.

(Ravi pal kapoor)

LT Col
Jt Dir (Med)
For MD ECHS

F.No. 18(54)12018NVE/D(Res-1)
Government of India
Department of Ex Servicemen Welfare
D(WE)

New Delhi, dated 02 August. 2018

To

Managing Director
Ex-servicemen Contributory
Health Scheme Wide Line,
Maude line,
Delhi Cantt.

Subject: Change in System of Referral-No referral to be in the Name of any Private Empanelled Medical Facility.

Sir,

The undersigned is direct to state that as per the Ministry of Health & family Welfare OM No. Z15025/105/2017/DIR/CGHS/EHS dated 09.11.2017 the CGHS doctor / Government Specialist shall not refer the beneficiary to any particular empanelled hospital by name but shall specify the treatment procedure and mention “referred to any CGHS empanelled centre”

ECHS has to follow the CGHS Norms. However, it is seen that doctors at CHS Polyclinics are issuing referrals by name to specific Pvt. Empanelled Medical

In view of the above, it has been decided by the competent authority that henceforth no ECHS doctor will issue referrals by name to any Pvt. Empanelled, medical Facility. The ECHS doctors shall mention on the prescription the treatment, procedure/tests required by the ECHS beneficiary and then write as follows:

“Referred to any ECHS Empanelled Medical Facility located within the Area of Responsibility of Regional Centre, (Name of City).”

CO, ECHS and RC, ECHS will ensure that the list of Pvt. Empanelled

Medical Facilities along with the medical treatment procedures/tests for which they have been empanelled is prominently displayed on the website of ECHS, Regional Centre wise. OIC, of every Polyclinic, will be responsible for ensuring that hard copies of this list downloaded from ECHS website is kept in the Polyclinic in sufficient numbers and given to the ECHS beneficiary whenever demanded. If any change lakes place in this list, it shall be the responsibility of Director RC, ECHS concerned .o ensure display of the corrected/amended list on the website of ECHS without any delay.

5 Whenever an ECHS beneficiary approaches a Pvt. Empanelled Medical

Facility with such a referral from ECHS Polyclinic and the Pvt. Empanelled Medical Facility is not empanelled by Ministry of Defence (MoD) for the required treatment procedure / tests, it shall be the responsibility of the Pvt. Empanelled Medical Facility to inform the beneficiary that it is not empanelled for the required treatment procedure / tests. If any Pvt. Empanelled Medical Facility is found providing treatment procedure / conducting tests to such an ECHS beneficiary for which it is not empanelled, then apart from not reimbursing the expenses incurred by the Medical Facility on such treatment, action will be taken against the said ECHS Empanelled Pvt Medical Facility under the rules / as per the provisions of Memorandum of Agreement (MoA).

No ECHS Polyclinic Officer/Official/Doctor should indulge in any action force canvassing for/against any ECHS empanelled Pvt. Medical Facility.

7. The above orders shall come into force with immediate effect.

(A.K. Kern)
Under Secretary to the Government of India
Tele fax: 23014946

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Shifting of CGHS Perambur Wellness Centre

Shifting of CGHS Perambur Wellness Centre

CGHS Perambur Wellness Centre functioning at No.28 (New No.45) Perambur Hgh Road, Chennai – 600 012 will function at the following address with effect from 2nd April 2018.

New Address:

No.1, SRP Koil Street, Peravallur, Agaram Junction, Perambur, Chennai – 600 082

List of Wellness Centres in Chennai

S.NO NAME ADDRESS
1 ADYAR WC Block No 122/169-170, CPWD Quarters, Indira Nagar, Adyar, Chennai-600020
2 ANNA NAGAR WC &ANNA NAGAR POLYCLINIC Central Revenue Quarters, No.15, Ranganathan Garden, Anna Nagar, Chennai-600040
3 AVADI WC Heavy Vehicles Factory Complex, Avadi, Chennai-600054
4 GOPALAPURAM WC No1, 1st street, Goplapuram, Chennai-600086
5 GUINDY WC Block No,6/1-5, BCG Staff quarters, Guindy, Chennai-600032
6 KK NAGAR WC & KKNAGAR POLYCLINIC CPWD Quarters, KK Nagar,    Chennai-600078
7 MEENAMBAKKAM WC DGQA Complex, Meenambakkam, Chennai-600114
8 NANDAMBAKKAM WC Quarter No. 16-19, CDA Residential Complex, Nandambakkam, Chennai-600089
9 NUNGAMBAKKAM WC C&B Block, Ist Floor, Shastri Bhavan, Haddows Road, Chennai-600006
10 PERAMBUR WC No.1 srp koil street Agaram Junction Perambur, Chennai
11 RA PURAM WC No.6, Kamaraj Salai, RA Puram, Chennai-600028
12 ROYAPURAM WC CPT QUATERS CLIVE BATTERY E1 BLOCK CHENNAI
13 TRIPLICANE WC CPT QUATERS NAPIER BRIDGE A1 BLOCK CHENNAI
14 VEPERY WC No .10 1st floor ,Vasu Street Kilpauk chennai 600010
15 PUDUCHERRY WC IGMC&RI KADIRKAMAM PUDUCHERRY 605009
16 (CMS )CENTRAL MEDICAL STORES CMS RAJAJI BHAVA

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Recruitment of Pharmacists in CGHS Delhi July 2018

Recruitment of Pharmacists in CGHS Delhi (July 2018)

OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVERNMENT HEALTH SCHEME, DELHI

Ministry of Health and Family Welfare, Govt. of India

ADVERTISEMENT FOR RECRUITMENT OF VACANCIES AT CGHS, DELHI

Online recruitment applications are invited from eligible candidates for filling up following vacancies at Central Government Health Scheme, Delhi.

Candidates can apply ONLINE only at https://cghsrecruitment.mahaonline.gov.in.

*Candidates who have applied for the post of Pharmacist (Unani) earlier vide advertisement no. 49/84 dated 3-9th March, 2018 published in the Employment News need not apply again.

Closing date for application: 30 (Thirty) days from date of publication of this advertisement. For eligibility and other details please visit https://cghsrecruitment.mahaonline.gov.in and cghs.gov.in.

However online applications will only be submitted at https://cghsrecruitment.mahaonline.gov.in

The number of vacancies shown are tentative and actual may vary.

