Posts Tagged ‘CGHS Beneficiaries’

Registering of Email IDs of CGHS beneficiaries

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Registering of Email IDs of CGHS beneficiaries

F.N. 44-42/2016/MCTC/CGHS/2451-83
Monitoring Computerization and Training Cell
Directorate of CGHS
Ministry of Health & Family Welfare
CGHS Building Kalibari , New Delhi 110001

Dated: 17/11/2017

OFFICE MEMORANDUM

Subject: - Registering of Email IDs of CGHS beneficiaries

With the objective of further strengthening the services to CGHS beneficiaries it has been decided to provide following e-services to the beneficiaries through ernails

  • Prescription by Medical Officer at the VVC
  • Intimation of medicines issued by Pharmacy
  • Intimation of medicines indented
  • Intimation of issue of indented medicines
  • OTP to book online appointment
  • Confirmation/ cancellation of online appointment
  • Permission letter for procedures/ investigations etc.

In order to enable above services. it is required that email ids of all CGHS beneficiaries are registered with CGHS.

A beneficiary can visit CMO In change of parent Wellness Centre to get his/her email id registered with CGHS or can himself/herself register It by logging on to CGHS portal cahs.nic.in through following steps

  • Visit CGHS Portal cghs.nic.in
  • Click beneficiary login
  • Enter your Ben Id, password and sign in
  • Click Update Email
  • Enter OTP sent on your registered Mobile
  • Enter your email ID
  • Update your email ID
  • Similarly email ID for other family members can be updated

Vide publicity to this notice may be given through verbal communication and display at the notice boards of Wellness Centers.

Authority: http://cghs.gov.in

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Be the first to comment - What do you think?  Posted by admin - November 21, 2017 at 6:58 pm

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Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules,1944

Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules,1944

Z 15025/105/2017/DIR/CGHS/EHS

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

Nirman Bhawan, New Delhi
Dated the 9th November,2017

OFFICE MEMORANDUM

Sub: Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules, 1944

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 treatment at private hospitals empanelled under CGHS. The matter has been examined and it has now been decided that CGHS beneficiaries are allowed to undergo treatment at private hospitals empanelled under CGHS of specific treatment procedures listed under CGHS rate list are advised by a Specialist in a Central Government / State Govt. Specialist hospital or a CGHS Medical Officer without any requirement of any other referral (permission) letter.

2. Private empanelled hospitals shall perform the treatment on cashless basis in respect of pensioners, ex-MPs, Freedom Fighters, Regular employees {both CGHS and CS (MA) beneficiaries} of this Ministry & other categories of CGHS beneficiaries, who are presently eligible for credit facility and shall enclose the prescription issued by Government Specialist or a CGHS Medical Officer, in original (or a self-attested photocopy) along with the hospital bill submitted to the competent authorities.

3. Serving government employees shall enclose the prescription issued by a Government Specialist or a CGHS Medical Officer in original (or a self-attested photocopy), 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 empanelled hospital by name but, shall specify the treatment procedure and mention ‘referred to any CGHS empanelled centre’.

5.These orders are applicable only in respect of treatment procedures for which CGHS rates are available.

6.This issue with the concurrence of IFD vide FTS No. 3130849, dated 09.11.2017.

S/d,
[Sunil Kumar Gupta]
Under Secretary to Government of India
Tel- 011-2306 1986

Be the first to comment - What do you think?  Posted by admin - November 13, 2017 at 6:36 pm

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CGHS: Revision of Ceiling Rates for Knee and Hip Implants under CGHS and CS(MA) Rules

CGHS: Revision of Ceiling Rates for Knee and Hip Implants under CGHS and CS(MA) Rules

No:Z.15025/74/2017/DIR/CGHS/EHS
Government Of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
EHS Section

Nirman Bhawan, New Delhi 11011
Dated the 26th September,2017

OFFICE MEMORANDUM

Subject: Revision of Ceiling Rates for Knee and Hip Implants under CGHS and CS(MA) Rules

with reference to the above mentioned subject the undersigned is directed to draw attention to this Ministry’s OM No.S.11018/1/95-CGHS (P), dated the 7th March, 1995 vide which ceiling rates for Knee and Hip implants under CGHS and CS(MA) Rules have been prescribed and to state that it has now been decided by competent authority to revise the ceiling rates and guidelines for Knee and Hip implants under CGHS and CS(MA) rules as per the details given under the succeeding paragraphs.

2. (A) PRIMARY KNEE REPLACEMENT SYSTEM

(*Ceiling Price in Rs.)

