Revision of Ceiling Rates for Stainless Steel Bare Metal Coronary Stents for CGHS/CS(MA) beneficiaries.

F. No. Misc. 1002/2006/CGHS(R&H)/ 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 7th February, 2013.

OFFICE MEMORANDUM

Subject: Revision of Ceiling Rates for Stainless Steel Bare Metal Coronary Stents for CGHS/CS(MA) beneficiaries.

   With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum of even No. dated 31.10.2011 and to state that the ceiling rates for reimbursement of Stainless steel bare metal coronary stents for CGHS/ CS(MA) beneficiaries as mentioned at para (1) (2) (i) of the said order are hereby revised and the new ceiling rates for reimbursement to CGHS/CS(MA) beneficiaries are fixed as under:-

STAINLESS STEEL BARE METAL CORONARY STENTS - Rs.10, 000/-

   Reimbursement to beneficiaries /empanelled hospitals shall be limited to ceiling rate or as per actual, whichever is lower.

   2. The revised rates shall come into force from the date of issue of this OM and shall be in force till further orders.

   3. Revised rates in respect of other categories of stents will be issued separately and other conditions as mentioned in the OM dated 31.10.2011 shall continue to be in force till further orders.

   4. This issues with the concurrence of Integrated Finance Division vide Note dated 20/12/2012 of AS & FA.

sd/-
[RAVI KANT]
Under Secretary to the Government Of India

Source:http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File566.pdf

Guidelines & Ceiling Rates for Liver Transplant Surgery in respect of CGHS / CS(MA) beneficiaries

F.No.S-14025/3/2010-MS/CGHS (P) 
Government of India 
Ministry of Health & Family Welfare 
Department of Health & Family Welfare

Nirman Bhawan, New Delhi 
Dated the 16th January, 2013

OFFICE MEMORANDUM

Subject :- Guidelines & Ceiling Rates for Liver Transplant Surgery in respect of CGHS / CS(MA) beneficiaries

   With reference to the above mentioned matter the undersigned is directed to state that the Ministry of Health and Family Welfare has been receiving requests from the Central Government employees and pensioners covered under CGHS / CS(MA) Rules, 1944 seeking approvals for Liver Transplantation surgery in respect of themselves and their eligible family members under CGHS / CS(MA) Rules. The Ministry has been examining these proposals on case to case basis for allowing the medical treatment to the beneficiaries on merits. In view of the increasing number of cases, the matter has been reviewed by this Ministry and it has now been decided to issue guidelines and ceiling rates for permission / reimbursement for Liver Transplant Surgery in respect of CGHS / CS (MA) beneficiaries as per the details mentioned below: -

Regarding tests/investigations at private hospitals/diagnostic laboratories/imaging centres empanelled under CGHS.

S-11045/40 /2012/CGHS/HEC/CGHS (P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 15th January, 2013

OFFICE MEMORANDUM

Subject: - Regarding tests/investigations at private hospitals/diagnostic laboratories/imaging centres empanelled under CGHS.

   The undersigned is directed to refer to the Office Memorandum of even no. dated 1st January, 2013 on the above subject and to further lay down the procedure for getting the diagnostic tests / investigations carried out at the CGHS empanelled private hospitals/diagnostic laboratories / imaging centres on a valid prescription issued by a CGHS Medical Officer / Government Specialist, without a referral / permission letter from the Department concerned or CMO-in-charge of CGHS Weliness Centre, as the case may be.

   2. The CGHS empanelled private hospitals / diagnostic laboratories / imaging centres shall perform the investigations / diagnostic tests as prescribed by the CGHS Medical Officer / Government Specialist on cashless basis to the CGHS pensioner beneficiaries, ex-MPs, freedom fighters and other eligible categories of CGHS beneficiaries, who are presently eligible for credit facility, at CGHS approved rates, only in respect of the tests / investigations for which CGHS rates are available.

Regarding investigations at private hospitals / diagnostic laboratories/ imaging centres empanelled under CGHS.

S-11045/40/2012/CGHS/HEC/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 1st January, 2013.

OFFICE MEMORANDUM

Sub: - Regarding investigations at private hospitals / diagnostic laboratories/ imaging centres empanelled under CGHS

   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 investigations at private hospitals / diagnostic laboratories / imaging centres empanelled under CGHS. The matter has been examined and with a view to alleviate the inconvenience to CGHS beneficiaries in obtaining requisite permission for undergoing investigations at CGHS empanelled private hospitals / diagnostic laboratories / imaging centres, it has now been decided that CGHS beneficiaries shall herein after be allowed to undergo investigations at private hospitals /diagnostic laboratories / imaging centres empanelled under CGHS after specific investigations have been advised by a CGHS Medical Officer or a Government Specialist without requirement of any other referral(permission) letter.