CGHS Facilities

Press Information Bureau
Government of India

   CGHS Facilities

   CGHS is basically providing the dispensary services through its Wellness Centres manned by the General Duty Medical Officers. However, CGHS also provides the services of medical specialists through the Polyclinics and Central Government hospitals. In addition, the CGHS medical specialists also visit designated dispensaries on stipulated days in each week to provide medical consultation to the beneficiaries. Due to shortage of specialists in CGHS it is practically not feasible and financially viable to provide Specialist facilities in each CGHS Wellness Centre. Moreover, CGHS is also engaging contractual specialists against the vacant posts of specialists to provide the medical consultation services to its beneficiaries. CGHS has a dedicated wing of specialists at the Safdarjung Hospital, New Delhi for its beneficiaries. The CGHS beneficiaries are also allowed to consult specialists at Dr. RML Hospital and other Government hospitals in NCR in respective specialties. In addition, CGHS has empanelled a large number of private hospitals to provide inpatient medical care to its beneficiaries on the advice of Government specialists.

INDEMNITY BOND FOR SETTLEMENT OF DUPLICATE HOSPITAL BILLS

   We, hereby give an undertaking that the original bills of hospital / diagnostic lab / imaging centre, the ID Nos. of which are appended are said to have been destroyed in a fire accident that took place on 11.08.2013 at UTI-ITSL New Delhi office and that we are now submitting the print outs of scanned copies of the above referred original documents/bills for consideration of payment.

   We also hereby give an undertaking that no claim shall be made against original documents / bills, of which printouts of the scanned copies are submitted herewith and we agree to indemnify against any loss that may be caused to CGHS due to final settlement of these claims on the basis of printouts of scanned documents/bills and this indemnity bond. We further give an undertaking that if original bill(s) is /are found, no claim shall be made against the same and that in the event of any inadvertent payment received against original bills in future, we agree to indemnify against any loss that may have been caused to CGHS due to final settlement of these claims.

Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

GOVERNMENT OF INDIA
MINISTRY OF HEALTH & FAMILY WELFARE
OFFICE OF THE ADDITIONAL DIRECTOR
CENTRAL GOVT. HEALTH SCHEME
1544/A NAPIER TOWN
JABALPUR

No.6-8/13-Estt/CGHS/JBP/ 2101-13

Dated:-24.07.2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eve care centres) & Imaging Centre under CGHS Jabalpur.

   In reference to (I) the Ministry of Health & F.W. O.M. No. S.11011/23/2009-CGHS D.II/ Hospital Cell(Part IX) dated 14.02.2013 vide which the 'Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived and (ii) Dte. General of CGHS Office Order No. S.11045/23/2013/CG HS D-ll(HEC)/CGHS(P)/(Pt.) dated 15.07.2013, vide which powers for empanelment & issuance of notifications have been delegated to all the ADs/JDs in respect of their respective CGHS cities, a list of additional private hospitals (including dental clinics and eye centres) and Imaging Centre has been finalized for a period of one year from the date of issue of this O.M. or till the next new empanelment, whichever is earlier. This list has been finalized after following the due process and terms & conditions as laid down in the O.M. dated 14.02.13 as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010/2011 and subsequent orders.

Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
CGHS Division

No. S-11030/4/2013-CGHS (P)
Dated the 13th September, 2013

OFFICE MEMORANDUM

Sub: Suspension of empanelment of 'Saket City Hospital, New Delhi' from the list of Hospitals / Centres empanelled under CGHS - reg.

   The undersigned is directed to state that CGHS has empanelled private hospitals in various CGHS covered cities to provide inpatient healthcare facilities to its beneficiaries. Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospital on mutually agreed terms and conditions.

Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

GOVERNMENT OF INDIA
Ministry of Health & Family Welfare
(CENTRAL GOVT HEALTH SCHEME)

O/O ADDITIONAL DIRECTOR, CGHS, CKANDIGARI4
4th floor, Kendriya Sadan
SECTOR-9A, CHANDIGARH—160009
No: AD/CGHS/CHD/RMRCB/20l3/4879 - 4908

Tele Nos: (0) 0172-2740716
AD Fax No.0172 —2740555
Dated: 30.08.2013

OFFICE MEMORANDUM

Subject : Notification of fresh empanelment of Private Hospitals & Diagnostic Centers under Contentious Empanelment Scheme of CGHS, Chandigarh.

