Posts Tagged ‘CGHS’

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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CGHS : Extension of Empanelment of AYUSH Hospitals/Centers under CGHS and CS (MA) Rules for Ayurveda, Unani and yoga & Naturopathy treatments/Procedures till 15.12.2017

CGHS : Extension of Empanelment of AYUSH Hospitals/Centers under CGHS and CS (MA) Rules for Ayurveda, Unani and yoga & Naturopathy treatments/Procedures till 15.12.2017

F.No.S.11011/90/2016-CGHS (HEC/ Ayush)

Government of India
Ministry of Health & family welfare
Directorate General of Central Government Health Scheme

Nirman Rhavari, New Delhi
Dated: 9th November, 2017

OFFICE MEMORANDUM

Subject: Extension of Empanelment of AYUSH Hospitals/Centers under CGHS and CS (MA) Rules for Ayurveda, Unani and yoga & Naturopathy treatments/Procedures till 15.12.2017.

Reference is invited to the O.M. dated 24.07.2017 by which empanelment of Ayush hospitals under CGHS was extended till 31.10.2017.In furtherance to that O.M. undersigned is directed to state that all existing empanelled gush hospitals under CGHS would further remain empanelled till 15.12.2017 on same terms and conditions on which they were empanelled vide O.M. dated 01.10.2015.

This issues with the approval of AS DO (CGHS).

S/d,
(Dr.D.C.Joshi)
Director (CGHS)
Tel.No.011-23062800

Signed Copy

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Empanelment of Private hospitals under CGHS Jaipur

Empanelment of Fortis Escorts Hospital under CGHS Jaipur regarding

Government of India
Central Government Health Schemes
Kendirya Sadan Parisar, ‘B’ Block,
Ground Floor, Sector-10, Vidyadhar Nagar, Jaipur – 302039

No.CGHS/JPR/ RPH&DC/2017(Admn.)/8722-44

Dated: 26-07-2017

OFFICE MEMORANDUM

Subject : Empanelment of Private hospitals under CGHS Jaipur

With reference to letter F.No. S-11045/36/2012-CGHS(HEC) dated 16th October, 2015 allowing benefit of continuous empanelment scheme to NABH/NABL accredited Health Care Organisation / Diagnostic Centres [HCOs] under CGHS, the undersigned is directed to convey that in addition to the list of the hospitals (including dental clinics & eye centres) and diagnostic laboratories already empanelled following Health Care Organization (HCO) has also been empanelled under CGHS Jaipur with the issuance of this order. The newly empanelled Health Care Organisation may be treated as included in the existing list of empanelled HCOs under CGHS Jaipur with the same terms and conditions as have been indicated in the Office Memorandum dated 14.11.2014. from the date of the issue of this pm to 16.08.2017.

S. No Name of the HCOs/ DC Address
& Tel. No.
NABH /Non-NABH Facilities Empanalled for
01 Fortis Escorts Hospital Jawahar Lal Nehru Marg, Malviya Nagar, Jaipur-302017 (Raj.)

TeI.No. 254 7000 E-mail contactus.jaipur [at] forlishealthcare. com

Empanelled w.e.f. 26.07.2017.

NABH

w.e.f. 16.06.2014 to 14.08.2017

NABL

w.e.f. 02.09.2016 to 01.09.2018


Imaging/ Radiology will be treated as Non-NABL

Anaesthesiology, Cardiac Anaesthesia, Cardiology (invasive and Non invasive) Cardiothoracic Surgery, Clinical Psychology, Critical Care (Adult, Paediatrics, Neonate), Dentistry, Ear Nose and Throat, Endocrine Surgery, Endocrinology, Gastroenterology {Adult and Paediatric], General Surgery, GI Surgery & Bariatric Surgery. Hand Micro Surgery. internal Medicine, Medical Oncology, Nephrology including Dialysis, Neurology (Adult & Paediatrics] Neurosurgery, Obstetrics & Gynaecology, including infertility, Ophthalmology, Orthopaedic (including Joint Replacement Surgeries), Paediatric Cardiology, Paediatric Surgery, Paediatrics and Neonatology, Plastic and Cosmetic Surgery, Psychiatry (Only OPD), Renal Transplant, Respiratory Medicine, Rheumatology, Skin & Venereal Diseases, Sports injury Management, Surgical Oncology. Urology and all other available facilities.

Source: CGHS

Be the first to comment - What do you think?  Posted by admin - November 14, 2017 at 8:06 am

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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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The Complete List of CGHS Covered Cities and their Website Links

The Complete List of CGHS Covered Cities and their Website Links

Eligibility for joining CGHS and Facilities available under CGHS

Eligibility for joining CGHS

All Central Govt. employees drawing their salary from Central Civil Estimates and their dependant family members residing in CGHS covered areas.

Central Govt. Pensioners/family pensioners receiving pension from central civil estimates and their eligible dependent family members.

Facilities available under CGHS

OPD Treatment including issue of medicines.

Specialist Consultation at Polyclinic/Govt. Hospitals.

Indoor Treatment at Government and Empanelled Hospitals.

Investigations at Government and Empanelled Diagnostic centers.

Cashless facility available for treatment in empanelled hospitals and diagnostic centers for Pensioners and other identified beneficiaries.

Reimbursement of expenses for treatment availed in Govt. /Private Hospitals under emergency.

Reimbursement of expenses incurred for purchase of hearing aids, artificial limbs, appliances etc. as specified.

Family Welfare, Maternity and Child Health Services.

