Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules, 1944

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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.



[Sunil Kumar Gupta]
Under Secretary to Government of India

Tel- 011-2306 1986





                                                

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