   In response to Ministry of Health & Family Welfare, Govt. of India, Nirman Bhawan, New Delhi’s O.M No. S.11011/23/2009—CGHS D.II/Hospital Cell (Part IX) dated 14.02.2013 & letter No. S.11045/23/2013/CGHS D.II (HEC)/CGHS(P)/Pt) dated 15.07.2013 for continuous fresh empanelment of private hospitals & diagnostic centers for city of Chandigarh, a committee consisting of two senior most CMOs headed by undersigned and selected the private hospitals & diagnostic centers for Chandigarh. The qualified list of Hospitals & Diagnostic Centers is according to category and purpose attached as Annexure “I” with this O.M.

Service Provided by CGHS.

This Ministry has been receiving complaints/grievances in respect of the following major aspects.
 
   1.Administrative:- Misbehavior by medical and paramedical staff, Shortage of staff,  Punctuality etc.
 
   2. Technical:- Delay in settlement of medical reimbursement claims (MRCs),  Supply of substitute medicines instead of the prescribed by the Govt. specialists, Delay in supply of indented medicines, etc.
 
   3. Related to empanelled hospitals:
Denial of credit facility, Misbehavior of hospital doctors/staff, overcharging, etc.
 
   4. Related to Internet accessibility
Disruption in services due to breakdown in internet connectivity,  etc.
 
To redress the grievances/complaints, the following steps have been taken:

Computerization in Central Government Health Scheme (CGHS).

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED  QUESTION NO 1691
ANSWERED ON   16.08.2013
COMPUTERIZATION IN CGHS

1691 . Shri RAJAGOPAL LAGADAPATI

Will the Minister of HEALTH AND FAMILY WELFARE  be pleased to state:-

(a) whether all the allopathy and AYUSH dispensaries/hospitals under Central Government Health Scheme (CGHS) in the country have been Computerized

(b) if so, the details thereof and if not, the reasons therefor, dispensary/hospital wise;

(c) the time by which the remaining dispensaries/hospitals are likely to be computerized;

(d) whether the beneficiaries can avail the facilities of CGHS from anywhere in the country;

(e) if so, the details thereof and if not, the reasons therefor; and

Empanelment of private hospitals (including dental clinics and eye care centres) and diagnostic centres under CGHS, DELHI & NCR.

No: S.11045/23/2013-CGHS D.II/HEC/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 30th April, 2013

OFFICE MEMORANDUM

Subject: Empanelment of private hospitals (including dental clinics and eye care centres) and diagnostic centres under CGHS, DELHI & NCR

   The undersigned is directed to invite reference to this Ministry's Office Memorandum No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part IX)dated 14.02.2013, vide which the `Continuous Empanelment Scheme' for private hospitals and diagnostic centres under CGHS was revived with a view to empanel more such facilities for the CGHS beneficiaries. Accordingly, after following the due process, a list of private hospitals (including dental clinics and eye centres), diagnostic centres and imaging centres has been finalised as per the terms and conditions laid down in the O.M. referred to above as well as signing of MOA and execution of Performance Bank Guarantee by them signifying acceptance of the terms and conditions of empanelment and rates notified under CGHS in 2010 and in OM No. Misc.1002/2006/CGHS(R&H)/ CGHS (P) dated 07.02.2013.

    2. The enlisted hospitals (including dental clinics and eye centres), diagnostic laboratories and imaging centres, which were already on the panel of CGHS, Delhi & NCR as on 31.03.2013 shall deem to be empanelled under CGHS, Delhi & NCR w.e.f. 01.4.2013 for a period of one year or till next new empanelment, whichever is earlier.

   3. The other new hospitals (including dental clinics and eye centres), diagnostic laboratories and imaging centres, as per the list enclosed, are empanelled for a period of one year from the date of issue of this Office Memorandum or till the next new empanelment, whichever is earlier,

   4. This Office Memorandum and the rates applicable under CGHS for hospitals (including dental clinics and eye centre), diagnostic laboratories and imaging centres can be downloaded from the website of CGHS, http://msotransparent.nic.in/cghsnew/index.asp.

Sd/-
[V.P.SINGH]
Deputy Secretary to the Government of India

Click here To See the Latest List of Empanelment of private hospitals and diagnostic centres under CGHS, DELHI & NCR as on 31.03.2013

Promotion Scheme for CGHS Homoeopathic and Unani Doctors.