(Dr. Sanjay Jain)
Additional Director,
CGHS, Delhi

Source: https://cghs.gov.in

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CGHS: Sealed Rate Quotation supply

CGHS: Sealed Rate Quotation supply

CGHS

F.No.30-02/2017-18/CGHS/MSD/LS/1347-55
Government of India
0/o the Additional Director
CGHS Medical store Depot
DIZ Area, Sec. II, Udyan Marg, Gole Market
New Delhi 110001

Date: 26-07-2018

SEALED RATE QUOTATION

Subject: Sealed Rate Quotation for Anti-Cancer Drugs and other Restricted Drugs. Regarding.

Sealed Rate Quotations are invited from Manufacturer/Importer of Anti-Cancer and other restricted Drugs for supply to CGHS for its beneficiaries on case to case basis for a period of 6 months, extendable by another 6 months or till the finalization of tender by MSO whichever is earlier. The list of the 27 (Twenty Seven) drugs/items is placed at Annexure A.

1. Eligibility Criteria: The eligibility criteria are as follow:-

a. The manufacturer/importer should be a holder of valid applicable licenses.

b. The manufacturer/importer should be holder of a valid WHO-GMP/GMP certific4te as per revised schedule-M of Drugs and Cosmetic Act.

c. The manufacturer/importer should not be currently blacklisted/debarred from any Govt. Organization.

d. The manufacturer/importer should have PAN Card/GST Registered.

2. Terms and Conditions:

a. The supplies shall be made on credit basis.

b. The payment shall be made on receipt of pre-receipted invoice in the name of “Additional Director (Medical Store Depot), CGHS. Gole Market, DIZ Area, Udyan Marg, New Delhi.

c. Manufacturer/Importer shall bear all taxes/GST or any other relevant tax as required under law, on aforesaid supplies.

d. No substitution/alternative drug will be accepted under any circumstance.

e. The supplies shall be covered under “Fall Clause” wherein the manufacturer/Importer will undertake that price quoted to MSD, Delhi is the lowest rate, offered to any institution (Private or Govt.) and in case there is fall in institutional price, they shall reduce the price accordingly, or if they sell or offer to sell such stores to any other party at a rate lower than the price charged they will forthwith notify such reduction.

f. Any reduction of Tax rates shall also be passed on to CGHS.

g. The shelf life of drugs supplied should not have passed more than 1/6 of the total shelf life at the time of supply of drugs. In case of imported drugs, the shelf life should not have crossed more than 1/4 of total shelf life. However on case to case basis the lower shelf life may be accepted, subject to the furnishing of an undertaking that if any quantity remains unconsumed, the same shall be replaced or cost of drug shall be refunded.

h. Supplies of drugs are to be made on next working day at MSD, CGHS, Gole Market, New Delhi & on 3rd working day at NCR CGHS Wellness centres of Ghaziabad, Faridabad, and Gurgaon & Noida or at places as decided by competent authority.

i. The drugs should be supplied with strict cold chain, if required.

j. In case the manufacturing of a drug has been stopped by the manufacturer, it will be informed well in advance, preferably three months prior.

k. The manufacturer/importer will not supply any drug, not approved by the Drug Controller of India or which has been subsequently derecognized by the Drug Controller. In case, such an instance is found out, no payment will be made for such supply and penalty will be imposed as per approval of competent authority along with legal proceeding as per rule, if applicable.

l. No Commitment to accept best or any other offer: CGHS shall be under no obligation to accept the best or any other offer received in response to this sealed rate quotation notice and shall be entitled to reject any or all the quotations including those received late or incomplete quotations without assigning any reason whatsoever. CGHS will not be obliged to meet and have discussions with any company/importer, and/or to listen to any representation. While the above procedures lay down the overall guidelines, CGHS reserves the right to select the company/importer based on other parameters at its discretion.

m. Conditional offers and non-conformity of the terms and conditions and offers not submitted as per the details, will be rejected summarily.

n. Splitting clause: CGHS reserves the right to split orders in case of same rates for same drug offered by different Manufacturer/importer.

o. Successful manufacturer/Importer whose rates are accepted will have to Supply the medicines as per “Annexure A”.

p. CGHS reserves the right to omit/remove any drug from drug list in the event the drug is available indigenously or if directed by competent authority.

q. In case of termination, CGHS has the right to extend the offer to L2 Manufacturer/Importer at Ll price.

3. EMD & PBG:

a. EMD of an amount of Rs. 50,000/-(Fifty Thousand rupees) in the form of Bank Guarantee has to be submitted along with the quotation and same shall be returned to unsuccessful manufacturer/importer.

b. The Manufacturer/importer declared successful has to submit a PBG of an amount of Rs. 5,00,000/-(Five Lakh rupees) valid for 6 months beyond expiry of Contract. EMD will be returned on receipt of Performance bank Guarantee.

4. Submission of documents: the Manufacturer/Importer shall submit the following documents:

a. Unconditional Acceptance Letter of Terms and conditions of rate enquiry.

b. EMD for an amount of Rs. 50,000/- (Fifty Thousand Rupees) in the form of Bank guarantee.

c. Fall Clause: That “We the manufacturer/Importer hereby undertake that price quoted to MSD, Delhi is the lowest rate, offered to any institution (Private or Govt). In case there is fall in institutional price, we will reduce the price accordingly, or if we sell or offer to sell such stores to any other party at a rate lower than the price charged we will forthwith notify such reduction.”

d.A self-attested copy of valid manufacturing license/import license.

e. A self-attested copy of WHO-GMP/GMP certificate as per revised scheduled- M of Drug and Cosmetic Act.

f. If supplies are to be made through an authorized distributor, then authorization letter from manufacturer/importer of drug along with relevant retail/wholesale drug license of the stockist/distributor.

g. A self – attested copy of PAN/GST registration of manufacturer/importer/authorized distributor.

h. Proprietary Article certificate, if applicable.

i. Mandate Form (Annexure B), Vendor Detail form (Annexure C).

j. Duly filled quotation in the Format provided below on the letterhead to be signed and stamped by the authorized signatory.