Medical consultation and dispensing of medicines in Ayurveda, Homeopathy, Unani and Siddha system of medicines (AYUSH)

No. City Name
Website Link
1. AHMADABAD
Click Here
2. ALLAHABAD
3. BENGALURU
4. BHOPAL
Click Here
5. BHUBANESHWAR
6. CHANDIGARH
Click Here
7. CHENNAI
8. DEHRADUN
Click Here
9. DELHI & NCR
10. GUWAHATI
Click Here
11. HYDERABAD
12. INDORE
Click Here
13. JABALPUR
Click Here
14. JAIPUR
15. JAMMU
Click Here
16. KANPUR
17. KOLKATA
18. LUCKNOW
Click Here
19. MEERUT
20. MUMBAI
21. NAGPUR
Click Here
22. PATNA
Click Here
23. PUNE
Click Here
24. RANCHI
Click Here
25. SHIMLA
Click Here
26. SHILLONG
Click Here
27. THIRUVANATHAPURAM

Be the first to comment - What do you think?  Posted by admin - October 23, 2017 at 9:33 pm

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Suspension of empanelment of Rockland Hospital, Qutab Institutional Area, New Delhi under CGHS

Rockland Hospital, Qutab Institutional Area, New Delhi under CGHS: Suspension of Empanelment

F. No: 4-3/2017/CGHS/VC
Government of India
Directorate General of Central Govt. Health Scheme
Ministry of Health & Family Welfare
(Hospital Empanelment Cell)

Maulana Azad Road, Nirman Bhawan
New Delhi 110 011, dated the 09.10.2017

OFFICE ORDER

 

Subject: Suspension of empanelment of Rockland Hospital, Qutab Institutional Area, New Delhi under CGHS.

With reference to the above mentioned matter, the undersigned is directed to draw attention to the Office Memorandum No. S-11045/36/2012-CGHS (HEC) dated 01.10.2014 vide which Rockland Hospital, Qutab Institutional Area, New Delhi was empanelled under CGHS and to state that Rockland Hospital, Qutab Institutional Area, New Delhi was asked to submit reply to a show cause notice issued regarding permission letter obtained by the hospital for treatment of one CGHS pensioner beneficiary in the hospital. However, the reply submitted by the hospital has not been found to be satisfactory and so it has been decided to suspend empanelment of Rockland Hospital, Qutab Institutional Area, New Delhi from CGHS with immediate effect for a period of three months or till further orders.

The CGHS beneficiaries already admitted in the hospital for treatment prior to the issue of this order shall continue to be provided treatment at CGHS rates till their discharge within a period of 7 days. Bill of patients discharged after 7 days of issue of this order shall be submitted with proper justification for consideration by CGHS.

Sd/-
Dr. D. C. Joshi
Director CGHS

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

Be the first to comment - What do you think?  Posted by admin - October 16, 2017 at 10:07 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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ECHS: IMPLEMENTATION INSTRS: PROCEDURE FOR AUTHORISED LOCAL CHEMIST

ECHS: IMPLEMENTATION INSTRS: PROCEDURE FOR AUTHORISED LOCAL CHEMIST

Central Organisation ECHS
Adjutant General’s Branch
Integrated HQ of MoD (Army)
Maude Lines
Delhi Cantt-110010

B/49762/AG/ECHS/Medicine Policy

27 Aug 17

IHQ of MoD (Navy)/Dir ECHS (N)
Air HQ (VB)/DPS
HQ Southern Command (AIECHS)
HQ Eastern Command (AIECHS)
HQ Western Command (AIECHS)
HQ Central Command (AIECHS)
HQ Northem Command (AIECHS)
HQ South Western Command (A/ECHS)
HQ Andaman & Nicobar Command (AIECHS)
AMA ECHS, Embassy of India, Nepal
All Regional Centres

IMPLEMENTATION INSTRS: PROCEDURE FOR AUTHORISED LOCAL CHEMIST

1. Refer:-

(a) GOI/MOD letter No 220(01)/2016/ WEID(Res-l) dated 22 Aug 17 (copy att as Encl 1).
(b) GOI letter No 24(3)lO3/US(WE)ID(Res)(i) dated 08 Sep 03 amended vide 25(01)/2014/US(WE)/D(Res) dated 04 Aug 14.

 

2. In all stations with ECHS polyclinics local medical stores/ chemists will be empanelled for supply of Not Available, emergent, life saving and essential drugs on as required basis. The empanelment of local medical stores/chemists will be done by a Board of Officers constituted by the Station Commander which will comprise the following

Chairman – SO ECHS/Col Rank officer detailed by Station Commander.
– Lt Col (Non Medical) detailed by Station Commander
– Jt Dir Hospital Services of Regional Centre concerned/ Medical Officer detailed by Station Commander
– Rep of LAO/ CDA

 

3. Actions by the Board.

(a) The Board of Officers will invite Tenders through advertisement in the local press and e-procurement portal from local medical stores/chemists for empanelment with ECHS Polyclinic. The tender enquiry will be based on same format as CGHS tender for Authorised Local Chemist with conditions suitably modified to suit local military requirements (CGHS tender format att as Encl 2).
(b) The Board will check the Technical parameters as per Tender Enquiry and will consider the price bids of only the technically qualified vendors. The Board will arrive at L 1 Vendor based on maximum overall amount of discount on MRP for all the drugs to be supplied with a minimum OR of 15%. Bids offering less than 15% overall Discount will be rejected. The tenderers will quote an overall discount figure irrespective of the quantity or number of individual drugs.
(c) The Board will consider parallel rate contract with L2 and L3 vendors and include their names in recommendation if those vendors agree to the L1 rates in writing.
(d) The Board of Officers will submit a recommended list of local medical stores/chemists to the Station Commander for approval.