   As per the 5th Central Pay Commission’s recommendation, career progression had been granted to the ISM&H (Indian Systems of Medicine & Homeopathy) Physicians possessing the medical qualifications approved by the Central Council for Indian Medicines/Central Council of Homoeopathy on the pattern available to the Allopathic doctors//General Duty Medical Officers of Central Health Service (CHS).

   According to the Recruitment Rules for Chief Medical Officer (Non Functional Selection Grade), Union Public Service Commission has to conduct the Departmental Promotion Committee (DPC) process for promotion to this grade. In respect of the Unani Doctors, the CMO (NFSG) grade has already been granted to 8 eligible Unani doctors. In respect of Homoeopathic doctors, UPSC has asked for certain information / documents in respect of the officers under consideration.

   This information was given by the Minister for Health & Family Welfare Shri Ghulam Nabi Azad in written reply to a question in the Rajya Sabha today.

PIB

Regarding empanelment of Kalra Hospital, Kirtinagar, New Delhi under CGHS, Delhi.

No: S. 11031/03/2012-13 / CGHS (HEC)/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 9th April 2013

OFFICE MEMORANDUM

Subject: Regarding empanelment of Kalra Hospital, Kirtinagar, New Delhi under CGHS, Delhi

   With reference to the above mentioned matter the undersigned is directed to draw attention to the Office Memorandum of even number dated 18.12.2012 vide which Kalra Hospital, Kirtinagar, New Delhi was removed from the list of empanelled hospitals under CGHS, Delhi till further orders. In response to the representations received, an inspection of Kalra Hospital, Kirtinagar, New Delhi was carried out on 20.03.2013 by a team of officers led by Addi. Director, CGHS(HQ) to ascertain whether the deficiencies pointed out in the earlier inspection were rectified or not.

   2. Based on the findings of the inspection report, empanelment of the above hospital under CGHS has been restored, initially for a period of six months for all available facilities w.e.f. the date of issue of this Office Memorandum on the same terms and conditions on which the hospital was empanelled under CGHS prior to 18.12.2012,.

Sd/-
[V.P.Singh]
Deputy Secretary to Government of India

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File592.pdf

Removal of Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi-110063 — regarding.

No: S.1107824/2013/ CGHS (HEC) /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 April 5, 2013

OFFICE MEMORANDUM

Subject: Removal of Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi-110063 — regarding.

   With reference to the above mentioned subject the undersigned is to draw attention to No S 11011/23/2009/CGHS DII / Hospital Cell (part I) dated 7.10.2010 vide which Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi was empanelled under CGHS,Delhi and to state that Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi has conveyed its unwillingness to continue its empanelment under CGHS. The matter has been examined by this Ministry and it has been decided that Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi shall stand removed from the list of empanelled hospitals under CGHS, Delhi with immediate effect.

  2. It is further stated that Sri Balaji Action Medical Institute, FC-34, A-4, Paschim Vihar, New Delhi shall however, complete the treatment of CGHS beneficiaries already admitted in the hospital for treatment at CGHS rates.

   3. Action Cancer Hospital,H-2/FC-34, A-4, Paschim Vihar, New Delhi shall however,continue to be on CGHS panel.

   This Office Memorandum comes into effect from the date of issue.

Sd/-
[Ravi Kant]
Under Secretary to Government of India

Source:http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File589.pdf

CGHS Facilities Enchanced for PIB Accredited Media Persons.

   CGHS Facilities Enchanced for PIB Accredited Media Persons

   The Government of India has liberalized the Central Government Health Scheme (CGHS) facilities for PIB accredited media persons. All facilities available to the PIB accredited journalists will now also be available to their eligible dependent family members.

   The Ministry of Health & Family Welfare has streamlined the procedure making it easier for media persons to avail of facilities in empanelled private and Government hospitals. Media persons can now get OPD consultation from any Government hospital and procure the medicines through the concerned CGHS Wellness Centres. Media persons can also get treatment at any of the empanelled hospitals on the basis of the CGHS card issued to them. Empanelled hospitals will charge only the CGHS rates for the facilities for which they are empanelled.

   The necessity of permission letter for investigations has been done away with and CGHS beneficiaries can get investigations done at empanelled diagnostic labs on the basis of advice of CGHS doctors/Government specialists. The Ministry has already issued orders in this regard on 1.1.2013. However, journalists will have to pay for the investigations at the CGHS rates and no reimbursement is permitted. Under these rules, the journalists can also go to any empanelled hospital during any emergency.

Procurement of Medicines Under CGHS.