S.No Generic Name Brand Name Strength Unit/Pack MRP (Rs.) Rate offered to CGHS (Exclusive of GST) GST Rate Net Rate offered to CGHS (inclusive of GST)

5. Critical Date Sheet

a. Date of Issue of Notice Inviting Quotation: 26/07/2018

b. Last date of submission: 09/08/2018, 12:00 PM

c. Date of Opening of Sealed Rate Quotations: 3:00 PM on 09/08/2018.

6. Terms & conditions of supplies:

a. Online supply order shall be placed upon the supplier, declared successful, by CGHS upon receipt of Indent from various CGHS Wellness Centres and online access shall be provided to the supplier in this regard.

b. Supply confirmation shall be provided by the supplier upon delivery of goods to CGHS MSD.

7. Penalties and other important Terms and conditional:

a. CGHS has the right to recover penalties or any other loss occurred from the submitted PBG/pending bills of Manufacturer/Importer.

b. Fall clause: In case a firm is found to be in violation of the aforementioned fall clause, recovery shall be made from the existing bills of Manufacturer/importer/Authorized Agent of manufacturer and any decision in this regard by CGHS will be final.

c. Termination clause: CGHS reserves the right to terminate the Rate Quotation, if the execution of work is unsatisfactory or the time schedule is not strictly adhered to.

d. In case of termination, CGHS has the right to extend the offer to L2 Manufacturer/Importer at L1 price.

e. Liquidated Damages: If the Manufacturer/Importer/Authorized Agent of manufacturer fails to deliver the goods within the prescribed Delivery Period, the CGHS has the right to recover liquidated damage equivalent to 0.5% per day thereof of the value of the delayed stores subject to a ceiling of 5% of value of delayed stores.

f. CGHS also reserves the right to report the Manufacturer/Importer to The State/National Drug Authorities recommending punitive action against the firm for violations of terms & conditions.

g. CGHS may, without prejudice to any other remedy for breach of Terms and Conditions of rate Enquiry, by written notice of default sent to the Manufacturer/Importer/Authorized Agent of manufacturer, terminate the Rate Enquiry in whole or part

i. If the successful Manufacturer/Importer/Authorized Agent of manufacturer fails to provide any or all ‘of the services within the period(s) specified in the Sealed Rate Enquiry

ii. If the successful Manufacturer/Importer/Authorized Agent of manufacturer fails to perform any other obligation(s) under the Terms and Conditions of Sealed rate Enquiry including not abiding by all statutory liabilities under Statutory Laws.

iii. If the Manufacturer/Importer/Authorized Agent of manufacturer, in the judgment of the CGHS has engaged in corrupt or fraudulent practices in competing for or in executing the Supply of Drugs including sub-contracting or in contravention of Code of Integrity.

h. AD (MSD), CGHS, Delhi reserves the right to cancel any or all quotations without assigning any reason.

This is issued with the approval of the competent authority.

CMO(Drugs)
CGHS,Medical Store Depot
New Delhi

Annexure – A

S.No Medicine Name Type Strength
1 CLOSTRIDIUM BOTULINEM TYPE A (500 IU) INJ 500 IU
2 DACLATASVIR (60 MG) TAB 60 MG
3 DECITABINE (50 MG) INJ 50 MG
4 ENZALUTAMIDE CAP 40 MG
5 INTERFERON BETA IA (44 MCG) INJ 44 MCG
6 IVIG (5 GM) INJ 5 GM
7 LEDIPASVIR AND SOFOSBUVIR TAB 90 MG + 400 MG
8 METHOXY POLYETHYLENE GLYCOL – EPOETIN BETA (100 MCG) INJ 100 MCG
9 METHOXY POLYETHYLENE GLYCOL – EPOETIN BETA (50 MCG) INJ 50 MCG
10 METHOXY POLYETHYLENE GLYCOL – EPOETIN BETA (75 MCG) INJ 75 MCG
11 OCTREOTIDE (30 MG) INJ 30 MG
12 POSACONAZOLE (40 MG) SYP 40 MG
13 PEG INTERFEROW ALPHA 2B (80 MCG) INJ 80 MCG
14 POMALIDOMIDE (1 MG) CAP 1 MG
15 POMALIDOMIDE (2 MG) CAP 2 MG
16 POMALIDOMIDE (4 MG) CAP 4 MG
17 REGORAFENIB (40 MG) TAB 40 MG
18 RECOM INTER BETA 1A (30 MCG) INJ  30 MCG
19 RANIBIZUMAB INJ 2.3 MG
20 SOMATROPIN (36 IU) INJ 36 IU
21 SOMATROPIN ( 15 IU) INJ 15 IU
22 SOMATROPIN (45 IU) INJ 45 IU
23 SOFOSBUVIR (400 MG) TAB 400 MG
24 SOFOSBUVIR 400MG + VELPATASVIR 100MG) TAB 400 MG + 100 MG
25 TRASTUZUMAB (150 MG) INJ 150 MG
26 TRASTUZUMAB (440 MG) INJ 440 MG
27 TRETINOIN (10 MG) CAP 10 MG

For follwing details click Signed copy

  • MANDATE FORM FOR COMPANIES
  • Vendor Details Form

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Revoking suspension of empanelment of BLK Super Specialty Hospital, Pusa Road, New Delhi under CGHS

Revoking suspension of empanelment of BLK Super Specialty Hospital, Pusa Road, New Delhi under CGHS

F.No.S-11011/40/2017-CGHS(HEC)
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
(Hospital Empanelment Cell)

Maulana Azad Road Nirman Bhawan,
New Delhi 110 011, dated the 9th July, 2018.

OFFICE MEMORANDUM

Subject: Revoking suspension of empanelment of BLK Super Specialty Hospital, Pusa Road, New Delhi under CGHS
With reference to the above mentioned matter, the undersigned is to draw attention to the Office Memorandum of even Number dated 19.06.2017 vide which empanelment of BLK Super Speciality Hospital, Pusa Road, New Delhi under CGHS was suspended. In this regard the representation of the said hospital for revoking its suspension on the basis of corrective steps taken by the hospital has been examined and it is now been decided to revoke the suspension of the empanelment of BLK Super Speciality Hospital, Pusa Road, New Delhi under CGHS, w.e.f. date of issue of this order on the same terms and conditions as indicated in Office Memorandum No S-11045/36/2012-CGHS (HEC) vide which it was initially empanelled.

sd/-
(Bindu Tewari)
Director, CGHS

Source: https://cghs.gov.in/

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Extension of Empanelment of Health Care Organization (HCOs) under continuous Empanelment Scheme

Extension of Empanelment of Health Care Organization (HCOs) under continuous Empanelment Scheme

Govt. of India
Office of the Additional Director
Central Govt. Health Scheme
Police I.T.I. Building Jahangirabad, Bhopal

E-mail: adcghs.bpl@cghs.nic.in
Tel.No.(0755) 2550265
Fax No. (0755) 2768621

No.2(16)/Estt/CGHS/2018-19/470-83

Bhopal Dated:17th July-2018

Office Memorandum

Sub: Extension of Empanelment of Health Care Organization (HCOs) under continuous Empanelment Scheme.