4 Actions by Station Cdrs

(a) Constitute a Board of Officers for empanelment of local medical stores/chemists including CGHS authorised chemists. Due care is to be exercised in choice of Medical officer to avoid any conflict of interest. MOs/Spl posted to Ml-l of SEMO concerned to be avoided and MOI RMO of non medical units may preferably be detailed as JDl-lS of RC may be occupied in similar bds for other stns under AOR.
(b) Approval of recommended list of local medical stores/chemists submitted by the Board of Officers.
(c) All CGHS Authorised Chemists in the same city will be considered as deemed empanelled i.e need not participate in TE if the rates planned to be quoted are same as given for CGHS. They will give their contract discount documents for CGHS to the board, but will sign the contract with Stn Cdr provided the discount offered by them to CGHS is not less than that offered by L1 vendor of the TE. They have option to participate in the empanelment process and offer fresh quotes discounts at the TE Stage.
(d) The Contract will be signed with the approved local medical stores/chemists by Stn HQrs for a period of two years. The terms and conditions of Contract will be based on CGl-lS formats.
(e) The Officer in charge Polyclinic will after due verification authenticate the receipt of drugs/consumables and forward the consolidated bills by the 5th of the following month to the Stn HQrs.
(f) Stn Cdr will process the same for releasing payment with sanction of appropriate CFA.
(g) Payment: The payments on account of procurement of drugs and consumables from empanelled local chemists will be made from the cash assignments placed at the disposal of Station Commanders under Major Head 2076 Minor Head 107 Head 363/01. The payments will be effected by cheque/ electronic payment.
(h) Delegated financial powers as per Para 1 of Appendix to GOI letter No 24(3)IO3IlJS(WE)/D(Res)(i) dated 08 Sep 03 amended vide 25(01)12014/US(WE)ID(Res) dated 04 Aug 14 will be exercised by CFA. The delegated powers are enumerated in table below:

CFA (Station Commander) Financial Limit (without consultation) Fin Limits with IFA consultation
Lt Col/ Col Upto 1,00,000 -
Brig Upto 2,00,000 -
Maj Gen(Sub Area Commander/ COS Area HQ) Upto 3,00,000 -
Dy MD ECHS - Upto 5,00,000
MD ECHS - Upto 10,00,000
JS ESW - Upto 25,00,000
Secy ESW - Upto 25,00,000

(j) The monetary ceilings for expenditure irrespective of their Military or Non Military status are as follows:-

Type A & B Polyclinic : Rs 2.5 Lakh per month
Type C Polyclinic : Rs 1.5 Lakh per month
Type D Polyclinic : Rs 01 Lakh per month

Prior approval of MD ECHS will be required for any expenditure above this limit.
(k) The expenditure on account of local purchase of drugs and consumables from empanelled local medical stores/chemists will be monitored separately under the relevant revenue head.
(l) The records of polyclinic will be checked by a Boards of Officers detailed by the Station Commander.

5. Actions by Polyclinic : When an emergent/life saving/essentlal drug prescribed by the Medical Officer in the ECHS Polyclinic is not available as confirmed from the stock by the medical store of polyclinic and requirement of the same is essential for a patient, following procedure will be followed:-

(a) The Officer in charge Polyclinic will raise a demand to the empanelled local medical store/chemist. The demand will be supported by prescription(s) signed by the Medical Officer managing the case.
(b) On receipt of the demand the empanelled local medical store/chemist will supply the required drug to the Polyclinic within 24 hrs.
(c) The Bills for the drugs supplied will be forwarded by the empanelled local medical store/chemists monthly to the Officer in charge Polyclinic along with a copy of the demand raised by the Polyclinic.
(d) The Officer in charge Polyclinic will, after due verification, authenticate the receipt of drugs/consumables and forward the consolidated bills by the 5th of the following month to the Stn HQs.
(e) The Officer in charge Polyclinic will also certify on the consolidated bill that drugs demanded are emergent/life saving/essential drugs and are Not Available in the polyclinic medical stores neither a substitute! equivalent drug was available.
(f) Stn Cdr will process the same for releasing payment with sanction of appropriate CFA.
(g) The list of drugs and consumables indented from local chemists alongwith quantity indented
will be included in the next Emergent/ Normal polyclinic indent to SEMO.
(h) Monthly list of such drugs will be forwarded to SEMO for initiating procurement action by SEMO while forwarding the next demand.
(j) The Polyclinics will maintain a separate account for all purchases of this nature. All daily transactions will be maintained and particulars of patients who are issued the essential medicines will be recorded. The records will be checked by a Boards of Officers detailed by the Station Commander, and will be audited by Local Audit Officer (LAO) every quarter.

6. Funds required will be placed at the disposal of Station Commanders by Central Organisation ECHS. Due control shall be exercised by MOs/ Spll OiC Polyclinics and Stn Cdrs to ensure that the monthly limit is available to maximum patients and is not exhausted in procuring medicines for a few patients. Existing provisions for reimbursement of costlier medicines for the diseases specified in Para 6 of GOl/MOD letter No 24(8)IO3IUS(WE)ID(Res) dt 19 Dec 03 for a period of 23/30 days may also be explored to benefit maximum number of veterans.