Applicable to all variants FEMORAL COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS TIBIAL COMPONENT BY WHATOVER NAME/ SPECIFICATIONS ARTICULAR SURFACE/ INSERT BY WHATSOVER NAME/ SPECIFICATIONS
(Any Material)
PATELLA COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS
1. Titanium alloy coated 38,740 24,280 9550 4090
2. Oxidized Zirconium (OxZr) alloy 38,740 24,280
3. Hi-flex 25,680
4. Cobalt Chromium (CoCr) alloy and other than at 1,2, and 3 above 24,090 16,960

COMPONENT HAVING TIBIAL TRAY AND INSERT COMBINED AS SINGLE UNIT BY WHATOSOVER NAME SPECIFICATION
Polyethylene or cross-linked polyethylene or highly cross linked polyethylene or any other material 12960
Tibial: Metallic Insert: Polyethylene or cross linked polyethylene or highly cross linked polyethylene or any other material 26,546

* plus GST wherever Paid or payable

(B) REVISION KNEE IMPLANT SYSTEM

(*Ceiling Price in Rs.)

FEMORAL COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS TIBIAL COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS ATRICULAR SURFACE/INSERT BY WHATSOVER NAME/ SPECIFICATIONS
(Any Material)
PATELLA COMPONENT BY WHATSOVER NAME/ SPECIFICATIONS
62,770 31,220 15,870 4,090

* plus GST wherever paid or payable

(C) HIP IMPLANT – Rs.40,000/- + GST, wherever paid or payable

3. The rates prescribed shall be valid till further orders and are applicable to Implants of any name/category/comented/non-cemented.

4. The ceiling rates are applicable for treatment taken in government hospitals/ private empanelled hospitals/ other private hospitals.

5. Institutions such as hospitals utilizing knee implants shall specifically and separetely mention the cost of the knee implant component-wise along with its brand name, name of manufacturer/importer/batch no./specifications and other details, if any in their estimate/proforma invoice/final billing,etc.,

6. Prior permission of Competent Authority may be obtained before undergoing knee/hip Implant surgery.

7. This issues with the approval of competent authority and concurrence of Integrated Finance Division vide Dy.No.C.No.3119442, dated 30.08.2017.

Sd/-
(Sunil Kumar Gupta)
Under Secretary to the Government of India

Source: http://cghs.gov.in/

Be the first to comment - What do you think?  Posted by admin - October 12, 2017 at 12:17 pm

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CGHS WARD ENTITLEMENT AND MONTHLY SUBSCRIPTION IN 7TH CPC

CGHS WARD ENTITLEMENT AND MONTHLY SUBSCRIPTION IN 7TH CPC

(A)Ward Entitlement and CGHS Contribution Entitlement of wards in private hospitals empanelled under CGHS (Based on basic pay in pay band):

S N Ward Entitlement Corresponding Basic pay drawn by the officer in 7th CPC per month
1 General Ward Upto Rs. 47,600/-
2 Semi Private Ward Rs. 47,601 to 63100/-
3 Private Ward Rs. 63101 and above

(B) Revised Monthly Subscription for CGHS facility w.e.f. 1st January 2017

Corresponding levels in Pay Matrix as per 7th CPC Contribution per month
Level 1-5 Rs. 250
Level 6 Rs. 450
Level 7-11 Rs. 650
Level 12 and above Rs. 1000

Contribution to be made by the Pensioners/Family Pensioners would be the amount that they were subscribing at the time of their retirement or at the time of the death of government servant.

(C) Monetary Ceiling for Free Diet:

The monetary ceiling for free diet for CGHS beneficiaries is revised to pay/ pension / family pension of Rs. 44,900/- per month.

(D) Monetary ceiling for free diet for beneficiaries suffering from TB or Mental disease

The monetary ceiling for free diet in case of beneficiary suffering from TB or Mental diseaseis revised to pay/pension/family pensionof Rs 69,700/-per month.

(E) Pay slab for determining the entitlement of Nursing Home facilities in Government / State Government / Municipal Hospitals

The monetary ceiling for determining the entitlement The monetary ceiling of nursing home facilities in Central Government / State Government / Municipal Hospitals is revised to pay / pension / family pension Rs. 47,600/- per month and above.

(F) Monetary Ceiling for direct consultation with Specialists in Central Government / State Government / Municipal Hospital

The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government / State Government /Municipal Hospitals will continue at the existing rates until revision of the Same after consultation with Ministry of Finance. (G)Pay slab for determining the entitlement of accommodation in AIIMS, New Delhi. The revised entitlement, as per the pay drawn by the officials, is as follows:

Sl.

No.

Corresponding Basic Pay drawn by the Officer in 7th CPC per month Ward entitlement
1. Up to Rs. 63,100/- General
2. Rs. 63,101/- to Rs. 80,900/- Private
3. Rs. 80,901/- and above Deluxe /Private

Source: CGHS

Be the first to comment - What do you think?  Posted by admin - July 29, 2017 at 12:13 pm

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Procedure of Printing of CGHS Cards by CGHS Beneficiaries – CGHS Orders on 31.3.2016

Procedure of Printing of CGHS Cards by CGHS Beneficiaries – CGHS Orders on 31.3.2016

SELF PRINTING OF CGHS CARDS BY CGHS BENEFICIARIES

F.No. Z.15025/1/2016/DIR/CGHS
Governmnent of India
Ministry of Health and Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi-110011
Dated: 31st March, 2016

OFFICE MEMORANDUM

Subject: Self-printing of CGHS Card

This is with reference to the above subject.