  Procurement of Medicines Under CGHS

   Conventional budgeting system is adopted for anticipating demand and planning procurement of medicines and stores for different systems of medicine under CGHS. Demand is ascertained on the basis of past experience of consumption of different medicines and source of supply is selected as per predetermined policy which inter alia includes direct procurement from manufacturers through a tender process. Proprietary medicines are procured from manufacturer /suppliers under rate contracts. Allopathic medicines are procured through Medical Stores Organization (MSO) and Medical Stores Depot (MSD), CGHS. Medicines are also procured through Authorized Local Chemists in case of non-availability of prescribed medicines in CGHS stores.

   For procurement of medicines under other systems of medicines similar system is followed. However, bulk purchases of Ayurvedic and Unani medicines are made from Indian Medicines Pharmaceutical Corporation Limited (IMPCL), a wholly owned Government of India undertaking under the Department of AYUSH, at the rates determined by the Department of Expenditure. Homeopathic medicines are also procured through tender process and Local Chemists.

   IMPCL supplies Ayurvedic, Unani Medicines to CGHS as per orders placed with them. The demand for Ayurvedic and Unani medicines are increasing day by day, and accordingly, the Government approved the capacity expansion and modernization project of IMPCL in 2010-11 and released share capital of Rs. 34 Crore.

   This information was given by the Minister of Health & Family Welfare, Shri GhulamNabi Azad,in written reply to a question in the Lok Sabha today.

CGHS Empanelled Hospitals under CGHS in Delhi NCR.

CGHS Empanelled Hospitals
 
   Some private hospitals in Delhi NCR are no longer on the list of CGHS empanelled private hospitals. The details are as under:
 
   1. The following hospitals have opted not to renew their empanelment with CGHS after completion of two years of empanelment. Accordingly they have been removed from CGHS panel w.e.f. 13.02.2013:
 
   (i) Escort’s Heart Institute & Research Centre, New Delhi
   (ii)Max Super Specialty Hospital, New Delhi
 
   2. Empanelment of following two hospitals has been suspended:
 
   (i) Max Devki Devi Heart & Vascular Institute, New Delhi (w.e.f. 13.02.2013) as the hospital stopped credit facility to eligible CGHS beneficiaries;

   (ii) Bapu Nature Cure Hospital, New Delhi (w.e.f.12.09.2013) on account of deficiency in services.
 
   In addition, the following hospitals in Delhi NCR have been removed w.e.f. 18.12.2012 from the CGHS panel for non-compliance of the terms and conditions of their empanelment with CGHS.

 
   (i)     Garg Multispecialty Dental & Research Centre, Ghaziabad

   (ii)    Jain Hospital, Jagriti enclave, New Delhi

  (iii)        Kalra Hospital, New Delhi

   (iv)        Orthonova  Hospital, New Delhi
 

   CGHS beneficiaries already admitted and undergoing inpatient treatment with prior permission at the time of removal are permitted to complete their treatment at those hospitals.
 
   There is no provision for allowing regular treatment from any private non empanelled hospitals under normal circumstances.
 
   Government has revived continuous empanelment scheme on 14.2.2013 for empanelment of more number of eligible hospitals under CGHS.
 
   The above information was given by the Union Minister for Health & Family Welfare, Shri GhulamNabi Azad in a written reply to a question in the LokSabha today.

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 22nd February, 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 wherein it has been provided under Para 3 that the serving government employees / CGHS beneficiaries shall submit medical prescription in original while claiming reimbursement of expenses incurred on diagnostic tests and investigations, from their office. Keeping in view the inconvenience and difficulties faced by the serving employees / CGHS beneficiaries in submission of prescription in original, it has been decided to relax the above condition and to allow a self attested photocopy of the medical prescription to claim reimbursement of medical expenses incurred on getting diagnostic tests / investigations carried out from a CGHS empanelled hospital / diagnostic laboratory / imaging centre on a valid prescription issued by a CGHS Medical Officer / Govt. Specialist, without a permission letter issued from the Department concerned.

   2. The Serving beneficiaries will not require any permission from their Department for getting the diagnostic tests / investigations carried out in a CGHS empanelled private hospital /diagnostic laboratory / imaging centre in respect of investigations for which CGHS rates are available. They will get the prescribed tests done on payment basis and claim reimbursement from their Office. However, the serving employees of Ministry of Health and Family Welfare are eligible for credit facility from the CGHS empanelled private hospitals / diagnostic laboratories and imaging centres in terms of this Ministry’s OM No. Rec. 1-2008/Gr./CGHS/Delhi/CGHS (P) dated 10.06.2008.