In continuation of Office Memorandum of even number dated 14.7.2017 the period of empanelment of the following is extended for a period of One year w.e.f. 14.7.2018 or till next new empanelment which ever is earlier on the same terms & conditions which were signed at the time of empanelment.

Exclusive Eye Hospital/Centre Empanelled under CGHS Indore

sd/-
Additional Director
CGHS Bhopal

Source: https://cghs.gov.in

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CGHS: Reimbursement of cost of Neuro-implants for CGHS/CS(MA) beneficiaries

CGHS: Reimbursement of cost of Neuro-implants for CGHS/CS(MA) beneficiaries

CGHS

No. Misc.12014/2005/CGHS(R&H)

Nirman Bhawan, New Delhi
Dated the 9th July, 2018

OFFICE MEMORANDUM

Subject:- Permission /Approval for reimbursement of cost of Neuro-implants, viz., Deep Brain Stimulation implants, Intra-thecal Baclofen Pump, lntra-thecal Morphine Pump and Spinal Cord stimulators for CGHS/CS(MA) beneficiaries

With reference to the above subject the undersigned is directed to draw attention to the Office Memoranda of even Number dated 23/06/2006 and 4/12/2008 and OM No.S.3849/09/CGHS(R&H)-CGHS(P) dated 8/12/2014 vide which the rates and guidelines for Permission /Approval for reimbursement of cost of Neuro-implants, viz., Deep Brain Stimulation implants, Intra-thecal Baclofen Pump, Intra-thecal Morphine Pump and Spinal Cord stimulators for CGHS/CS(MA) beneficiaries were notified and to convey the approval of competent authority to allow reimbursement of cost of the above mentioned neuro-implants under CGHS/CS(MA) Rules at the same ceiling rates and guidelines and conditions till the rates for the above mentioned implants are notified by National Pharmaceutical Pricing Authority (NPPA).

sd/-
(Bindu Tewari)
Director (EHS)

Source: https://cghs.gov.in/

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Booking of CGHS Recovery into Heads of Defence Accounts

Booking of CGHS Recovery into Heads of Defence Accounts

CGHS

OFFICE OF THE CONTROLLER GENERAL OF DEFENCE ACCOUNTS
ULAN BATAR ROAD, DELHI CANTT -110 010

No. A/1/11336/OBS/2017-18

Dated: 09.07.2018

To
PCsDA/CsDA (through website)

Subject: Booking of CGHS Recovery into Heads of Defence Accounts.

As per list of Major & Minor Heads of Accounts, recovery on accounts of CGHS contribution should be booked under Receipt Head 0210.01.103.00.00 {code heads 094/16-Defence, 095/16-MoD(Civ) & 098/20-CSD}.

2. However, Test Audit of pay bills pertaining to Defence Civilians in one of our Controller Offices revealed that a recovery of CGHS subscription is being booked under MH-0076, Minor Head 800-Other receipts (code head 01/575/30). Similarly, CGHS contribution of Civilians of Navy and Air Force is being booked under MH-0077, Minor Head 800-other receipts (code head 01/670/30) and Major Head 0078, Minor Head 800-Other receipts (code head 01/710/30) respectively.

3. While your office is booking a significant amount under the code head 094/16, it may be possible that the recovery on account of Defence Civilians not being booked under the appropriate heads.

4. It is therefore, requested to review the booking on account of recovery of CGHS contribution by your office and furnish the practice being followed and code heads being used by your office for booking of said recovery in r/o both DAD & Non-DAD subscribers. The review may be completed by 27.06.2018.

(Sumit Gajbhiye)
Sr.ACGDA (A&B)

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Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
EHS Section

No: Z. 15025/38/2018/DIR/CGHS/EHS

Nirman Bhawan, New Delhi
Dated the 22nd May, 2018

OFFICE MEMORANDUM

Subject: Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims

 

With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum No, 4-18/2005- C&P [Vol.1- Pt (1)l, dated the 20th February 2009 and to slate that it has now been decided to modify the Para 3 (2) of the above referred Office Memorandum as per the details given under the Succeeding paragraphs.

 

a) The requests for full reimbursement which fall under the following defined criteria shall be examined by Directorate General of CGHS and submitted to AS&OG (CGHS) for consideration of approval. And the recommendation of AS&DG (CGHS), the concurrence of internal Finance Division and approval of Secretary. Ministry of Health & Family Welfare are required for reimbursement in excess of CGHS rates:

1) Treatment was obtained in a private unrecognized hospital under emergency and the patient was admitted by others when the beneficiary was unconscious or severely incapacitated and was hospitalized for a prolonged period.

2) Treatment was obtained ill a private unrecognized hospital under emergency and was admitted for prolonged period for treatment of Head injury, Coma, Septicemia, Multi. organ failure, etc.

3) Treatment was obtained in a private unrecognized hospital under emergency for treatment of advanced malignancy

4) Treatment was taken under emergency in higher type of accommodation as rooms as per his/her entitlement are not available during that period.

5) Treatment was taken in higher type of accommodation under specific conditions for isolation of patients to avoid contacting infections

6) Treatment was obtained in a private unrecognized hospital under emergency when there is a strike in Govt hospitals.

7) Treatment was obtained in a private unrecognized hospital under emergency while on official tour to non-CGHS covered area.

b) The requests non CGHS beneficiaries. having a valid CGHS Card at the time of treatment, in respect or the following conditions shall be considered by a High Powered Committee constituted by Ministry of Health & Family Welfare:

(i) Settlement of medical claims in relaxation of rules

(ii) Approval for air-fare with or without attendant on the advice of treating doctor for treatment in another city even though he/she is not eligible for air travel / treatment facilities are available in city of residence

(iii) Representations from CGHS beneficiaries seeking full reimbursements under special Circumstances, which are not notified.

c) The other terms and conditions mentioned in the OM No. 4-18/2005- C&P[Vol.1- Pt(1)] dated the 20th February 2009 shall remain unchanged.