 

7. Special Instructions to MOs/Spls of Polyclinics and Empanelled Hospitals.

(a) The demand for NA medicines will be supported by prescription signed by the Medical Officer! Spl of ECHS polyclinic managing the case. In all such cases. the Medical Officer / Spl will ensure that there ar e no other substitutes available in the Polyclinic medical store in lieu of the drug required. Branded drug will be prescribed with due medical justification only. Demands will not be signed by Para Medical/Dental Staff under only circumstances.
(b) As specified in MCI Ethics Rules, pharmacy of a polyclinic is not an open pharmacy but is meant as self dispensing of medicines prescribed by Medical Officers/ Doctors of polyclinic only. All other prescriptions issued by other consultants shall be rewritten by polyclinic doctor keeping in mind availability. patient’s condition and other drugs prescribed.
(c) Prescription of branded medicine by empanelled hospitals will have to be justified by treating Doctor and should be avoided as per National Policy. The AFV should also not insist on particular brand name of medicine if an equivalent is available in Polyclinic or supplied by Empanelled Local Chemists.

(IVS Gahlot)
Md
Dir (Med)
for MD ECHS

Source: ECHS

Be the first to comment - What do you think?  Posted by admin - October 3, 2017 at 7:38 am

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Government Employees responsible for Deletion of the name of an ineligible Dependent

Government Employees responsible for Deletion of the name of an ineligible Dependent

The undersigned is directed to state that in accordance with the definition of ‘family’ mentioned in Ministry of Health Memo. No. F.6(1) 1-54-H, dated the Ist May, 1954 the family of a beneficiary for the purpose of CGHS scheme includes husband/wife of the CGHS card-holder, as the case may be, wholly dependent children or step-children and parents, who are mainly dependent on and residing with the Government Servant. While it is incumbent upon the card issuing. Authorities, i.e. various departments and offices participating in the scheme, to ensure that the names of only genuine and eligible persons are included in the CGHS token cards, it is the responsibility of the employees concerned to apply for a deletion of the name of the dependent from the CGHS card, when the ward is no more entitled to the benefit eligible under the scheme. The failure on the part of a cardholder to get the name of a child deleted from the CGHS token-card when he is no more dependent on him is a good and sufficient reason for initiating disciplinary proceedings against him in terms of the CCS (CCA) Rules, 1965.

All Ministers/Departments of the Government of India are requested kindly to ensure that the above said provisions are complied with fully. These instructions may also be brought to the notice of all employees concerned.

Opting out of the C.G.H. Scheme

Spouse employed outside Central Government and availing Medical Facilities provided by his/her Employer

Central Government Servants covered under Central Govt. Health Scheme and whose spouse is employed in Defence or Railway Services, State Government or Corporations or Bodies financed partly or wholly by the Central or State Government, Local Bodies and private organizations which provide medical facilities to the employees and their family members, can opt out of the CGH Scheme and avail medical facilities so provided by the above mentioned organizations.

It is to be ensured that neither of the two nor their family members avail medical facilities from both the sources at the same time and for this purpose, the concerned Central Government employee shall give an undertaking to the authority issuing the CGHS Card.

Re-admission under CGHS after ‘opting out’

Such Government Servants, who have opted out of CGHS, may apply for readmission and avail the benefit of CGHS in case their spouse dies or resigns or is dismissed from the office/organization, which provided medical facilities.

Availability of ‘Opting Out’ Facility

The facility of opting out of CGHS can only be availed twice during the whole service career of the employee. Administrative Ministry/Department shall record the same by making an entry in the employee’s Service Book.

Be the first to comment - What do you think?  Posted by admin - September 8, 2017 at 5:33 pm

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Contribution for Life Time CGHS Card for Pensioners

Contribution for Life Time CGHS Card for Pensioners

LIFE TIME CARD : CGHS Card for Central Government Pensioners – Contribution as above depending on the Last grade pay at the time of retirement. Choice is with the individual. One can apply for Life time card by paying 10 years contribution together or one can apply for one year, two years etc. by paying for that applicable period.

The Plastic Cards (which are identity cards), would hereinafter be issued with validity till the pensioner beneficiary is entitled for CGHS benefits. In respect of pensioner CGHS beneficiaries, who have paid CGHS contribution for ‘Rest of Life’ CGHS facilities, the Plastic Cards would, hereinafter, be issued for ‘Rest of Life’.

The ownership of CGHS Card can be transferred in the name of spouse on submission of required documents.

No extra payment to be made, in case of life time cards.

However in other cases one has to pay 10 years subscription for life time card For example, if the spouse had contributed for seven years before he expired , balance payment for the remaining three years is to be paid for a life time card.

Be the first to comment - What do you think?  Posted by admin - at 5:25 pm

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CGHS General Hospital in Chennai as on 17.4.2017

List of Chennai CGHS Hospitals w.e.f. 17.4.2017


SL.

Name of the Hospital

Address and Telephone No.