2. CGHS is pleased to announce a new initiative by which its beneficiaries can now print their own cards at their convenience. This facility for self-printing is applicable for those beneficiaries whose CGHS membership has already been approved by the concerned Additional Director.

3. The steps involved in printing of the card are given below:

Visit CGHS portal cghs.nic.in

Click ‘Beneficiary Login’

Enter Ben ID and Password, and sign in.

In case the beneficiary does not have a password or has forgotten it, then click on ‘Generate Password’ and follow the instructions.

Click ‘Print Card’ for the beneficiary whose card needs to be printed.

Enter the One Time Password (OTP) sent on registered mobile.

Click ‘Print CGHS Card’

A message will appear on the screen requesting to take a coloured printout and get the card laminated. Click ‘OK’

Download or open the CGHS card in PDF format.

Print the CGHS card using Print command.

4. The introduction of this facility may kindly be given due publicity.

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

Click to view the order
Authority: www.http://msotransparent.nic.in

Be the first to comment - What do you think?  Posted by admin - April 4, 2016 at 3:18 pm

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Transparency services provided to the CGHS beneficiaries – Guidelines issued by DG of CGHS

Guidelines for Computerization of CGHS non-computerized units/future new units

F. No. 44/37/2015/MCTC/CGHS /1114
Monitoring Computerization and Training Cell
Directorate General of CGHS
Min of Health & Family Welfare

New Delhi 5th January, 2016

OFFICE MEMORANDUM

Subject: Guidelines for Computerization of CGHS non-computerized units/future new units

All CGHS units like Allopathic Wellness Centers, Ayush Wellness Centers, Polyclinics, First Aid Posts(FAPs), VVIP units etc. need to be computerized for maintaining transparency and accountability of services provided to the beneficiaries. The following guidelines should be followed for computerization of hitherto non-computerized units or future new units:

1. Procurement of computers and peripherals-For cities other than Delhi, the CMOs In-charge of the unit may put up the demand for computers and peripherals with respective ADs for procurement. In Delhi the procurement of computers and peripherals would be done by AD (MSD) after receiving request from the Zones.

2. Extension of existing leased line

(a) In cases where units to be computerized are co-located with an existing center (like Ayush Wellness Centers, which are located in the same building as Allopathic Wellness Centers), the existing leased line may be extended for the units to be computerized.

(b) For standalone units new Leased Lines have to be installed. Broadband connections of tariff plan up to Rs 2000/- per month may be installed as alternate internet connectivity.

3. Local Area Network (LAN) wiring-The office of respective Additional Directors would get the work done.

4. Procedure for shifting of leased line/ new leased line connection

(a) In cities other than Delhi, the request for shifting of Leased Line in case of relocation of a unit or installation of new leased line for new centers may be put up to MCTC by Additional Directors. MCTC would coordinate with BSNL for demand estimate. Approval of competent authority would be taken by MCTC once demand estimates are received from BSNL and conveyed to respective ADs.

(b) In Delhi, the CM0 1/C would coordinate with local MTNL for demand estimates for new MTNL leased line connection/shifting of MTNL connection. The approval of demand estimate would be taken from competent authority by the Additional Director.

5. Procedure for Broadband Connection and telephone connection – The CMOs In-Charge and respective ADs would coordinate with BSNL/MTNL for the same.

6. Creation of Wellness Center/Unit code, NIC email ID and Password

(a) For creation of email ID, CMOs IN-charge may fill up mail subscription form available on website of NIC. The duly signed and filled form may then be scanned and emailed to NIC with copy to MCTC.

(b) CMO I/C and Additional Director would coordinate with NIC and MCTC through email for the Wellness Center/unit code.

7. Initial Handholding training of staff to use the CGHS computer module if required Local NIC may be contacted through respective Additional Directors for the same.

This issues with the approval of competent authority.

sd/-
Dr. V.K. DHIMAN
Nodal Officer

Authority: CGHS Official Website

Click to view the order

Be the first to comment - What do you think?  Posted by admin - January 11, 2016 at 3:57 pm

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Deduction of CGHS Contribution on change of Grade Pay by virtue of promotion/grant of NFSG from retrospective date – CGHS Clarification

Deduction of CGHS Contribution on change of Grade Pay by virtue of promotion/grant of NFSG from retrospective date- reg.

F.No.s.11030/55/2011-CGHS(P)
Government of India
Ministry of Health and Family Welfare
CGHS (P) Section

 

Nirman Bhavan, New Delhi
Dated the 10th December, 2015

OFFICE MEMORANDUM

 Sub: Deduction of CGHS Contribution on change of Grade Pay by virtue of promotion/grant of NFSG from retrospective date- reg.

