Grant of 90% Medical Advance for All Treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944.

Grant of 90% Medical Advance for All Treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944.

No.S. 14025/18/2015-MS/EHSS

Government of India

Ministry of Health and Family Welfare

Department of Health & Family Welfare

Nirman Bhawan, New Delhi

Dated the 17th October, 2016

OFFICE MEMORANDUM

Subject: Grant of 90% medical advance for all treatments (IPD and OPD) under CGHS and CS(MA) Rules, 1944.

The undersigned is directed to refer to O.M.NO.S. 14025/7/94-MS dated 15.05.1996, and OM No.S.12025/1/96-CGHS(P) dated 1305.1997 provisioning, inter-alia, grant of advance upto 90% in case of major illness like by-pass surgery, Kidney transplant, major cancer treatment, etc.

2. During the meeting held on 25.03.2015, National Council (Staff Side) requested this Ministry to make provisions for grant of 90% advance of the estimated cost for all treatments for serving Central Government employees, irrespective of major or minor diseases.

3. The matter was examined in the Ministry. Considering that the basic purpose of grant of advance for treatment of any disease is to provide relief to a Government employee from facing hardship, it has been decided with the approval of the competent authority that serving CS(MA) and CGHS beneficiaries may be granted 90% medical advance of the approved CGHS package rates for all indoor treatments, irrespective of major or minor diseases, on receipt of a certificate from the treating physician of a Government/recognized hospital as per the guidelines given in the OM No.S.14025/7/94-MS dated 15.05.1996 and OM No.S-11016/1/92-CGHS(P) dated 29.10.1992 for CS(MA) and CGHS beneficiaries respectively.

4. For out-door treatment, it has also been decided that advance may be limited to 90% of the total estimated expenditure of the treatment, subject to the condition that the advance for OPD treatment may only be granted when the total estimate of expenditure for OPD treatment including tests/investigations is more than Rs.10,000/-.

5. The advance should be released within 10 days on receipt of the request for advance by the administrative Department/Ministry/office in order to avoid inconvenience to the employees.

6. The OM No.S.12025/1/96-CGHS(P) dated 13.05.1997 stands withdrawn from the date of issue of this O.M.

Sd/-

(Sunil Kumar Gupta)

Under Secretary to the Govt. of India

Source:http://confederationhq.blogspot.in/

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Panel of Private Registered Medical Practitioner for appointment as Authorized Medical Attendant.

F.11086/012011/KVS (HQ).(Admn.III/l08

Date: 27.05.2013

OFFICE MEMORANDUM

   Approval of the Additional Commissioner (Administration), KVS (HQ), New Delhi is herby accorded for appointment of the Authorized Medical Attendants (as per list attached bearing Sl.No. 01-51) in terms of CS (MA) Rules 1944 for providing medical treatment to the employees of KVS(HQ), Regional Office, Delhi and the Kendriya Vidyalayas under the said Regional Office and members of their families residing in a radius of 16 Km for the year 2013-14 (w.e.f. 01.04.2013 to 31.03.2014).

   The appointment of the aforesaid doctors as AMA has been made on the basis of Panel (List) of Doctors circulated vide O.M CGEWCC/2013-14 AMA dated 01.04.2013 issued by the Secretary CGEWCC, subject to the terms & condition mentioned therein.

   Before taking treatment the employees should submit option for maximum two AMAs to the Drawing & Disbursing Officer (DDO) concerned in terms of G.I.M.H & F.P. O.M No. S.14025/113/79-MS, dated the 28th May, 1982 and C & A.G, Cir No. (MA) Rules, 1944.

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Recognition of Ratan Jyoti Netralaya, Gwalior (Madhya Pradesh) for treatment of Central Government employees under CS(MA) Rules. 1944.

Latest CGHS Orders

No. S. 14021/23/2006-MS
Government of India
Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi
Dated 20th September, 2012.

OFFICE MEMORANDUM

Subject: Recognition of Ratan Jyoti Netralaya, Gwalior (Madhya Pradesh) for treatment of Central Government employees under CS(MA) Rules. 1944.

   The undersigned is directed to say that a number of representations have been received in the Ministiy of Health & Family Welfare for recognition of Ratan Jyoti Netralaya, Gwalior (Madhya Pradesh) for treatment of Central Government Employees and their family members under CS(MA) Rules. 1944.

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Appointment of the Authorised Medical Attendants.

KENDRIYA VIDYALAYA SANGATHAN
18, Institutional Area, Shaheed Jeet Singh Marg
New Delhi 110016
Fax: 26514179, TEL: 26858570
e-mail:kvssao@hub.nic.in
website:www.kvsangathan.nic.in

F.No. 110861/2011- KVS(HQ)/ [Admn.-II]

Dated: 01.06.2012.

OFFICE MEMORANDUM

   Approval of the Joint Commissioner (Administration), KVS(HQ), New Delhi is hereby accorded for appointment of the Authorized Medical Attendants (as per list attached bearing SI. No. 01-50) in terms of CS (MA) Rules 1944 for providing medical treatment to the employees of KVS(HQ), Regional Office, Delhi and the KVs under the said R.O. and members of their families residing in a radius of 16 Km w.e.f. 01.04.2012 to 31.03.2013.

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Recognition of Mascot Hospital & Research Centre, Gwalior (Madhya Pradesh) for treatment of Central Government employees under CS(MA) Rules, 1944.

No. S. 14021/17/2011-MS
Government of India
Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi
Dated 8th May, 2012.

