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

Withholding of 10% gratuity from the retiring Government servants -clarification regarding.

No.20/16/1998-P&PW(F)
Government of India
Ministry of Personnel Public Grievances and Pensions
Department of Pension and Pensioners Welfare

3rd Floor, Lok Nayak Bhawan,
Khan Market, New Delhi-110 003
Dated the 19th February 2013.

OFFICE MEMORANDUM

Subject:- Withholding of 10% gratuity from the retiring Government servants -clarification regarding.

   The undersigned is directed to say that this Department has been receiving representations from individuals and Pensioners Associations that Government Departments have been withholding 10% of the amount of gratuity from each retirees even when they had not been provided any Government accommodation.

   2. The recovery and adjustment of Govt. dues from retirement gratuity is regulated under Rules 71 to 73 of the CCS (Pension) Rules, 1972. Rule (1) to (3) of Rule 72 ibid provide for recovery of actual amount of Govt. dues in respect of Govt. accommodation from pay & allowances before retirement and from Retirement Gratuity. Sub rule (5) of Rule 72 ibid stipulates that if, in any particular case, it is not possible for the Directorate of Estates to determine the outstanding licence fee, that Directorate shall inform the Head of Office that ten per cent of gratuity may be withheld pending receipt of further information. The withheld amount of gratuity is to be paid back to government servant immediately on production of 'No Demand Certificate' (NDC) from Dte of Estates. Thus, if no 'Govt. dues' in respect of Govt. accommodation are outstanding then the rules do not provide for Withholding of any part of the gratuity on retirement of the Govt. servant. If no Government accommodation is allotted to a Government servant, in accordance with Dte of Estate's OM NO.18011/511990-Pol-IIIdated 12.10.2010, it is for the Administrative Ministry to issue an 'NDC".

   3. As regards recovery in respect of 'Govt. dues' other than those pertaining to Govt. accommodation, the Head of Office is required to complete assessment of such dues eight months prior to the date of retirement [Rule 73(2)]. The actual amount of such dues and the dues which come to the notice subsequently and remaining outstanding are to be adjusted against the amount of retirement gratuity becoming payable to the Govt. servant on retirement. Thus, there is no provision for withholding any part of gratuity for the purpose of recovery of outstanding government dues other than those pertaining to government accommodation.

sd/-
(Tripti P. Ghosh)
Director

Source:http://ccis.nic.in/WriteReadData/CircularPortal/D3/D03ppw/Gratuity_20022013.pdf

Pension- Contributory Pension Scheme- Employees contribution and Government contribution- Enhancement of rate of interest at the rate of 8.6% - Orders - Issued.

GOVERNMENT OF TAMIL NADU
2013

FINANCE (PGC) DEPARTMENT
G.O.No.38,  Dated: 11th February, 2013

Pension- Contributory Pension Scheme- Employees contribution and Government contribution- Enhancement of rate of interest at the rate of 8.6% - Orders - Issued.

Read the following:-

   1. G.O.Ms.No.222, Finance (Pension) Department, dated.3.6.2008.

   2. G.O.Ms.No.106, Finance (Allowances) Department, dated 30.3.2012.

   3. From the Principal Accountant General, Chennai-18 letter No.GPF-14/CPS/SO/382- 119134, dated 24.8.12 and 27.12.2012.

   4. Government letter No.49690/PGC/2012, dated 2.1.2013.

ORDER:

   In the reference first cited the rate of interest for Contributory Pension Scheme has been fixed at the rate of 8% with effect from 1.4.2003.

   2.  In the reference second cited the rate of interest for General Provident Fund and other Provident Funds including Contributory  Provident Fund has been enhanced at the rate of 8.6% with effect from 1.12.2011.

   3.  Accordingly, the Government have decided to enhance the rate of interest for Contributory Pension Scheme also and ordered that the rate of interest for Contributory Pension Scheme is fixed at the rate of 8% upto 30.11.2011 and at the rate of 8.6% with effect from 1.12.2011.

   4.  The above rate of interest will remain the same until further orders issued in this regard.

(BY ORDER OF THE GOVERNOR)

S. KRISHNAN,
Secretary to Government (Expenditure)

Source:http://www.tn.gov.in/gosdb/gorders/finance/fin_e_38_2013.pdf