 

This Ministry is receiving requests from various ministries regarding deduction of CGHS Contribution on change of Grade Pay by virtue of promotion/grant of NFSG from retrospective date. The matter was examined in this ministry and a clarification was issued in this regard vide letter No.S 11030/55/2011-CGHS (P) dated 26/10/2012.

 

Matter is again clarified as under:

‘In cases where pay of a Government employee is revised from a retrospective date, resulting in change of amount of CGHS contribution payable, contribution at the higher slab rate may be recovered only from the date of issue of the Order, i.e., the date on which the Order upgrading his pay was issued, and not the date from which his pay is being effected (retrospectively).’

sd/-
(Sunil Kumar Gupta)
Under Secretary to the Govt. of India

 

Click to view the GHS Order No.S 11030/55/2011-CGHS (P) dated 26/10/2012

Be the first to comment - What do you think?  Posted by admin - at 5:36 am

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Alowing benefit of Continuous Empanelment Scheme to NABH/NABL accredited Health Care Organisation/Diagnostic Centres

Alowing benefit of Continuous Empanelment Scheme to NABH/NABL accredited Health Care Organisation/Diagnostic Centres

G.I., Ministry of Health & Family Welfare, O.M.F.No.S-11045/36/2012-CGHS(HEC), dated 16.10.2015

Subject : Alowing benefit of Continuous Empanelment Scheme to NABH/NABL accredited Health Care Organisation/Diagnostic Centres

This is with reference to the above subject.

2. The matter has been considered in view of the requests that more Health Care Organisations (HCOs) offering good quality healthcare should be empanelled under the CGHS. After careful consideration, it has now been decided that all HCOs (Hospitals/Diagnostic Centres etc.) that have finally been accredited by NABH/NABL should be allowed the benefit of the Continuous Empanelment Scheme i.e. they may be empanelled under the CGHS even if they did not apply for such empanelment in response to the tender finalised in 2014 Al other conditions for empanelment will remain the same.

3. These instructions may be brought to the notice of all NABH/NABL accredited HCOs in your jurisdiction.

sd/-
(Dr. Manoj Jain)
Sr. CMO (HEC)

Authority: http://msotransparent.nic.in/

LIST OF HEALTH CARE ORGANIZATIONS (HCOs) EMPANELLED UNDER CGHS, DELHI & NCR W.E.F. 01.10.2014 AS PER OFFICE MEMORANDUM No. S.11045/36/2012-CGHS (HEC) DATED THE 1st OCTOBER 2014 AND FURTHER ADDED ON 12.11.2014 & 10.02.2015 & 24.02.2015, 12.05.2015 & 24.06.2015 : Click to view the latest list of hospitals

Click to view the CGHS Medical Reimbursement Medical Claim Form

Be the first to comment - What do you think?  Posted by admin - October 26, 2015 at 5:42 pm

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CGHS OPD Centres in Government Hospitals

CGHS OPD Centres in Government Hospitals

Press Information Bureau
Government of India
Ministry of Health and Family Welfare

07-August-2015 15:04 IST

CGHS OPD Centres in Government Hospitals

There is no proposal to set up separate Central Government Health Scheme (CGHS) Out-Patient Department (OPD) centres for orthopaedics and paediatrics in all the Central Government Hospitals.

However, Paediatrics Specialists are posted in Safdarjung Hospital and Dr. Ram Manohar Lohia Hospital of Delhi. Two General Duty Medical Officers with PG qualifications in orthopaedics are posted in CGHS wing of Safdarjung Hospital.

There are no sanctioned posts of Orthopaedics Specialists for CGHS wing. There is no separate CGHS wing at Lady Harding Medical College and Smt. Sucheta kriplani Hospitals.

CGHS beneficiaries can avail consultation from specialists of any Government Hospital.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

Be the first to comment - What do you think?  Posted by admin - August 7, 2015 at 1:35 pm

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Revised Timings for CGHS Wellness Centres from 1st April, 2015: From 7.30 AM to 2.00 PM without a lunch break

Revised Timings for CGHS Wellness Centres from 1st April, 2015: From 7.30 AM to 2.00 PM without a lunch break

No: S.11030/55/2012-CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108
Dated the 24 March, 2015

OFFICE MEMORANDUM

Subject: Revised Timings for CGHS Wellness Centres

The undersigned is directed to refer to the OM of even no. dated 26th March, 2013 vide which the revised timings of 8.00 AM to 3.00 PM in the CGHS Wellness Centres were enforced w.e.f. 1st April, 2013. This Ministry has received representations from association of doctors of CGHS (All India G.D.M.O. Association) and other sections of CGHS beneficiaries for change in duty hours/ timings of the Wellness Centres. In this regard, after due consideration, it has been decided to further revise the timings of CGHS Wellness Centres from the current timings of 8.00 AM to 3.00 PM to the revised timings of 7.30 AM to 2.00 PM as per the following details :

1. The CGHS Wellness Centres will be functional from 7.30 AM to 2.00 PM without a lunch break, on a trial basis for three months w.e.f. 1st April, 2015.