   3. The medical prescription issued by a CGHS Medical Officer / Government Specialist prescribing diagnostic tests / investigations shall be treated as valid for a single use within a period of two weeks from the date of prescription. However the medical prescription shall remain valid beyond two weeks for undertaking diagnostic tests / investigations if specifically prescribed by the CGHS doctor / Government Specialist about the date or period by which the prescribed tests are to be conducted for a routine check up or follow up treatment. The medical prescription would require revalidation or issue of a fresh prescription from the prescribing CGHS doctor/Government Specialist for getting the prescribed tests done after expiry of the validity period of two weeks or as prescribed by the CGHS doctor / Govt. Specialist, as the case may be.

sd/-
[V.P.Singh]
Deputy Secretary to the Government of India

Source:http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File578.pdf

Shortage Of Homoeopathic Doctors In CGHS.

  There are 39 posts of Homoeopathic Doctors currently lying vacant in Department of AYUSH including one post of Adviser and its break-up is as under:-

 
     CGHS-                                                                 28
{13 (Delhi/NCR) and 15(Outside Delhi)}
 
Department of AYUSH-                                               11

 
            A proposal to fill up 27 posts of Homoeopathic Doctors has been sent to the Union Public Service Commission in August, 2012 under Single Window System.  As the remaining posts are required to be revived as per the extant instruction of the Central Government, the process has been initiated to revive these posts in consultation with the Ministry of Finance (Department of Expenditure).  In respect of Adviser (Homoeopathy), the UPSC held the DPC meeting on 04.10.2012 to fill up the post by promotion which, however, did not materialize due to the retirement of the recommended candidate.

            In order to  fill up the vacant posts of Homeopathic doctors, D/o AYUSH  has initiated the action as indicated above, however, CGHS appoints the retired  Homeopathic Doctors on contract basis  in order to meet the immediate requirement of Doctors for catering the medical needs to the CGHS beneficiaries and  to ensure smooth running of the CGHS dispensaries.  Interviews have already been held on 21st December, 2012 for contractual appointment on short term basis.

            The above information was given by the Union Minister for Health & Family Welfare, Shri Ghulam Nabi Azad in a written reply to a question in the Lok Sabha today.
 
PIB

Revision of Ceiling Rates and guidelines for various 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 21st February, 2013.

OFFICE MEMORANDUM

Subject:- Revision of Ceiling Rates and guidelines for various 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 number dated 31.10.2011 and to state that ceiling rates for all DCGI approved Coronary Stents have been revised in super cession of the Office Memorandum of even No. dated 31.10.2011 of the Ministry of Health & Family Welfare as per the ceiling rates mentioned below:-

S.No	Type of Coronary Stents		Ceiling Rate
1.	DRUG ELUTING  CORONARY STENTS	All DCGI and FDA approved Drug Eluting Stents All DCGI and CE approved Drug Eluting Stents All DCGI approved Drug Eluting Stents	Rs.25,000/-
2.	BARE METAL CORONARY STENTS	COBALT STENTS (including Coated and other Stents) All DCGI and FDA approved All DCGI and CE approved All DCGI approved	Rs.12000/-
3.	BARE METAL  STAINLESS STELL   STENTS	Rs.10,000/- the rates were already notified vide OM of even number dated 7th February 2013

   Reimbursement to beneficiaries /empanelled hospitals shall be allowed subject to the ceiling rates or actuals, whichever are lower.

   2. Coronary Stents shall be permitted on the advice of Govt. Specialist, of which not more than two shall be of Drug Eluting Sterits( in any of the coronary stents as per the decision of treating specialist). Permission shall be granted as per the laid down procedure. If more than two drug eluting stents are implanted in an empanelled hospital and no written informed consent was obtained from the beneficiary that he/she would bear the difference in cost between the DES and Bare Metal Stent, and the hospital has charged this amount from the beneficiary, the additional amount shall be paid to the beneficiary and shall be deducted from the pending bills of hospitals.