(Rajeev Attri)
Under Secretary to Government of India

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CGHS: Notification of Nodal Officer of Private Health Care Organizations (HCOs) empanelled under CGHS Delhi & NCR

CGHS: Notification of Nodal Officer of Private Health Care Organizations (HCOs) empanelled under CGHS Delhi & NCR

F. No. Misc-53/CGHS/Gr.Cell/2018
O/o the Additional Director, CGHS (HQ)
Sector-12, R. K. Puram, New Delhi-110022

Date: 29th June, 2018

 OFFICE MEMORANDUM

 Sub: Notification of Nodal Officer of Private Health Care Organizations (HCOs) empanelled under CGHS Delhi & NCR.

In compliance with direction of National Human Right Commission (NHRC) and in accordance with Clause No. 9 of Memorandum of Agreement (MOAN, signed between CGHS and Pvt. HCOs. Wherein it is stated that –

“Empanelled Health Care Organizations shall notify two Nodal Officers for CGHS beneficiaries, one of them being of the rank of Deputy MS/Addl. MS, who can be contacted by CGHS beneficiaries in case of any eventuality”.

All the HCOs empanelled under CGHS Delhi/NCR are hereby directed to submit the names of 2 Nodal Officer, who can be contacted at the time of emergency by CGHS beneficiaries. The reply should reach the undersigned, within 7 days.

The names of the Nodal Officer along with the telephone number should be put up on the Admission Counter/Help Desk Counter for the CGHS beneficiaries to take the help in case of any difficulty.

This issues with the approval of the Competent Authority.

Encl: Annexure-A.

S/d,

Dr. Sanjay Jain
Additional Director, CGHS (HQ)
Delhi.

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Extension of validity period of empanelment of already empanelled Health care Organizations under CGHS

Extension of validity period of empanelment of already empanelled Health care Organizations under CGHS

F.No:S-11045/36/2016-CGHS (HEC)

Government Of India
Directorate General of Central Govt. Health Scheme
Ministry Of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 28th June,2018

OFFICE ORDER

Sub: Extension of validity period of empanelment of already empanelled Health care Organizations under CGHS.

With reference to above mentioned subject attention is drawn to office order dated 01.04.2018 whereby empanelment of all existing empanelled health care organizations under CGHS was extended till 30.06.2018

In this regards it has been now decided to extend empanelment of all Health Care Organizations already empanelled under CGHS for a further period of three months w.e.f 01.07.2018 till 30.09.2018 or till next empanelment whichever is earlier on same terms conditions and rates on which they are presently empanelled.

S/d,
(Dr.D.C.Joshi)
Director (CGHS)
Tel: 011-23062800

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NFIR’s PNM item No. 30/2018 – Revision of criteria for Diet Charges for patients admitted in Railway hospitals

NFIR’s PNM item No. 30/2018 – Revision of criteria for “Diet Charges” for patients admitted in Railway hospitals

Railway-Hospitals-NFIR

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)

No. 2005/H/23/6

New Delhi, dated : 13.06.2018

General Managers
All Indian Railways
(Including PUs & RDSO)

Sub: NFIR’s PNM item No. 30/2018 – Revision of criteria for “Diet Charges” for patients admitted in Railway hospitals – regarding.

Ref: This office letter of even number dated 29.10.2010.

The issue of revision of criteria for free/concessional diet for patients admitted in railway hospitals has been engaging the attention of Ministry of Railways for some time. In the meantime, Ministry of Health & Family Welfare, Govt. of India vide their Office Memorandum no S.11011/11/2016-CGHS (P)/EHS dated 09.01.2017 have revised the criteria for diet charges respect of CGHS medical beneficiaries. The Basic pay ceiling for free diet in respect of CGHS beneficiaries has been revised as under:

(i) Basic pay / pension / family pension eligible for free diet – Rs. 44,900/-
(ii) Basic pay/pension/family pension eligible for free diet in case of those suffering from TB or mental diseases – Rs. 69,700/-.
(iii) No provision for concessional diet.

After careful consideration in the matter, it has been decided that the criteria of diet charge fixed by Ministry of Health & Family Welfare for CGHS beneficiaries be adopted mutatis-mutandis for Railway beneficiaries. Accordingly, the revised criteria for diet charges in respect of Railway Medical beneficiaries would henceforth be as under:

(I) Monetary ceiling limit of Rs. 44,900/- (after implementation of 7th CPC) of basic pay/pension/family pension for the purpose of providing free diet to railway medical beneficiaries;

(II) Removal of provision of concessional diet charges contained in instructions dated 29.02.2010; and

(III) Monetary ceiling s. 69,700/- of basic pay/pension/family pension for the purpose of providing free diet to railway medical beneficiaries suffering from Tuberculosis (TB) or mental disease.

This issues with the concurrence of Finance Directorate in the Ministry of Railways.

S/d,
(R.S.Shukla)
Joint Director, Health
Railway Board

Source : NFIR

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Change in nomenclature of Nursing Staff in CGHS

Change in nomenclature of Nursing Staff in CGHS

A.60011/13/2017-CGHS-II
GOVERNMENT OF INDIA
Ministry of Health & Family Welfare
(CGHS-II Section)

Nirman Bhawan, New Delhi
Dated the 4th June, 2018

ORDER

Subject: Change in nomenclature of Nursing Staff in CGHS-regarding.

In continuation of this Ministry’s order of even No dated 08.03.2017 & 10.10.2017 on the subject cited above, the nomenclature of following Nursing Staff of Ayurvedic System in CGHS has been changed as mentioned against each, with immediate effect:-

Sl.No. Existing Nomenclature of the post New Nomenclature
1. Staff Nurse (Ayurvedic) Nursing Officer (Ayurvedic)
2. Nursing Sister (Ayurvedic) Senior Nursing Officer (Ayurvedic)

2. The change in nomenclature as mentioned above doesn’t involve change in duties and responsibilities and any additional financial benefits.