2. The CGHS Wellness Centres in New Delhi which are currently functional for 24 hours, will continue to function as usual in shifts.

3. The new timings will be applicable to all CGHS Wellness Centres in all CGHS cities across the country

4. The new timings would also apply to the AYUSH dispensaries / units under CGHS all over the country.

The new timings for CGHS Wellness Centres will be effective from 1st April, 2015 on a trial basis for three months. Further decision in the matter will be taken after considering feedback to this change.

This issues with the approval of Minister of Health and Family Welfare.

Sd/-
[Bindu Tewari]
Director CGHS(P)

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File960.pdf

Be the first to comment - What do you think?  Posted by admin - March 26, 2015 at 2:30 am

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CGHS has empanelled 750 Health Care Organizations all over the country

CGHS has empanelled 750 Health Care Organizations all over the country

While answering to a unstarred question No.695 in Lok Sabha on 27th Feb 2015, Minister of Health and Family Welfare Shri.Jagat Prakash Nadda said there is no CGHS rates for implant then that implant is reimbursed as per AIIMS/GB Pant Hospital rates. However, if a benefi- ciary opts for a specific brand of implant, he/she shall have to give a written under- taking to bear the difference between the cost of that specific brand and the pres- cribed ceiling rate.

The detailed reply is reproduced and given below for your ready reference…

“The total number of CGHS beneficiaries in the country as on date are 36,67,795.

The CGHS has empanelled 750 Health Care Organizations all over the country.

As per reports received from the field, Grants Medical Foundation Pune has restricted the cashless facilities to serious/emergency cases only. Another hospitals in Ranchi ‘Shree Jagannath Hospital and Research Centre’, which was empanelled recently on 17/11/2014 has stopped this facility.

The reason for pendency of payment of hospital bills is insufficient balance of funds available with UTI-ITSL (Bill Clearing Agency) CGHS recoups funds to UTI-ITSL. There was delay in recoupment due to technical reasons. However, efforts are being made to recoup the funds to UTI-ITSL to avoid pendency.

In addition, through internal adjustment, additional funds are being allocated to Pune & Ranchi to clear the pending bills.

CGHS fixes rates for various treatment procedures and investigations through tender process and rates were last notified on 01.11.2014 for Delhi/NCR and on 17.11.2014 for CGHS cities outside Delhi/NCR. AS per the Memorandum of Agreement signed by empanelled hospital with CGHS at the time of their empanelment they are expected to charge as per CGHS package rates only.

CGHS has fixed up ceiling rates for certain implants without specifying any brand name. If there is no CGHS rates for implant then that implant is reimbursed as per AIIMS/GB Pant Hospital rates. However, if a beneficiary opts for a specific brand of implant, he/she shall have to give a written under- taking to bear the difference between the cost of that specific brand and the prescribed ceiling rate”.

Be the first to comment - What do you think?  Posted by admin - March 7, 2015 at 5:30 pm

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DR Orders for CG Pensioners – Issue taken as agenda by DPPW

Simultaneous issue of orders for the release of Dearness Allowances: Issue taken as agenda by DPPW in the SCOVA meeting

Ministry of Personnel, Public Grievances & Pensions published an order yesterday regarding the four new agenda items will be discussed in the meeting of Standing Committee of Voluntary Agencies (SCOCA) under the Chairmanship on 3.2.2015.

The four fresh agenda points are given below…

1. Simultaneous issue of orders for the release of Dearness Allowances:

Based on the rise in Consumer Price Index, Dearness Allowance and Dearness Relief are granted to serving employees and pensioners respectively with effect from 1st January and 1st July each year. The orders sanctioning DA are issued by the Finance Ministry and the orders sanctioning DR are issued by the Ministry of Personnel, Public Grievances and Pensions after the same. While serving employees get the increase in cash after a couple of days from the date of issue of Office Memorandum, the pensioners get it after some days since the issue of O.M, for DR needs to be further approved by Department of Expenditure and CAG. As the payment of DA and DR is being made from the Consolidated Fund of India, the issuance of separate orders for the grant of DA and DR could be unnecessary.

2. Co-authorisation of Family Pension of permanently disabled children/dependent parents and permanently disabled siblings

As a policy initiative of DoPPW, the CPAO vide its O.M no. CPAO/Tech/Simplification/2013-14/252 dated 06.02.2014 allowed co-authorisation
of family pension of permanently disabled’ children/dependent parents and permanently disabled siblings. A similar benefit may be considered by Department of Defence and Ministry of Railways to its pensioners.

3. Non-adherence of extant rules with regard to submission of life certificate

Despite clear instructions from the Ministry of Finance,vide CPAO/Tech/Grievances/2010-11/531 dated 30.06.2011, it has been reported that some’ banks branches are insisting on personal appearance of pensioners for submission of life certificates along with PPOs. The extant rules now exempt personal appearance and the prescribed form is to be signed by any of the persons specified therein.The pensioners thus got put to untoward hardship in addition to stress and strain which could have been avoided. As such, Department of Financial Services is requested to take necessary steps to get the instructions complied with strictly without fail.

