No need Prior permission to Emergency treatment in CGHS empanelled Hospitals

No need Prior permission to Emergency treatment in CGHS empanelled Hospitals

Nirman Bhawan, New Delhi – 110 108

Dated: the 13th September, 2019 

The  extant  instructions  under  CGHS provide  that  under  emergency conditions, a CGHS beneficiary can get admission in any CGHS empanelled Hospital without any prior permission. It has, however, been brought to the notice that the Hospitals deny admission or insist on referral memo from CGHS Wellness Centre even in emergency conditions.

2. In accordance with the Memorandum of Agreement between the CGHS empanelled Hospital and the Government of India, refusal to provide treatment to bonafide CGHS beneficiaries in emergency cases and other eligible categories of beneficiaries on credit basis, without valid ground, would attract disqualification for continuation of empanelment.

3. It is, therefore, reiterated that in emergency the empanelled hospitals will not refuse admission or demand an advance payment from the CGHS beneficiary or his family member and will provide credit facilities to the patient.

To

1) All Ministries/Departments, Government of India

2) PPS to Secretary (H&FW)/Secretary (AYUSH)/Secretary (HR)/ Ministry of Health & Family Welfare

3) PPS to DGHS/S&DG (CGHS)/AS&FA/AS&MD, NRHM/AS(H), MoHFW, New Delhi

4) Director, CGHS, Nirman Bhawan, New Delhi

5) All Add!. Directors/Joint Directors of CGHS cities outside Delhi

6) Rajya Sabha/Lok Sabha Secretariat, New Delhi

7) Registrar, Supreme Court of India, New Delhi

8) U.P.S.C. Dholpur House, New Delhi

0) Office of the Comptroller & Auditor General of India, Pocket-9, Deen Dayal Upadhyaya Marg, New Delhi.

10) Hospital Empanelment Cell, CGHS, MoHFW, Nirman Bhawan, New Delhi – for circulating the same to all the empaneled Hospitals/ diagnostic centres

11) Integrated Finance Division, MoHFW, Nirman Bhawan, New Delhi

12) Deputy Secretary (Civil Service News), Department of Personnel &

Training, 5th Floor, Sardar Patel Bhawan, New Delhi

13) Shri Shiv Gopal Mishra, Secretary, Staff Side, 13-D, Ferozshah Road, New Delhi

14) All Staff Side Members of National Council (JCM)

15) ED(H)/Planning, Railway Board, Ministry of Railways, Rail Bhawan, Rafi Marg, New Delhi – 110001

16) Central Organisation, ECHS, Department of Ex-Servicemen Welfare, Ministry of Defence, New Delhi

17) Chairman, Employees State Insurance Corporation, Ministry of Labour

& Employment, Panchdeep Bhawan, C.I.G. Marg, New Delhi-110002

18) UTI-ITSL, 153/1, First Floor, Old Madras Road, Ulsoor, Bengaluru- 560008.

19) Sr. Technical Director, NIC, MoHFW, Nirman Bhawan, New Delhi with the request to upoad this OM on the Ministry’s website under the link of CS (MA) Rules – OMs and Circulars

20) Hindi Section, MoHFW, Nirman Bhawan, New Delhi for providing Hindi version of this OM.

21) Guard file.

*****