3. This issues with the approval of Competent Authority.

(Dharminder Singh)
Under Secretary to the Govt. of India

To,
1. The Additional Director, CGHS, Delhi for compliance.
2. The PS to AS&DG(CGHS), Ministry of Health & Family Welfare
3. The Director (CGHS), Ministry of Health: & Family-Welfare.
4. The Director (EHS), Ministry of Health 84 Family Welfare.
5. Sh. Frank Ellis, Secretary General, AlCGl-lSEA,‘ CGHS, Pune. I

Copy to:-

1. The Nodal Officer, MCTC, CGHS for uploading in the website of CGHS.

Source: CGHS

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Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims – CGHS Orders

Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims – CGHS Orders

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
EHS Section

No.Z.15025/38/2018/DIR/CGHS/EHS

Nirman Bhawan, New Delhi
Dated the 22nd May, 2018

OFFICE MEMORANDUM

Subject: Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims

With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum No. 4-18/2005- C&P [Vo]. l-Pt (1)], dated the 20th February 2009 and to state that it has now been decided to modify the Para 3 (2) of the above referred Office Memorandum as per the details given under the succeeding paragraphs.

a) The requests for full reimbursement which fall under the following defined criteria shall be examined by Directorate General of CGHS and submitted to AS&DG (CGHS) for consideration of approval. After the recommendation of AS&DG (CGHS), the concurrence of Internal Finance Division and approval of Secretary, Ministry of Health & Family Welfare are required for reimbursement in excess of CGHS rates:

1) Treatment was obtained in a private unrecognized hospital under emergency and the patient was admitted by others when the beneficiary was unconscious or severely incapacitated and was hospitalized for a prolonged period.

2) Treatment was obtained in a private unrecognized hospital under emergency and was admitted for prolonged period for treatment of Head Injury, Coma , Septicemia, Multi-organ failure , etc.

3) Treatment was obtained in a private unrecognized hospital under emergency for treatment of advanced malignancy

4) Treatment was taken under emergency in higher type of accommodation as rooms as per his/her entitlement are not available during that period.

5) Treatment was taken in higher type of accommodation under specific conditions for isolation of patients to avoid contacting infections

6) Treatment was obtained in a private unrecognized hospital under emergency when there is a strike in Govt. hospitals.

7) Treatment was obtained in a private unrecognized hospital under emergency while on official tour to non-CGHS covered area.

b) The requests from CGHS beneficiaries. having a valid CGHS Card at the time of treatment, in respect of the following conditions shall be considered by a High Powered Committee constituted by Ministry of Health & Family Welfare:

(i) Settlement of medical claims in relaxation of rules

(ii) Approval for air-fare with or without attendant on the advice of treating doctor for treatment in another city even though he/she is not eligible for air travel treatment facilities are available in city of residence

(iii) Representations from CGHS beneficiaries seeking full reimbursements under special Circumstances, which are not notified.

c) The other terms and conditions mentioned in the OM No. 4-18/2005- C&P[Vol. l-Pt(1)] dated the 20 February 2009 shall remain unchanged.

sd/-
(Rajeev Attri)
Under Secretary to Government of India

Source: www.cghs.gov.in

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Comprehensive procedure, guidelines and check list for empanelment of private hospitals

Comprehensive procedure, guidelines and check list for empanelment of private hospitals

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)

No.2016/H-1/11/58/Policy

New Delhi, dated 25.4.2018

The General Managers,

All Indian Railways & Production Units,

Sub: Comprehensive procedure, guidelines and check list for empanelment of private hospitals.

Ref:- SER’s letter no.CMD/SER/Hosp. Tie-up/2303 Dated 14.11.2017.

PCMD/SER vide their letter under reference had sought necessary guidelines to be followed while empanelling private hospitals in consequence of powers delegated to the GMs for empanelment of private hospitals vide Railway Board letter no. 2017/Trans/01/Policy dated 18/10/17 and to the DRM’s for divisions and CWMs for workshops vide letter no.2017/Trans/01/Policy/Pt 1 dated 30/11/17. Such powers are to be exercised by the delegated officers in person and shall not be delegated below. Hence now no proposal for empanelment is required to be sent to Railway Board.

A comprehensive guideline for procedure and checklist to be followed while empanelling private hospitals are being issued as per Annexure enclosed. Any new guidelines issued from MoH & FW as and when issued shall be duly incorporated and advised.

This is in surprise of all earlier guidelines issued from Railway Board on this subject.

This issues with the concurrence of the Finance Directorate of the Ministry of Railways.

(Mrs. H.K. Sanhotra)

Joint Director-II/Health

Comprehensive Procedure Guideline & Check List For Empanelment of Private Hospitals

The empanelled hospitals have been broadly categorised into two groups:-

A. CGHS / E$l / ECHS empanelled hospitals and Government of India / Public Sector Undertaking hospitals like of SAIL, BHEL, Coal India, etc.

B. Other private hospitals which are neither empanelled by CGHS, ECHS & ESI nor are run by Government of India Public Sector Unit. (PSU).

The following guide lines and check list are to be kept in consideration while empanelling hospitals by Railways. The point common to both these types of hospitals are given below:-

1. Justification for the proposal mentioning the present status of Railway Hospital i.e. number of Doctors & Paramedical on roll vis. a vis. sanctioned strength, services provided by it, any future plan for expansion, no. of Honorary Consultants/Visiting Specialists (specialty wise) & CMPs and despite existing facilities why referral services are still required.

2. Justification for empanelment with technical aspect i.e. number of beds/ facilities/specialties/services offered/medical set up etc. at the proposed hospital.

3. Total number of Railway beneficiaries catered by the Railway Hospital.

4. In the Specialties Specialties for which Railway hospital do not have facilities if there are any reputed Government Hospitals rendering services in those specialties.

5. In CGHS covered states/cities, hospitals should be empanelled only at CGHS rates (in case of Government of India, PSU hospital their own rate) or even lower or some discount etc offered by them. Names of the hospital empanelled by CGHS / ECHS /ESI can be obtained from respective website. Even in places not covered by CGHS, all out efforts should be made to empanel hospital on CGHS (city-specific) rates only. In case of any deviation from CGHS rates, justification to be given by MD / CMS / CMO in charge, duly concurred by Associate Finance before being approved by Competent Authority.