   3. It is essential for the empanelled hospitals to quote the Batch number when a coronary/vascular stent of any type is implanted in the case of a CGHS/CS (MA) beneficiary and also enclose a copy of the relevant invoices pertaining to the procurement of the stents by the hospitals. In addition to this, the outer pouch of the Stent packet along with the sticker on it on which details of the stent are printed shall also be enclosed with the medical bill for claiming reimbursement from the Govt. In case of treatment from a private non-empanelled hospital, where the treatment was taken in an emergency, it is the responsibility of the beneficiary to obtain the batch number , invoice and outer pouches of the stent(s) before the submission of the medical claim to CGHS/ concerned department, as the case may be.

   4. The empanelled hospital shall submit a self certified undertaking that the hospital has not charged the CGHS / CS (MA) beneficiary more than the rate at which the stent has been procured by the hospital and in case of any detection and establishment that the hospital has overcharged, the hospital shall be removed from the list of hospitals empanelled under CGHS without any further notice.

   5. UTI-ITSL, while processing the hospital bills of coronary / vascular stents shall ensure that the hospitals have enclosed copies of the relevant invoices pertaining to the procurement of the stents by the hospitals and the outer pouch of the Stent packet along with the sticker on it on which details of the stent are printed and that the prescribed rates and the guidelines have been followed, before making provisional payments to the hospitals.

   6. The revised rates and guidelines shall come into force from the date of issue and shall be in force till they are revised.

   7. This issues with the concurrence of Integrated Finance Division vide Note dated 20.12.2012 of AS&FA, Min. of H&FW.

sd/-
(RAVI KANT)
UNDER SECRETARY TO GOVERNMENT OF INDIA

Source:http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File577.pdf

Revival of ‘Continuous Empanelment Scheme’ for private hospitals and diagnostic centres under CGHS.

No: S. 11011/23/2009-CGHS D.II/ Hospital Cell (Part IX)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 14th February 2013.

OFFICE MEMORANDUM

Subject: Revival of ‘Continuous Empanelment Scheme’ for private hospitals and diagnostic centres under CGHS

   With a view to ensuring comprehensive health care to CGHS beneficiaries, CGHS has been, apart from the Government Hospitals, empanelling private hospitals and diagnostic centres by floating tenders periodically. The latest tender process in this context commenced in the second half of 2009. Even the already empanelled hospitals (including dental clinics and eye centres) / diagnostic centres under CGHS were required to submit the bids under this tender process. Through this process, package rates for different treatment procedures and investigations were notified in 2010. As a part of this process, certain hospitals and diagnostic centres which accepted these rates and also signed MOAs with CGHS were notified in CGHS covered cities. Subsequently, with a view to empanel more hospitals and diagnostic centers , continuous empanelment scheme was initiated in December 2010 and was in operation till July 2011 in some cities & till 26th December 2011 in some other cities.

   2. However, it has been noticed that the number of hospitals and diagnostic centres notified as empanelled under CGHS is not adequate to provide a satisfactory level of healthcare to CGHS beneficiaries in all areas of CGHS covered cities.

Removal/Suspension of Escorts Heart Institute & Research Centre, Max Super Specialty Hospital and Max Devki Heart & Vascular Institute, New Delhi — regarding.

No: S. 11031/CGHS(HEC)/2012- 13-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 13th February 2013

OFFICE MEMORANDUM

Subject:- Removal/Suspension of Escorts Heart Institute & Research Centre, Max Super Specialty Hospital and Max Devki Heart & Vascular Institute, New Delhi — regarding.

   With reference to the above mentioned matter, the undersigned is directed to draw attention to the Office Memorandum No S 11011/23/2009/CGHS DII / Hospital Cell (part I) dated 7.10.2010 vide which Escorts Heart Institute & Research Centre, Max Super Specialty Hospital and Max Devki Heart & Vascular Institute, New Delhi were empanelled under CGHS, Delhi and to state that Escorts Heart Institute & Research Centre and Max Super Specialty Hospital, New Delhi have conveyed their unwillingness to continue their empanelment under CGHS. It is also stated that Max Devki Heart & Vascular Institute, New Delhi informed that the hospital shall not provide credit facility to CGHS beneficiaries. The matter has been examined by this Ministry and it has been decided that Escorts Heart Institute & Research Centre, Max Super Specialty Hospital, New Delhi shall stand removed from the list of empanelled hospitals under CGHS, Delhi with immediate effect.

   2. It is further stated that the empanelment of Max Devki Heart & Vascular Institute, New Delhi is suspended from the list of empanelled hospitals under CGHS with immediate effect till further orders.

sd/-
[V.P.Singh]
Deputy Secretary to Government of India

Source:http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File572.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: -