Reimbursement of OPD Medicines Special Sanction in view of COVID-19

Reimbursement of OPD Medicines Special Sanction in view of COVID-19

Z 15025/12/2020/ DIR/CGHS
Government of India
Ministry of Health & Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi
Dated the 27th March, 2020.

OFFICE MEMORANDUM

Sub: Reimbursement of OPD Medicines Special Sanction in view of COVID-19

In view of the Corona Virus Disease (COVID-19) , all out efforts are made by the Government to contain its impact by instituting measures at community as well as at individual level.

Guidelines for maintaining social distancing between individuals have already been issued by the Government. In the spirit of above guidelines the undersigned is directed to state that CGHS beneficiaries getting medicines for chronic diseases may purchase medicines based on the prescription held (prescribed by CGHS Medical Officers / CGHS Specialists /other Govt. Specialists/ Specialist of empanelled hospital) till 30th April 2020 irrespective of Non-Availability certificate from CGHS or otherwise . The idea behind the measures is that CGHS beneficiaries need not visit CGHS Wellness Centres to collect medicines till 30th April 2020.

The medical claim shall be submitted to CGHS by pensioners, ex-MPs etc., through CGHS Wellness Centre , where the card is registered , to concerned Ministry /Department in case of serving employees , to the Rajya Sabha Secretariat / Lok Sabha Secretariat ,as the case may be in respect of Hon’ble Members of Parliament and to the concerned Autonomous Body in case beneficiaries of Autonomous Bodies.

These orders shall come into force with immediate effect.

(Dr. Sanjay Jain)
Director, CGHS

CGHS Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised

CGHS

Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
EHS Section

No: Z.15025/23/2018/ DIR/CGHS

Nirman Bhawan, New Delhi 110 11
Dated the 17th June ,2019

OFFICE MEMORANDUM

Subject:- Clarification regarding issue of Medicines prescribed by Specialists beyond the period for which the medicines had been advised

With reference to the above subject the undersigned is directed to state draw attention to the OM Z.15025/33/ 2018/DIR/CGHS dated the 1st May 2018 and to clarify that:

i. In Chronic cases where diagnosis has been made and line of treatment has been decided by the Specialist of CGHS/Govt. /empanelled hospital, there is no need to refer the patients just for extension of validity period of prescription. The prescriptions in such cases may be repeated by the concerned doctor of CGHS Wellness Centre.
ii. Only in such cases, wherein there is a need for modification of the diagnosis and/or modification of the line of treatment, beneficiaries should be referred to the concerned specialist.
iii. However, in case of specific anti-cancer and other immune-suppressant drugs, medicines may be issued only for such periods as advised by the concerned specialists.

These orders are in supersession of all the earlier orders on the subject.