Facilities Empanelled for
1 CSI KALYANI GENERAL HOSPITAL
NON NABH
NABL VALID UPTO 07.09.17
Notified on 17.11.2014
Extended upto 16.08.2017
15, DR.RADHAKRISHNAN SALAI, MYLAPORE CHENNAI-4
044-28473306
044-28475870
GENERAL PURPOSE INCLUDING DIALYSIS, LITHOTRIPSY, NEUROSURGERY, ORTHOPEADIC JOINT REPLACEMENT, GASTROENTROLOGY, AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
2 CSI RAINY MULTI SPECIALTY HOSPITAL.
NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.08.2017
45, G.A.ROAD, CHENNAI-21
044-40405050
044-25957668
GENERAL PURPOSE INCLUDING DIALYSIS, ONCOLOGY, NEUROSURGERY, ORTHOPEADIC JOINT REPLACEMENT, GASTROENTROLOGY, LAPROSCOPIC SURGERY AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
3 MIOT HOSPITALS LTD.
NABH VALID UPTO 18.05.17
NABL VALID UPTO 29.03.18
Notified on 17.11.2014
Extended upto 16.08.2017
4/112, MOUNT POONAMALLEE ROAD, MANAPAKKAM, CHENNAI-89
044-22492288
044-22491188 / 1155
GENERAL PURPOSE INCLUDING CARDIOLOGY, ONCOLOGY, DIALYSIS , LITHOTRIPSY, TURP, IOL, LAPAROSCOPIC SURGERY, JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
4 NOBLE HOSPITAL.
NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.08.2017
4, AUDIAPPA STREET, PURASAWALKAM, CHENNAI-84
044-40042222
044-26403300
Reinstated w.e.f. 28.04.2016
GENERAL PURPOSE, UROLOGY – INCLUDING DIALYSIS AND LITHOTRIPSY, ENDOSCOPIC SURGERY, ORTHOPEDIC SURGERY INCLUDING ARTHROSCOPIC SURGERY AND JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL
5 SOUNDARAPANDIAN BONE AND JOINT HOSPITAL AND RESEARCH INSTITUTE PVT. LTD.
NABH-12.01.15 to 11.01.18
NON NABL
Notified on 17.11.2014
Extended upto 16.08.2017
AA-16, 3RD MAIN ROAD, ANNANAGAR, CHENNAI-40
044-43407363
044-42066667
ORTHOPEDIC SURGERY INCLUDING ARTHROSCOPY AND JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
6 SUGAM HOSPITAL.
NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.08.2017
349, THIRUVOTRIYUR HIGH ROAD, THIRUVOTRIYUR, CHENNAI-19
Reinstated w.e.f. 27.07.2016
GENERAL PURPOSE INCLUDING LAPAROSCOPIC SURGERY, IOL IMPLANT, JOINT REPLACEMENT AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
7 FRONTIER LIFELINE HOSPITAL.
NABH : 09.09.16 – 08.09.19
NABL : 05.05.16 – 04.05.18
Notified on 17.11.2014
Extended upto 16.08.2017
R30-C, AMBATTUR INDUSTRIAL ROAD, MOGAPPAIR, CHENNAI-101
044-42017575
044-26564224
GENERAL PURPOSE INCLUDING CARDIOLOGY, CARDIO LOGICAL INVESTIGATION, CARDIO-THORACIC SURGERY AND VASCULAR SURGERY ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
8 PARVATHY ORTHO HOSPITAL PVT. LTD.
NON NABH
NON NABL
Notified on 17.11.2014
Extended upto 16.08.2017
241, GST ROAD, CHROMPET, CHENNAI-44
044-22382248
044-22383456
ORTHOPAEDIC SURGERY INCLUDING ARTHROSCOPIC SURGERY JOINT REPLACEMENT AND ALL OTHER FACILITIES

AVAILABLE IN THE HOSPITAL

9 Kauvery HCG Cancer Centre, Chennai.
NON NABH
Notified on 02.02.2015
Extended upto 16.08.2017
MBC TOWER, 199/90, MBC TOWERS, 5TH FLOOR, LUZ CHURCH ROAD, MYLAPORE, CHENNAI- 600 004
044-43419999
CANCER CENTRE AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
10 GLOBAL HEALTH CITY.(A unit of M/s. Ravindranath GE Medical Associates Private Limited)
NABH UPTO 26.10.16
NON NABL
Notified on 27.02.2015
Extended upto 16.08.2017
NO.439, CHERAN NAGAR, SHOLINGANALLUR

– MEDAVAKKAM ROAD, PERUMBAKKAM, CHENNAI-100
044-44777000
044-44777100

GENERAL PURPOSE INCLUDING CARDIOLOGY, ONCOLOGY, DIALYSIS, LITHOTRIPSY, ORTHOPEADIC

JOINT REPLACEMENT NEUROSURGERY, GASTRO-ENTROLOGY, LAPAROSCOPIC SURGERY AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.

11 K.K.R. ENT HOSPITAL AND RESEARCH INSTITUTE.
NON NABH
NON NABL
Notified on 27.02.2015
Extended upto 16.08.2017
827, POONAMALLEE HIGH ROAD, KILPAUK, CHENNAI-10.
044-26411444
044-26411987
ENT CARE AND ALL OTHER FACILITIES AVAILABLE.
Reinstated w.e.f. 13.05.2016
12 TRINITY ACUTE CARE
HOSPITAL.
NON NABH
NON NABL
Notified on 28.02.2015
Extended upto 16.08.2017
NO.33, DESIKAN ROAD, MYLAPORE, CHENNAI-4
044-24671166
044-24991488
044-24990880
GENERAL PURPOSE INCLUDING ONCOLOGY, DIALYSIS, LITHOTRIPSY, ORTHOPEADIC JOINT REPLACEMENT NEUROSURGERY, GASTROENTROLOGY, LAPAROSCOPIC SURGERY AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
13 VEE CARE HOSPITAL.
NON NABH
NON NABL
Notified on 28.02.2015
Extended upto 16.08.2017
NO. 106, PILLAYAR KOIL STREET, THIRUMANGALAM, JAWAHARLAL NEHRU SALAI, ANNANAGAR WEST, CHENNAI-40
044-39245454
044-39245455
GENERAL PURPOSE AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.
Reinstated w.e.f. 25.07.2016
14 BILLROTH HOSPITALS
NABH UPTO
03.05.2018 NABL from 26.10.2015 to 25.10.2017
Notified on 29.02.2016
43, LAKSHMI TALKIES ROAD, SHENOY NAGAR, CH – 30. GENERAL PURPOSE AND ALL OTHER FACILITIES AVAILABLE IN THE HOSPITAL.