4. Provision of CGHS facility for life time to dependent disabled/mentally retarded children of Central Government Employees/Pensioners

a) In the “Definition of Family” under CGH_S,furnished in Ministry of Health & FW O.M. No. 3T-1/2009-C&P/CGHS (P) dated 23-2-2011, daughter as indicated at 51 No.5(ii) can avail the benefits till she starts earning or gets married irrespective of the age-limit, where as son indicated at 51. No. 5(iii) of the list, suffering from any permanent Physical/Mental disability is entitled to avail the facility “irrespective of age- limit”, and son’s marital status may not result in denial of CGHS facility to him ,in as much as there is no mention of marital status in the definition, unlike the definition at

51.5 (i) On the other hand, daughter suffering from any permanent disability (physical disability or mental retardation) loses the facility if she gets married as per the definition at 51. (5)(ii). Hence, the case of a physically disabled/mentally retarded daughter needs to be considered for extension of CGHS facility “irrespective of age-limit, even after her marriage” .

b) Further under CCS (Pension) Rules, 1972, by an amendment to explanations 1 and 3 after Sub-rule 6 of Rule 54, as communicated vide Department of Pension & PW’O.M. No. 1/33/2012-P&PW(E) dated 16-1-2013, mentally /physically disabled children have been allowed to continue to draw family pension even after their marriage thereby removing the condition of marital status for continued drawal of family pension.

c) Thus on the analogy of pension rules, mentally/physically disabled children (both son and daughter) of Central Government Employees/Pensioners may be allowed to continue to avail CGHS facilities even after their marriage by removing the condition of marital status now existing in respect of daughters only. The “definition of family” under CGHS would need to modified suitably.

Be the first to comment - What do you think?  Posted by admin - January 16, 2015 at 11:07 am

Categories: Allowance, CCS, CGDA, CGHS, Dearness Allowance, Employees News, General news, Latest News, Pension   Tags: , , , , ,

New List of CGHS Hospitals comes into effect from October 2014

New List of CGHS Hospitals comes into effect from October 2014

CGHS (Central Government Health System is the complete medical treatment facility provided for Central Government Employees, Retired employees, and their dependents. CGHS provides service through following categories of Allopathic, Homeopathic, Ayurveda, Unani, Yoga, Sidha Systems. Instructions on these various matters have been issued from time to time for the guidance of this scheme by the Department of Health and Family Welfare.

After a long gap, the list of hospitals under CGHS was released recently. According to the order issued by the Health Ministry, the list of hospitals for Delhi and NCR (National Capital region) will come into effect from 01.10.2014 onwards.

In addition to the hospitals under CGHS, an updated version of package rates of all kind of treatment too has been released. Click here for the complete order issued by the Health Ministry, including the rules and regulations for the treatment.

The list of CGHS hospitals for the rest of the country, excluding Delhi and the NCR, will soon be released.

On 27th June 2014, an order has been issued by the office of the Additional Director, CGHS regarding the extension of the period of empanelment of hospitals under CGHS Chennai. Nearly 19 hospitals(Miot, Agarwal, Vasan, Udhi, Parvathy, Med Fort, N.B., metropolis, CSI Kalyani, Sugam, Soundarapandian, Global, Noble, Anderson, Bharat, Frontier, Sridevi, M.N.Eye and Roentgen) including eye and dignostic centres indicated in that order.

Source: 7thpaycommissionnews.in

Be the first to comment - What do you think?  Posted by admin - November 13, 2014 at 2:15 am

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CGHS shall provide free OPD consultation facilities to senior citizens(60 yr. and above) from general public from 1.30 PM. to 3.00 P.M.

CGHS shall provide free OPD consultation facilities to senior citizens(60 yr. and above) from general public from 1.30 PM. to 3.00 P.M. on all working days on a pilot basis at the following 20 wellness centres in Delhi with effect from the 1st September, 2014.

M F.No.-156493/2014/CGHS(HQ)/56-60
Directorate General of CGHS

Office of Addl. Director (HQ), CGHS
CGHS, Building , R. K. Puaram , Sector-12,
New Delhi -110022
Date-29.08.2014

OFFICE MEMORANDUM

Sub: Consultation for Senior Citizens of general Public at CGHS Wellness Centres on Pilot basis

With reference to the above mentioned subject the undersigned is directed to state that with a view to enhance inclusitivity of CGHS , it has been decided that CGHS shall provide free OPD consultation facilities to senior citizens(6O yr. and above) from general public from 1.30 PM. to 3.00 P.M. on all working days on a pilot basis at the following 20 wellness centres in Delhi with effect from the 1st September, 2014:

1. Pusa Road 11. Sahibabad
2. Darya Ganj 12. Kalkaji II
3. Chandani Chowk 13. Vasant Kunj
4. Vasant Vihar 14. Kasturba Nagar II
5. Sarojini Nagar L Block 15. Sarita Vihar
6. Sarojini Nagar S Y Block 16. Rajpur Road
7. Jangpura 17. Noida Sector – 82
8. Chanakyapuri 18. Gurgoan Sect-55
9. Pandara Road 19. Kalibari
10. Greater Noida 20. Mayur Vihar

In continuation to the above memorandum following Wellness Centres under AYUSH have also been added to the list of above Wellness Centres; now there are 26 Wellness Centres 20 Allopathic and 6 under AYUSH. The terms and conditions will remain the same for both the categories of Wellness Centres.