OFFICE MEMORANDUM

Subject: Recognition of Mascot Hospital & Research Centre, Gwalior (Madhya Pradesh) for treatment of Central Government employees under CS(MA) Rules, 1944.

   The undersigned is directed to say that a number of representations have been received in the Ministry of Health & Family Welfare for recognition of Mascot Hospital & Research Centre, Gwalior (Madhya Pradesh) for treatment of Central Government Employees and their family members under CS(MA) Rules, 1944.

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Recognition of Ashirvad Hospital & Research Centre, Varanasi (Uttar Pradesh) for treatment of Central Government employees under CS(MA) Rules, 1944.

No. S. 14021/10/2009-MS
Government of India
Ministry of Health & Family Welfare

Nirman Bhavan, New Delhi
Dated 16th January, 2012

OFFICE MEMORANDUM

Subject:- Recognition of Ashirvad Hospital & Research Centre, Varanasi (Uttar Pradesh) for treatment of Central Government employees under CS(MA) Rules, 1944.

   The undersigned is directed to say that a number of representations have been received in the Ministry of Health & Family Welfare for recognition of Ashirvad Hospital & Research Centre, Varanasi (Uttar Pradesh) for treatment of Central Government Employees and their family members under CS(MA) Rules, 1944.

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Reimbursement in relaxation of rules in emergent cases under CGHS/CS(MA) Rules, 1944

NO.S.14025/2/2011-MS

Government of India

Ministry of Health and Family Welfare

313, 'D' Wing, Nirman Bhawan, New Delhi -110108

Email: so2ms-mohfw@nic.in

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                                                                                                                       Dated 11th,January, 2011

OFFICE MEMORANDUM

Subject:Delegation of powers of Head of Department to Head of Office for settling permission cases and post facto approval to reimbursement in relaxation of rules in emergent cases under CGHS/CS(MA) Rules, 1944.

   The undersigned is directed to invite reference to para (ii) of this Ministry's Office Memorandum NO.S.14012/9/75-MC (MS) dated 18.06.1982, as mentioned at point 4 under Appendix-VIII of CS(MA) Rules, 1944 relating to reimbursement in relaxation of rules in emergent cases, which stipulates that powers for settling permission cases and post facto approval should not be exercised by authorities lower than Heads of Departments.

   2. The Ministry of Health and Family Welfare has examined the question of further delegation of powers to Head of Offices/officers at Under Secretary level, in such offices, which are not headed by officers equivalent to a Deputy Secretary, in the matter and it has been decided with the approval of the competent authority to delegate such powers in the following manner:-

   "In case of medical reimbursement, delegation of power can be given to Under Secretaries in the Departments of Central Government declared as Heads of Offices subject to the condition that upto Rs. two thousand for taking treatment in OPD and upto Rs. Five thousand for taking treatment in IPD under CGHS/CS(MA) Rules, 1944. This delegation of powers can be exercised as per the prescribed rate list of nearest CGHS covered city or actual whichever is lower for CS(MA} beneficiaries and as per package rate for CGHS beneficiaries in CGHS cities."

   3. This order is applicable to both CGHS and CS(MA) beneficiaries.

   4. This Office Memorandum issues with the approval of Ministry of Finance vide 10 No 14(1)/E.IIA/2010 dated 06.07.2010.

S/d

(Sanjay Pant)

Under Secretary to the Government of India.

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Eligibility of permanently disabled son of a CGHS beneficiary to avail CGHS facility.

The undersigned is directed to refer to the Office Memorandum, of even number, dated the 31st May, 2007 and 29th August, 2007, vide which the entitlement of the son of a CGHS beneficiary beyond the age of 25 years was conveyed. As per the two Office Memoranda under reference, it was indicated that a son of a CGHS beneficiary suffering from any permanent disability of any kind (physical or mental) will be entitled to CGHS beneficiary even after attaining the age of 25 years. It was clarified that the following will be the disabilities, as defined in Section 2(i) of "The persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995 (No.1 of 1996)" to entitle a son of a CGHS beneficiary to avail CGHS facility irrespective of his age:-

(i) Blindness:

(ii) Low-vision

(iii) Leprosy-cured

(iv) hearing impairment

(v) locomotor disability

(vi) mental retardation: and

(vii) mental illness

2. Subsequent to the issue of the Office Memoranda under reference, the Ministry of Health and Family Welfare has been receiving requests for inclusion of ailments like renal failure, autism, etc., within the definition of "disability" so that sons of CGHS beneficiaries could avail CGHS facility irrespective of the age of the son.

3. After careful examination of the matter, it has been decided that the definition of permanent disabilities, of sons of CGHS beneficiaries, to avail CGHS facility be expanded as below:-

(i) Blindness:

(ii) Low-vision

(iii) Leprosy-cured

(iv) hearing impairment

(v) locomotor disability

(vi) mental retardation: and

(vii) mental illness

(ii) Disabilities defined in Clause (i) of Section 2 of National Trust for Welfare of Persons with Autism, Cerebral Palsy, Mental Retardation and Multiple Disabilities Act, 1999 (No.44 of 1999), which presently covers a person suffering from any of the condition relating to autism, cerebral palsy, mental retardation or a combination of any two or more of such conditions and includes a person suffering from several multiple disability.

it is clarified that Permanent Disability" means a person with eighty per cent or more of one or more disabilities. In order for the son of the CGHS with permanent disability to avail CGHS facility, the other normal condition of dependency and normally residing with the CGHS beneficiary will continue to apply.

Courtesy;90paisa

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