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Opening of a Central Government Health Scheme, wellness Centre (allopathic) at Agartala

Opening of a Central Govt. Health Scheme, wellness Centre (allopathic) at Agartala

GOVERNMENT OF INDIA
Ministry of Health and Family Welfare
Office of the Additional Director,
Central Govt. Health Scheme
Nongrim Hills: Shillong – 793 003

No. CGHS/ESTT/RECTG/61/1089-99

Dated: Shillong, the 28th July, 2017.

NOTIFICATION

Sub: Opening of a Central Govt. Health Scheme, wellness Centre (allopathic) at Agartala

This is for information to all eligible Central Govt. employees/ pensioners and other stake holders that, a Central Govt. Health Scheme (CGHS) Wellness Centre sanctioned vide Govt. of India, Min. of Health & Family Welfare, CGHS (P) Division Order No. S.11045/1/2013/HEC, New Delhi dated 17 th November 2014 will be functioning by 1st of August 2017 at quarter no. T/V/1, Kunjaban Extension, New Capital Complex, Agartala to provide comprehensive medical facilities.

The scheme will cover the Agartala city and all eligible Central Govt. employees and their dependent family members, Central Govt. pensioners and their dependents and others eligible as per CGHS guideline residing in Agartala city.

The beneficiaries will be able to avail the CGHS facilities through the Wellness Centre during the office hours i.e. from 7:30 am to 02:00 pm in all working days except Sundays & holidays.

To,

1. The CMO I/C, CGHS WC Agartala – for necessary action
2. The Chairman, CGEWCC, Agartala – for wide circulation to all eligible Central Govt. offices
3. The Secretary, Central Govt. Pensioners’ Association, Agartala

Additional Director
CGHS, Shilong

Copy to:-

– PPS to AS&DG, CGHS, MOH&FW, Nirman Bhawan, New Delhi
– PS to Director, CGHS, MOH&FW, Nirman Bhawan, New Delhi
– The Addl. DDG (HQ), CGHS, MOH&FW, Nirman Bhawan, New Delhi
– The Additional Directors, CGHS of all cities
– The Nodal Officer, MCTC, CGHS Wellness Center Building, Kalibari New Delhi 110001 – with request for uploading in CGHS website.
– The Director Health Services, Agartala
– Local newspaper of Agartala – for publication

cghs-wellness-centre-at-agartala

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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

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Extension of CGHS facilities to the pensioners of post and  Telegraph Department

Extension of CGHS facilities to the pensioners of post and  Telegraph Department

No.S-11016/2/2015-CGHS(P)/EHS
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
CGHS(P)/EHS

Nirman Bhawan, New Delhi 110011
Dated the 19th July, 2017

OFFICE MEMORANDUM

Subject:- Extension of CGHS facilities to the pensioners of post and  Telegraph Department

With reference to the above mentioned subject the undersigned is directed to draw attention the Memorandum No.S-11011/46/95-CGHS D-II/CGHS(P) dated 1st August 1996 and state it has now been decided to revoke OM dated 1.8.1996, in  compliance of the Orders of Hon’ble Central Administrative Tribunal, Ernakulam Bench dated 12th  July 2005 in O.A.N0. 563/2004 and 590/2004 and dated 01.06.2017 in C.P/180/21/2017 arising aut of OA No.180/563/2004 between Central Government Pensioners’ Association (Kerala) and Ors. Vs UOI & Others.

2. The retired employees of Post and Telegraph Department shall hereinafter, be entitled to  the CGHS facility, irrespective of whether they were members of CGHS prior to retirement or  not, subject to the payment Of prevalent subscription for availing themselves of this facility as  per rules as in the case of other Central Government pensioners.

3.  This issues with the approval of the Competent Authority.

(Sunil Kumar Gupta)
Under Secretary to Government of India

Source: Confederation

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Grant of Fixed Medical Allowance (FMA)to the Central Government Pensioners residing in areas not covered under CGHS

Grant of Fixed Medical Allowance (FMA) to the Central Government Pensioners residing in areas not covered under CGHS

No.4/34/2017-P&PW(D)
Government of India
Ministry of Personnel, Public Grievances & Pensions
(Department of Pension & Pensioners’ Welfare)

3rd Floor. Lok Nayak Bhawan,
Khan Market, New Delhi-110 003,
Dated the 19th July, 2017

OFFICE MEMORANDUM

Subject: Grant of Fixed Medical Allowance (FMA) to the Central Government Pensioners residing in areas not covered under CGHS.

The undersigned is directed to say that at present Fixed Medical Allowance (FMA) is granted to the Central Government pensioners/family pensioners residing in areas not covered under Central Government Health Scheme administered by the Ministry of Health & Family Welfare and corresponding health schemes administered by other Ministries/Departments for their retired employees for meeting expenditure on their day-to-day medical expenses that do not require hospitalization. Orders were issued vide this Department’s O.M. No. 4/25/2008-P&PW(D) dated 19-11-2014 for enhancement of the amount of Fixed Medical Allowance from Rs. 300/- to Rs. 500/- per month w.e.f. 19.11.2014.

2. Consequent upon the decision taken by the Government on the recommendations of the 7th Central Pay Commission on Allowances (with modifications), sanction of the President is hereby conveyed for enhancement of the amount of Fixed Medical Allowance from Rs.500/- to Rs.1000/- per month. The other conditions for grant of Fixed Medical Allowance shall continue to be as contained in this Department’s OMs No.45/57/97-P&PW(C) dated 19.12.1997, 24.8.1998, 30.12.1998, 18.8.1999 and OM No.4/25/2008-P&PW(D) dated 19.11.2014.