AYUSH CATEGORY WELLNESS CENTRES
AYURVEDIC Kali Bari
Janakpuri
HOMOEOPATHIC Kalkaji ll
Sector 3 R K Puram
UNANI Sarojini Nagar
SIDDHA Lodhi Colony

The CGHS doctors are required to maintain records separately in respect of the services provided to the senior citizens of the general public . Following guidelines may be strictly followed:

1. The timings prescribed for OPD consultation at the above WC’s is 1.30 P.M. to 3.00 P.M.

2. There should be no harassment by asking for the age proof from the Senior Citizens.

3. The doctors are required to examine the patients clinically and advise accordingly.

4. The prescription is to be made on a separate prescription slip. Computerized CGHS prescription slip will not be used for this purpose.

5. Separate records of OPD Patients attending WC may be maintained in a register.

6. Every doctor shall maintain a separate register for convenience.

7. The matter may be given due publicity by displaying this order on the notice board of the Wellness Centre.

This issues with the approval of the competent authority.

(Dr. D.C. Joshi)
AD(HQ)
CGHS, Delhi

Source: www.msotransparent.nic
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File756.pdf]

Be the first to comment - What do you think?  Posted by admin - September 4, 2014 at 4:51 pm

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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

Be the first to comment - What do you think?  Posted by admin - July 30, 2014 at 9:53 am

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CS(MA) Rules 1944 are not applicable to pensioners – Health Ministry

CS(MA) Rules 1944 are not applicable to pensioners – Health Ministry

Medical Facilities to Government employees

Central Government Health Scheme provides medical care to its beneficiaries which include serving as well as retired Central Government employees. The CGHS provides its services through a network of CGHS Wellness Centers which are in operation presently in 25 major cities of the country. Expenditure on medical reimbursement in respect of pensioners is borne by CGHS and in respect of serving employees it is borne by concerned Ministry/ department/office. The pensioner beneficiaries are eligible for credit facility for treatment in CGHS empanelled hospitals.

Central Services (Medical Attendance) Rules, 1944 are applicable to serving Central Government employees only who are residing in non-CGHS covered areas. Medical attendance is provided by the Authorized Medical Attendant appointed by concerned department. The CS(MA) Rules 1944 are not applicable to pensioners. As per these Rules, there is no provision for issue of medicines and medical reimbursement claims are to be settled by the concerned department/ Ministry.

The Health Minister stated this in a written reply in the LokSabha here today.

Source: PIB

Be the first to comment - What do you think?  Posted by admin - July 21, 2014 at 9:30 am

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Criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary

Criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary
The below information is tabled to a question in Lok Sabha on 11th July 2014 by the Minister of Helath and Family Welfare Shri Harsh Vardhan as follows…
The criteria fixed for setting up a Central Government Health Scheme (CGHS) dispensary in a particular area are as under:-
(i) In an existing CGHS city:- For opening of a new Allopathic CGHS dispensary in an existing CGHS city, there has to be a minimum of 2000 Card holders (serving employees of Central Government and Central Civil pensioners).
(ii) Extension of CGHS to a new City:- For extension of CGHS to a new city, there has to be a minimum of 6,000 Card holders. However, due to financial and other resource constraints it is not always possible to adhere to the above criteria.
(b): The details about number of CGHS allopathic/AYUSH dispensaries and Hospitals in the country, State/UT-wise are at Annexure.
Keeping in view the financial and other resource constraints, a decision has been taken not to expand CGHS to cover new cities/ areas. There are some States and UTs which do not have the presence of CGHS as yet. Accordingly, the Ministry has mooted a proposal to open at least one CGHS dispensary in the capital city of such States/UT’s namely, Himachal Pradesh, Chhattisgarh, Goa, Arunachal Pradesh, Tripura, Manipur, Mizoram, Sikkim, Nagaland, Gujarat and Pudduchery.
In addition, there is also a proposal to open one CGHS dispensary in Indore in compliance of the High Court’s directions.
ANNEXURE