6. Comparative statement of package rates as well as diagnostic charges of the proposed hospital with (i) other empanelled hospitals in the city and (ii) the CGHS rates of that city or the nearest city in tabulated form.

7. Two copies of rate list of hospital duly verified by competent authority. After approval, one copy along with sanction letter to be sent to HQ for uploading on Zonal website.

8. Concurrence of the Associate Finance as applicable along with their verbatim comments

9. Proposal to be sent for approval of GM /DG (RDSO) /DRM /CAO /CWM as the case may be (both for the first time and as well as further renewals).

10. Validity of empanelment will be two years or till it is empanelled or revoked by CGHS / ECHS /.ESI whichever is earlier and for Government of India PSU hospitals too it will be for two years, Same for non CGHS / ECHS / ESI hospitals too. Overall performance of the hospital, patient’s feedback etc. to be kept in mind while extension

11. Further extension may be done with mutual consent of both parties, arid will be sanctioned by GM /DG (RDSO) /DRM /CAO /CWM as the case may be (also see para

A((a) & B(d)).

A. CGHS / ESI/ ECHS empanelled hospitals and Government of India / Public Sector Undertaking hospitals like of SAIL’ 3HEL, Coal India, etc. –

(a) In case of CGHS / ECHS / ESI empanelled & Government of India/PSU run hospitals, a letter of willingness from the hospital be obtained and can be empanelled any time Rates as and when revised by CGHS can be agreed to.

B. Other private hospitals which are neither empanelled by CGHS, ECHS & ESI

a) An open advertisement should be floated once a year or as per requirement for empanelment of private hospitals.

b) Empanelment of such hospitals should be considered only if there is no other CGHS/ ECHS / ESI nor any hospital run by Government of India – Public Sector Undertaking like SAIL, BHEL, Coal India etc. empanelled hospital, preferably within a vicinity of 5kms from the hospital already empanelled.

c) Search committee should be constituted by MD / CMS / CMO, consisting of 3 doctors of at least JAG level and they may co-opt another doctor of particular speciality when required. They will visit the hospitals and give clear justification for approving this hospital.

d) For any increase in rates, at the time of extension same should be justified by MD/CMS/CMO and concurred by Associated Finance and accepted by the concerned competent authority. If such increase in rates is more than 5%, the proposal duly justified by medical in charge and vetted by associate finance and approval of DRM /CWM in case of Division and workshops to be sent to Headquarters for sanction of General Manger. In case of headquarter controlled Central hospitals and Pus, General Manager / DG*(RDSO) will approve such proposals. However, no enhancement in rate is permissible during that period of recognition of two years.

Source: http://www.cghs.gov.in/

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Prescription of Timelines under CGHS for settlement of Medical claims of Pensioner CGHS beneficiaries

Prescription of Timelines under CGHS for settlement of Medical claims of Pensioner CGHS beneficiaries

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
Office of the Director, CGHS

No: Z.15025/38/2018 /DIR/CGHS

545-A Nirman Bhawan, New Delhi
Dated the 14th May, 2018

OFFICE MEMORANDUM

Subject :- Prescription of Timelines under CGHS for settlement of Medical claims of Pensioner CGHS beneficiaries
With reference to the above subject the undersigned is directed to draw attention to the OM No Z 15025/79/1/DlR/CGHS dated the 5th October 2016 and to state that it has now been decided to review the timelines prescribed for processing and settlement of medical claims of pensioner CGHS beneficiaries in compliance of the directions of Hon’ble Supreme Court of India in their Judgement in the WP(CiviI) No 694 of 2015 between Shiva Kant Jha Vs UOI delivered on 13th April 2018 and in supersession of the earlier guidelines as per the details given under:

Medical Claims not requiring Special approvals

Pensioner CGHS beneficiaries shall submit the Medical claims to the CMO I/C of the CGHS Wellness Centre , where the CGHS Card is enrolled . CMO I/C of CGHS Wellness Centre issues Serial Number and sends the claim papers to the office of the Addl. Director, CGHS for processing. The Bills shall be processed by the Dealing Asstants and CMO and after the approval by the Additional Director, the bill for payment shall be sent to the Pay & Accounts Office for payment to the beneficiary by ECS. The payment shall be completed within 30 days of submission of the Medical claim papers at the CGHS Wellness Centre.

Medical claims reguiring approval of higher authorities

Total time within 45 days in Delhi
Total time within 60 days in other cities

Medical claims reguiring opinion of specialists

Total time 45 days

2. Chief Medical Officer in charge shall thoroughly check the papers initially for the completeness of the requisite documents before accepting the claim papers to ensure that the claim papers are not returned subsequently for want of some documents.

3. If approval of Directorate or Ministry is involved, the Addl. Directors shall submit only e-file with self-contained note and recommendation, enclosing only relevant scanned documents. Care shall be taken not to regret medical claims of pensioner CGHS beneficiaries on minor technical objections if , they fall under procedural lapses, which can be condoned.

Sd/-
(Dr.D.C.Joshi)
Director, CGHS

Source: cghs.gov.in

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Eligibility of Permanently Disabled Unmarried Son of a CGHS Beneficiary to avail CGHS Facility

Eligibility of Permanently Disabled Unmarried Son of a CGHS Beneficiary to avail CGHS Facility

Permanently Disabled CGHS Facility

No. 4-24/96-C&P/CGHS (P)/EHS
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
EHS Section

Nirman Bhawan, New Delhi.
Dated: the 7th May, 2018

OFFICE MEMORANDUM

Subject: Eligibility of Permanently Disabled Unmarried Son of a, CGHS Beneficiary to avail CGHS facility – Reg.
The undersigned is directed to refer to this Ministry’s Office Memoranda of even number dated 31.05.2007, 29.08.2007 and. 02.08.2010 vide which the entitlement of the son of a CGHS beneficiary beyond the age of 25 years was conveyed. As per the two Office Memoranda under reference, it was indicated that an unmarried son of a CGHS beneficiary suffering from any permanent disability of any kind (physical or mental) will be entitled to CGHS facility even after attaining the age of 25 years.