3. These orders will take effect from 01.07.2017.

4. In their application to the persons belonging to the Indian Audit and Accounts Department, these orders issue in consultation with the Comptroller and Auditor General of India vide their UO No. 169-Staff (Rules)/A.R/Ol-2016 dated 18.07.2017.

5. These orders are issued with the concurrence of the Ministry of Finance (Deptt. of Expenditure) vide their OM No. 11-1/2016-IC dated 11.07.2017.

6. Hindi version will follow.

sd/-
(Sanjay Wadhawan)
Deputy Secretary to the Govt. of India

Click to view the order

Authority: http://www.pensionersportal.gov.in/

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Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

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

Nirman Bhawan, New Delhi 110 011
Dated the 11th July, 2017

OFFICE MEMORANDUM

Subject: – Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

With reference to the above mentioned subject the undersigned is directed to convey the approval of competent authority for special provisions under CGHS to the beneficiaries aged 80
years and below.

a) Consultation of Doctor at CGHS Wellness Centre without standing in Queue

b) CGHS Doctors shall enquire by phone, at least once in a month to enquire about their well being / make a home visit if residing within 5 K.M.s of CGHS WC

c) Settlement of medical claims on priority out of turn

d) Follow up treatment from same specialist in non-empanelled hospital from where he/she was earlier taking treatment- as a special case in view of advanced age and to difficulty to change physician subject to the reimbursement limited to CGHS rates and collection of medicines as per CGHS guidelines.

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

Authority: http://cghs.gov.in/

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ECHS 2017 – Empanelment of Hospitals, Diagnostic Centres and Nursing Homes

ECHS 2017 – Empanelment of Hospitals, Diagnostic Centres and Nursing Homes

ECHS 2017 – Latest List of 189 Private Hospitals and Nursing Homes for Different Specialities

EMPANELMENT OF HOSPITALS/NURSING HOMES AND DIAGNOSTIC CENTRES

Central Organisation, ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry of Defence (Army)
Maude Lines
Delhi Cantt- 110 010

06 June 2017

B/49771/AG/ECHS/Emp

IHQ of MoD (Navy)/Dir ECHS (N)
Air HO (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)
All Regional Centre ECHS

EMPANELMENT OF HOSPITALS/NURSING HOMES AND DIAGNOSTIC CENTRES

1.Refer Govt Of India. Min of Def letter NO 22B (03)2017-WE/D(Res-I)dated 02 Jun 2017 (Copy enclosed and softcopy is also uploaded in ECHS website on www.echs.gov.in).

2.Regional Centres will initiate action to complete the formalities required for empanelling hospitals approved for empanelment vide letter under reference. A Memorandum of Agreement (MOA) Will be signed with each of the Hospital by the Director, Regional Centre ECHS concemed. The MOA will be made on Rs 100/- (Rupees one hundred only) non judicial stamp paper and will be valid for two years from the date of signing of the agreement. The payment for the stamp paper will be made by the empanelled facility. The following documents will be attached to MOA as Annexures:-

(a) Health facilities for which recognised. (Copy of Annexure of Govt letter pertaining to hosp).

(b) Negotiated Rates (only one rate per code No. as a pplicable to the medical facility will be mentioned and negotiated rated would be lower than CGHS rates).

3. Rates applicable will be as per prevalent CGHS rates/negotiated/existing hospitals rates whichever is lower (to be indicated by asterix

Disposal of Application Forms and MOA

4. Application forms in respect of the Hospitals approved for empanelment by DoESW of MOD will be retumed by the Central Organisation, ECHS to the Regional Centres concerned from where they originated.

5.The application forms will be stored in safe custody Of Regional Centres_ The application form will NOT be destroyed for two years after termination Of the period of validity of the MOA.

6. The original and duplicate copies of MOA will be retained by the Regional Centres and the empanelled facility respectively. Additional photocopies Of MOA alongwith Annexures including rates will be forwarded/distributed as under:-

(a) Central Organisation ECHS.

(b) Concerned Area ! Sub Area f Independent Sub Area.

(c) Concerned SEMOs.

(d) Concerned Polyclinics.

(e) Concerned CDAs.

Referrals

7.Formal referrals to empanelled facilities as per laid down procedures can commence after signing of the MoA.

(IVS Gahlot)
Col
Dir(Med)
for MD ECHS

Authority: http://echs.gov.in/

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EMPANELMENT OF HOSPITALS/ NURSING HOMES AND DIAGNOSTIC CENTRES FOR ECHS

ECHS 2017 – Latest List of 189 Private Hospitals and Nursing Homes for Different Specialties
EMPANELMENT OF HOSPITALS/ NURSING HOMES AND DIAGNOSTIC CENTRES FOR ECHS

No.228(03)/2017-WE/D(Res-1)
Government of India
Ministry of Defence
Dept of Ex-Servicemen Welfare

 

New Delhi the 2nd June, 2017

OFFICE MEMORANDUM

The Managing Director
Central Organisation, ECHS
Maude Line, Delhi Cantt

Subject :- EMPANELMENT OF HOSPITALS/ NURSING HOMES AND DIAGNOSTIC CENTRES FOR ECHS

1. I am directed to state that in terms of the provisions of Govt of India, Ministry of Defence letter No. 22B(04)/2010/US(WE)D(Res) dated 18 Feb 2011 and 22B(02)/2013/US(WE)D(Res) dated 18 Oct 2013, it has now been decided by the 10th Screening Committee for empanelment of Medical facilities with ECHS in its meeting held on 10 Mar 2017 under the chairmanship of MD ECHS to empanel 189 Private Hospitals/Nursing Homes and Diagnostic Laboratories for different specialities and procedures as per the list attached in the Annexure:-

2. All the terms and conditions including fixation of rates payable to empanelled hospitals will be regulated under Govt of lndia, Ministry of Defence letter No.228(O4)/2010/US(WE)/D(Res) dated 18 Feb 2011 and amended from time to time.

