Clarification regarding issue of Medicine under CGHS

CGHS withdraws the Office Memorandum dated 25-08-2014 regarding issue of Medicine / reimbursement of expenditure on investigations / treatment procedures / implants and other medical devices

G.I., M.H., O.M.No. 2-2/2014/CGHS(HQ)/PPTY/CGHS(P), dated 13.03.2015

Subject: Clarification regarding issue of Medicine under CGHS


With reference to the above mentioned subject the under signed is directed to state that the situation arising out of issue of office memorandum NO 2-2/2014/CGHS(HQ)/PPTY/CGHS(P) dated the 25th August, 2014 has been engaging the attention of government for quite some time. Although the guidelines were modified subsequently vide Office Memorandum of even number date 01.10.2014 and 23.12.2014, this Ministry is in receipt of representations seeking clarifications. The matter has been reviewed and it has now been decided to withdraw the OM of even no. dated 25.08.2014.


Source: CGHS

Comments

ALL INDIA DRDO TECHNICAL OFFICERS' ASSOCIATION said…
The struggle of All India DRDO Technical Officers’ Association & Confederation of Central Government Gazetted Officers Organisations (CCGGOO) along with All Pensioners & Retired Persons Association (APRPA) and other orgns. for better medical facilities under CGHS led to the withdrawal of OM dt.25/08/2014 on 13/03/2015 which is against the interests of 36,67,795 CGHS beneficiaries.
In the name of streamlining the procedures regarding issue of medicines, reimbursement of expenditure on investigations, treatment procedures, implants and medical devices under CGHS and on the pretext of plugging the loopholes in the system, Ministry of Health & Family Welfare issued OM dt.25/08/2014 restricting the facilities as follows:
a) CGHS shall supply / indent only those medicines, which are included in the CGHS formulary.
b) Anti Cancer and other similar medicines are however supplied on a case to case basis. Only the medicines approved by DCGI for use in India shall be supplied. In case an Indian version is available, which is cheaper than the imported medicine, only the Indian medicine shall be supplied even if, an imported medicine has been prescribed.
c) Medicines shall be supplied for a maximum period of one month.
d) In case of CGHS beneficiaries going abroad, issue of medicines shall be restricted for a maximum period of three months.
e) CGHS shall hereinafter allow only the listed investigations / treatment procedures for which there are prescribed CGHS rates, to be under taken in CGHS empanelled diagnostic centres and hospitals.
f) Similarly, only listed implants / medical devices with a CGHS prescribed ceiling rate shall be permitted for treatment / reimbursement under CGHS.
g) In those cases where any unlisted investigation / treatment procedure is undertaken the reimbursement shall be limited to the rate of nearest similar investigation / treatment procedure under CGHS. Addl. Director of the city /zone shall take a decision based on justification in such cases, in consultation with experts in the field, if necessary.
h) In those cases where any unlisted implant / device is installed reimbursement shall be limited to the CGHS rate of nearest similar implant / device. Addl. Director of the city / zone shall take a decision based on justification in such cases in consultation with experts in the field, if necessary.
The Govt.tried to pacify us by modifying OM on 01/10/2014 and 23/12/2014.But due to relentless efforts,finally MH&FW had to withdraw the draconian OM.
You are aware that CCGGOO & AIDTOA were partially successful previously in getting medicines from the treating private hospital at the time of discharge for a period upto 7 days.
AIDTOA & CCGGOO thank all those who contributed directly or indirectly in the efforts for betterment of medical facilities to CGHS beneficiaries.

Let us fight unitedly against reduction in welfare measures and for better living conditions.

If we all stand together, we are a force that can shake the whole world".

Together .......... we can
March 16, 2015 at 11:14 PM
Post a Comment

Popular posts from this blog

Central Government Office Holiday List 2023 - DoPT Order PDF Download

The important nodal Department of Central Government, the Department of Personnel and Training (DoPT) has today published a new list of Gazetted and Restricted Holidays for Central Government Offices located in Delhi/New Delhi to be observed in 2023. Central Govt Holiday India 2023 PDF Download Every year in June, the Department of Personnel and Training (DoPT) under the Central Government will release a new list of holidays to be observed next year for offices in Delhi or New Delhi. Check here is a list of holidays and optional holidays published in the Federal Gazette for 2023. Holidays to be observed to Central Government Offices during the year 2023 F.No.12/5/2022-JCA Government of India Ministry of Personnel, Public Grievances and Pensions (Department of Personnel and Training) Establishment (JCA) Section North Block, New Delhi Dated the 16 June 2022 OFFICE MEMORANDUM Subject: Holidays to be observed in Central Government Offices during the year 2023- reg. It has been de
Read more

7th CPC Pay Fixation on Promotion/MACP Calculator with Matrix Table

Image
7th CPC Pay Fixation on Promotion/MACP Calculator with Matrix Table Pay Fixation on Promotion/MACP Calculator as per 7th Pay Commission with Steps showing in Pay Matrix Table. Pay Fixation: One increment shall be given in the same level and placed equal or next higher amount in the promoted level. Increment: Promotion/MACP during the period from 2nd day of January to 1st day of July will be granted on 1st day of January. From 2nd day of July to 1st day of January will be granted on 1st day of July. In Matrix Table: Step 1: Locate Your Basic Pay in the Matrix Table Step 2: Grant of one increment in the same level Step 3: Locate the equal or next higher amount in the next promoted level Click to Check Your Pay Fixation on Promotion Calculators for CG Employees 7th Pay Commission Pay and Allowances  Calculator for CG Employees Click to read... 7th Pay Commission Pay and Arrears  Calculator for Defence Personnel Click to read... Defence
Read more

Revised Pay Scale from 1.7.2017 for Karnataka Govt Employees

Image
Revised Pay Scale from 1.7.2017 for Karnataka Govt Employees Check Your Revised Pension / Family Pension as on 1.7.2017 REVISED SCALES OF PAY:  The existing scales of pay are revised as specified below:-  DATE OF EFFECT: The revised scales of pay shall be deemed to have come into force with effect from 1st July 2017. The monetary benefit of the revised scales of pay shall be admissible from 1st April 2018. The increase in pay and allowances and pension on account of the revision of scales of pay shall be payable in cash with effect from 1st April 2018.  The revised scales of pay are linked to the cost of living situation represented by the index average of 276.9 points as on 1st July 2017 in the All India Average Consumer Price Index Numbers for Industrial Workers (General) (Base: 2001=100).  The revised pay scales are specific segments of Master scale of pay of Rs.17000-400-18600-450-20400-500-22400-550-24600-600-27000-650-29600-750-32600-850-36000-950-39800
Read more