2. Since then this Ministry is in receipt of several representations for inclusion of more conditions in , view of modification to the PWD Act, 1995 by “The Rights of Persons with Disabilities Act, 2016 (Act No. 49 of 2016)” as notified by WHO Law and Justice, Govt. of India on 27.12.2016. The matter has been reviewed by the Ministry and it is now decided that for the purpose of extending the CGHS benefits to dependent unmarried son of CGHS beneficiary beyond 25 years of age , the definition of ‘Permanent Disability’ shall include the following conditions:

I. Physical disability:

A. Locomotor disability including

a) Leprosy cured person- suffering from loss of sensation in hands or feet as well as loss of sensation and paresis in the eye and eye-lid but with no manifest deformity or suffering from manifest deformity and paresis or having extreme physical deformity as well as advanced age which prevents him/her from gainful occupation

b) Cerebral palsy – caused by damage to one or more specific areas of the brain usually occurring before, during or immediately after birth.

c) Dwarfism- a medical genetic condition resulting inLan adult height of 147 cms or less;

d) Muscular dystrophy – a. group of hereditary genetic muscle diseases characterized by progressive skeletal muscle weakness

e) Acid attack victims – disfigured due to‘ violent assaults by throwing acid or similar corrosive substance

B. Visual impairment:

a) Blindness – where a person has any of the following conditions alter best correction:
(i) Total absence of sight or
(ii) Visual acuity less than 3/60 or less than 10/200(Snellen) in the better eye with best possible correction
(iii) Limitation of field of vision subtending an angle of less than 10 degree

b) “Low vision” means any of the following conditions:

(i) visual acuity not exceeding 6/18 or less than 20/60 upto 3/60 upto 10/200 (Snellen) in the bettereye with best possible corrections; or
(ii) limitation of the field. of vision subtending an angle of less than 40 degree upto 10 degree

C. Hearing Impairment

(a) “deaf” means persons having 70 db hearin g loss in speech frequencies in both ears;

(b) “hard of hearing” means persons having 60 db to 70 db hearing loss in speech frequencies in both ears;

D.Speech and Language disability” – permanent disability arising out of conditions such as Laryngectomy or aphasia affecting one or more components of speech and language due to organic or neuronal causes.

II. Intellectual disability- characterized by significant limitation both in intellectual functioning (reasoning, learning, problem solving) and in adaptive behavior , which cover a range of every day, social and practical skills , including, social and practical skills , including-

(a) “Specific language disabilities” a heterogeneous group of conditions Wherein there is deficit in processing language, spoken. or written, that may manifest itself as a difficulty to comprehend, speak, read, write, spell, or to do the mathematical calculations and includes conditions such as perceptual disabilities, dyslexia, dysgraphia, dyscalculia, dyspraxia and developmental aphasia

(b) “Autism spectrum disorder” – a neuro-developmental disorder typically appearing in the first three years of life that significantly affects a person’s ability to communicate, understand. relationships and relate to others, and frequently associated with unusual or stereotypical rituals or behaviour.

III. Mental behaviour

Mental illness“- a substantial disorder of thinking, mood, perception, orientation or memory that grossly impairs judgement, behaviour, capacity to recognize reality or ability to meet the ordinary demands of life, but does not include retardation.

IV. Mental Retardation

V. Disability caused due to

(a) Chronic neurological conditions such as
(i) Multiple Sclerosis
(ii) Parkinson’s disease

(b) Blood disorder
(i) Haemophila
(ii) Thalassemia
(iii) Sickle Cell Disease

VI. Multiple Dis-abilities ( more than “one of the above disabilities)- including deaf blindness

3. Bench Mark Disability- unmarried permanently disabled and financially dependent sons of CGHS beneficiaries suffering 40% or more of one or more-disabilities as certified by a Medical Board shall be eligible to avail CGHS facilities even after attaining the age of 25 years.

4. This OM will be effective from the date or its issue.

Sd/-
(Rajeev Attri)
Under Secretary to the Govt. of India

Source: CGHS.GOV.IN

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CGHS: Additional List of Private Hospitals in Delhi & NCR

CGHS: Additional List of Private Hospitals in Delhi & NCR

No.S.11011/03/2018-CGHS (HEC)

Government of India
Directorate General of Central Government Health Scheme
Department of Health & Family Welfare

Nirman Bhawan, New Delhi.
Dated the 11th April, 2018

OFFICE ORDER

Subject: Empanelment of private hospitals (including dental clinics and eye centres) and diagnostic centres under CGHS Delhi & NCR.

In continuation of this Directorate’s Office Memorandum of even no. dated 26.12.2017 regarding empanelment under continuous empanelment scheme, the undersigned is to convey that in addition to the list of the hospitals (including dental clinics & eye centres) and diagnostic laboratories already empanelled, the hospitals (including dental clinics & eye centres) and diagnostic laboratories as per the list attached (22 HCOs) have also been empanelled under CGHS in Delhi & NCR with issuance of this order. The newly empanelled hospitals (including dental clinics & eye centres) and diagnostic laboratories may be treated as included in the existing list of empanelled health care organization under CGHS on same terms and conditions as have been indicated in the Office Memorandum dated 26.12.2017.

sd/-

[Dr. D.C. Joshi]

Director (CGHS)

Source: http://www.cghs.gov.in/

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CGHS: Issue of Medicines prescribed by Specialists beyond the period

Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised – CGHS Orders

“Medical Officers of CGHS can issue the same medicines to CGHS beneficiaries prescribed by the Specialists even after the expiry of the validity of the prescription in Chronic diseases”

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS

No:Z.15025/33/2018/DIR/CGHS

Nirman Bhawan, New Delhi 110 011
Dated the 1st May, 2018

Office Memorandum

Subject: Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised

With reference to the above subject the undersigned is directed to state that this Ministry is in receipt of representations from CGHS beneficiaries, particularly from Senior Citizens regarding refusal of CGHS for issue of medicines prescribed by Specialists, immediately on expiry of the period for which the prescription has been issued.

The matter has been reviewed by the competent authority in view of the difficulties faced by the CGHS beneficiaries and it is now decided that Medical Officers of CGHS can issue the same medicines to CGHS beneficiaries prescribed by the Specialists even after the expiry of the validity of the prescription in Chronic diseases, where the clinical condition is stable and CGHS shall not insist on immediate re validation by Specialists.

However, in cases of Chemotherapy and immunosuppressant treatment regular follow up from Specialists would be advisable.

These guidelines are in super session of the guidelines issued earlier on the subject.

sd/-
(Dr D.C.Joshi)
Director, CGHS

Source: Confederation

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