STATEMENT SHOWING DETAILS OF CGHS HOSPITALS/WELLNESS CENTRES

S.No. City ALLOPATHY POLYCLINIC AYUSH CGHS HOSPITALS
1 AHMEDABAD 8 1 2 0
2 ALLAHABAD 7 1 2 0
3 BANGALORE 10 1 4 0
4 BHOPAL 2 0 0 0
5 BHUNESHWAR 3 0 1 0
6 CHANAI 14 2 4 0
7 CHANDIGARH 1 0 0 0
8 DEHRADOON 2 0 0 0
9 GUWAHATI 5 0 1 0
10 HYDERABAD 13 2 6 0
11 JAMMU 2 0 0 0
12 JAIPUR 7 1 2 0
13 JABALPUR 4 0 0 0
14 KANPUR 9 0 3 0
15 KOLKATA 18 1 4 0
16 LUCKNOW 9 1 3 0
17 MEERUT 6 0 2 0
18 MUMBAI 26 2 5 0
19 NAGPUR 11 1 3 0
20 PATNA 5 1 3 0
21 PUNE 9 1 3 0
22 RANCHI 3 0 0 0
23 SHILLONG 2 0 0 0
24 TRIVENDRUM 3 0 2 0
25 DELHI 94 4 36 4
TOTAL 273 19 85 4

Be the first to comment - What do you think?  Posted by admin - July 14, 2014 at 9:22 am

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New Medical Reimbursement Claim (MRC) Form for CGHS beneficiaries

New Medical Reimbursement Claim (MRC) Form for CGHS beneficiaries. The Medical Reimbursement Claim Form has been reviewed and further simplified. Separate forms have been developed for serving beneficiaries and pensioner beneficiaries with requirement of minimum information required for processing of the claims. CGHS Order:-

 

No.S. 11011/9/2012-CGHS (P)
Government of India
Ministry of Health & Family Welfare
CGHS (Policy)
Nirman Bhawan, New Delhi
Dated the 5th June, 2014
OFFICE MEMORANDUM

Sub:- Revision of Medical Reimbursement Claim (MRC) Form for CGHS beneficiaries – reg.

The undersigned is directed to state that it has been the constant endeavour of the Ministry of Health & Family Welfare to improve the facilities under CGHS and simplify / liberalize the procedures to make the Scheme user friendly.
2. In furtherance of the above objective, the Medical Reimbursement Claim Form has been reviewed and further simplified. Separate forms have been developed for serving beneficiaries and pensioner beneficiaries with requirement of minimum information required for processing of the claims. The CGHS beneficiaries are required to submit their medical reimbursement claims in the prescribed forms with requisite documentary evidences to their Department / office or CGHS, as the case may be for further processing and settlement as per approved CGHS rates and guidelines.

3. The following forms have been prescribed:

Form MRC(S) – For Serving CGHS beneficiaries,
Form MRC(P) – For Pensioner CGHS beneficiaries.

Specimen Forms are enclosed
Encl: As Above

sd/-
[V.P. Singh]
Director

Click on following images to save or view:-

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Medical Reimbursement Claim Form for Serving Employees Page 1

 

medical+reimbursement+claim+form+for+employees+page2
Medical Reimbursement Claim Form for Serving Employees Page 2

 

medical+reimbursement+claim+form+for+pensioner+1
Medical Reimbursement Claim Form for Pensioner Page 1

 

medical+reimbursement+claim+form+for+pensioner+2
Medical Reimbursement Claim Form for Pensioner Page 2

 

medical+reimbursement+claim+form+annexure
Medical Reimbursement Claim Form Annexure-I

 

medical+reimbursement+claim+form+annexure-II
Medical Reimbursement Claim Form Annexure-II

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File692.pdf

Be the first to comment - What do you think?  Posted by admin - June 10, 2014 at 4:37 pm

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Denying cashless /credit facilities to eligible CGHS beneficiaries – Action taken against Fortis Escort Hospital

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

Be the first to comment - What do you think?  Posted by admin - May 10, 2014 at 5:53 pm

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Extension of validity of empanelment of private hospitals empanelled under CGHS

CGHS Orders : extension of validity of empanelment of All Health Care Organizations empanelled under CGHS.

No.S.11045/36/2012/CGHS(HEC)
Government of India
Directorate General Of Central Govt. Health Scheme

Maulana Azad Road, Nirman Bhawan,
New Delhi 110108, dated the 31st March, 2014

OFFICE ORDER

Subject: Regarding extension of validity of empanelment of All Health Care Organizations empanelled under CGHS.

Attention is drawn to the Office Memorandum issued earlier extending validity of empanelment of all health care organizations under CGHS till 31st March, 2014.

2. It has now been decided to extend the validity of empanelment of all Health Care Organizations under CGHS for further period of three months or till finalization of next empanelment of health care organizations under CGHS whichever is earlier on same terms and conditions as defined in OM on which they were empanelled earlier.

sd/-
(Dr.Sharda Verma)
Director CGHS(HQ)

Source: http://msotransparent.nic.in/cghsnew/index.asp

1 comment - What do you think?  Posted by admin - April 1, 2014 at 11:08 am

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