3. The rates for ECHS Hospital/Nursing Home, Dental Centres and Diagnostic Centres as approved by the Empowered Committee will be as per CGHS rates and will be notified by the Director, Regional Centre ECHS to all concerned including Polyclinics, SEMDs, CDA/PCDA and Central Organisation ECHS.

4. Empanelment of CGHS empanelled hospitals is subject to the hospital providing proof of its being a CG HS empanelled facility as on the date of signing MoA with ECHS.

5. CGHS empanelled medical facilities will be empanelled with ECHS for the period for which the facilities hold valid MoA with CGHS. The MoA will be extendable once CGHS renew the MoA with the medical facilities.

6. NABH accredited medical facilities will be empanelled with ECHS for the period of validity of NABH certificate and the MoA will be renewed once the medical facility is issued revalidation/renewed NABH certificate.

7. This issues with the concurrence of Ministry of Defence (Finance) vide their U.O. No. 34(05)/2010 dated 2.6.2017.

sd/-
(AK Khan)
Under Secretary to the Govt of India

Authority: http://echs.gov.in/images/pdf/med/med164.pdf

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ECHS Order: Empanelled Hospital Claims- Ophthalmic procedures

ECHS Order: Empanelled Hospital Claims- Ophthalmic procedures

Empanelled Hospital Claims- Ophthalmic procedures

Central Organisation,ECHS
Adjutant General’s Branch
Integrated Headquarters
Ministry Of Defence(army)
Maude Lines
Delhi Cantt – 110010

B/49773/AG/ECHS/Rates/Policy

18th May 2017

UTI-ITSL
15533/1, Above Farico Show Room
1st Floor, Old Madras Road
Halasuru, Bangalore,
Karnataka – 560008

EMPANELLED HOSPITAL CLAIMS : OPHTHALMIC PROCEDURES

1. It has been noted with concern while scrutinizing claims of an Eye Centre that ECHS had been billed more than the hospital rates. It was also observed that for ocular investigations the hospital was billing ECHS at twice the CGHS rates (stating that the CGHS rates are for one eye). It has been clarified the CGHS rates for Ophthalmology investigations are for both eyes unless specified”.

2. As per provisions of MoA and para 4(b)(x) of Gol MoD letter NO.24(8)/03/US(WE)/D(Res) dated 19 Dec 2003, the hospital cannot bill ECHS more than the hospital rates. It should be ensured by Regional Centre’s that the rate list of the hospital is taken whenever MoA is being renewed. The rate list attached with MoA should not have a rate more than CGHS rate/Hospital rate. wherever the hospital rate is below CGHS rate it should be reflected with an asterisk (*) on the rate list attached with MoA.

3. BPA to check the claims of such hospital (including settled claims) which have not been processed correctly and the excess amount paid post implementation of CGHS 2014 rates if any would be recoered from the pending claims of the hospitals.

4. The RCs are directed to ensure no additional charges/extra charges than CGHS/ECHS or actuals whichever is less to be paid to the hospital. It is also requested RCs to accordingly review the pending claims (i.e not settled claims) of the hospitals not restricted to ophthalmic claims and those with observations be returned to BPA for correct processing.

5. Please ask.

Sd/-
(IVS Gahlot)
Col
Dir (Med)
for MD ECHS

Source: [Document Click here to download]

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Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts

Reimbursement of Medical Claims to Pensioners under CS(MA) Rules 1944 as directed by various CATs and Courts

No. 5.14025/23/2013-MS.EHSS
Government of India
Ministry of Health and Family Welfare
Department of Health and Family Welfare

Nirman Bhavan, New Delhi
Dated the 29 September, 2016

OFFICE MEMORANDUM

Sub:- Reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts – Regarding.

The undersigned is directed to state that various references are being received in Ministry of Health and Family Welfare on the above mentioned subject. it is hereby clarified that CS (MA) Rules, 1944 are not applicable to pensioners till date.

2. It is further informed that the following options to avail medical facilities are available to Central Government pensioners:

a) Pensioners residing in CGHS covered areas:

1) They can get themselves registered in CGHS dispensary after making requisite contribution and can avail both OPD and IPD facilities.

2). Pensioners residing in CGHS areas cannot optout cf CGHS and avail anyother medical facility {i.e. Fixed Medical Allowance). Such pensioners, if they do not choose to avail CGHS facility by depositing the required contributions, cannot be granted Fixed Medical allowance in lieu of CGHS.

b) Pensioners residing in non – CGHS areas:

1). They can avail Fixed Medical Allowance (FMA) @ Rs.500/- per month

2) They can also avail benefits of CGHS- [OPD and IPD] by registering themselves in the nearest CGHS “city after” making the required subscription.

3) They also have the option to avail FMA, for OPD treatment and CG HS for IPD treatments after making the required subscriptions as per CGHS guidelines.

3. In view. of the above, reimbursement of medical claims to pensioners under CS (MA) Rules, 1944 as directed by various CATS/Courts, need not be referred to the Ministry of Health and Family Welfare. The respective Administrative Department/Ministry may take their own decision in this regard.

4. Further, all Departments/Ministries are requested to intimate their employees proceeding for retirement regarding the above options for medical facilities available to the Central Government pensioners.

5. This issues with the approval of competent authority.

(SUNIL KUMAR GUPTA)
UNDER SECRETARY TO THE GOVT. OF INDIA

Source: [CGHS.GOV.IN]

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