(Dr. Atul Prakash)
Director, CGHS

To

1. All Ministries/ Departments , Government of India through CGHS Website 2. Addi. DDG(HQ), CGHS, MoHFW, Nirman Bhawan, New Delhi
2. AD(HQ} , CGHS, R.K.Puram, Sector-12, New Delhi 4. All Addi. Directors/Joint Directors of CGHS
3. DDG(M) /CMO(SRA} , Dte.GHS, MoHFW, Nirman Bhawan, New Delhi
4. Rajya Sabha/Lok Sabha Secretariat, New Delhi
5. Registrar, Supreme Court of India, New Delhi
6. U.P.S.C. Dholpur House, New Delhi
7. Office of the Comptroller & Auditor General of India, Bahadur Shah Zafar Marg, New Delhi
8. Director, Department of Pension & Pensioners Welfare, Lok Nayak Bhawan, Khan Market, New Delhi
9. PPS to Secretary (H&FW)/Secretary (AYUSH)/ Secretary (HR}, Ministry of Health & Family Welfare
10. PPS to DGHS/ SS&FA /AS&DG (CGHS)/ AS&MD, NRHM/AS(H), MoHFW, New Delhi
11. MS Section, MoHFW, Nirman Bhawan, New Delhi
12. MG-II Section, Dte.GHS, Nirman Bhawan, New Delhi
13. Hospital Empanelment Cell, CGHS, MoHFW, Nirman Bhawan, New Delhi
14. CGHS-1/11/111/IV, Dte. Gen of CGHS, MoHFW, Nirman Bhawan, New Delhi
15. Estt.l/Estt.11/ Estt.111/Estt.IV Section, MoHFW, Nirman Bhawan, New Delhi
16. Admn./ Admn .11 Section, Dte.GHS, MoHFW, Nirman Bhawan, New Delhi
17. Integrated Finance Division, MoHFW, Nirman Bhawan, New Delhi
18. All Officers/ Sections/ Desks in the Ministry
19. Deputy Secretary (Civil Service News), Department of Personnel & Training, 5th Floor, Sardar Patel Bhawan, New Delhi
20. Secretary, Staff Side, 13-C, Ferozshah Road, New Delhi
21. All Staff Side Members of National Council (JCM)
22. ED(H)/Planning, Railway Board, Ministry of Railways, Rail Bhawan, Rafi Marg, New Delhi - 110001
23. Central Organization , ECHS, Department of Ex-Servicemen Welfare, Ministry of Defence, New Delhi
24. Chairman, Employees State Insurance Corporation, Ministry of Labour & Employment, Panchdeep Bhawan, C.l.G. Marg, New Delhi-110002
25. UTI Infrastructure Technology And Services Limited, UTl-ITSL Tower, Plot No3 Sector -11, CBD Belapur, Navi Mumbai- 400614
26. Hindi Section, MoHFW, Nirman Bhawan, New Delhi for providing Hindi version of this OM.
27. Guard file

Source: CGHS

CGHS: Opening of CGHS Wellness Centre at Varanasi

CGHS: Opening of CGHS Wellness Centre at Varanasi

A Central Government Health Scheme (CGHS) Wellness Centre has startedfunctioning at Type -III Govt. Quarters 98-100 at Kendriya Colony Bada Lapur, Sindhoura Road , Chandmari , Varanasi from 19th February, 2019

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS

No S. 11012/15/2015-CGHS-l/I

Nirman Bhawan, New Delhi 110011
Dated the 19th February, 2019

OFFICE ORDER

Subject: Opening of CGHS Wellness Centre (Allopathic) at Varanasi

This is for information of all eligible Central Govt. employees/ Central Govt. Pensioners, ex-MPs and other eligible stakeholders that a Central Government Health Scheme (CGHS) Wellness Centre has started functioning at Type -III Govt. Quarters 98-100 at Kendriya Colony , Bada Lapur, Sindhoura Road , Chandmari , Varanasi from 19th February, 2019 to provide comprehensive medical facilities.
The CGHS Wellness Centre (1) at Varanasi shall cover all eligible Central Govt. Employees residing within 5 km radius of the Wellness Centre and eligible pensioners and ex-MPs , etc., living in and around Varanasi as per CGHS guidelines.

The CGHS beneficiaries shall be able to avail the CGHS facilities through the Wellness Centre from 0730 a.m. to 02.00 p.m. on all days, except Sundays and Gazzetted holidays.

The CGHS wellness Centre shall be under the administrative control of Addl Director, CGHS, Allahabad (Tel No 0532-256 0578).

(Dr. Atul Prakash)
Director, CGHS

Shifting of CGHS Perambur Wellness Centre

Shifting of CGHS Perambur Wellness Centre
CGHS Perambur Wellness Centre functioning at No.28 (New No.45) Perambur Hgh Road, Chennai - 600 012 will function at the following address with effect from 2nd April 2018.

New Address:

No.1, SRP Koil Street, Peravallur, Agaram Junction, Perambur, Chennai - 600 082

List of Wellness Centres in Chennai

S.NO	NAME	ADDRESS
1	ADYAR WC	Block No 122/169-170, CPWD Quarters, Indira Nagar, Adyar, Chennai-600020
2	ANNA NAGAR WC &ANNA NAGAR POLYCLINIC	Central Revenue Quarters, No.15, Ranganathan Garden, Anna Nagar, Chennai-600040
3	AVADI WC	Heavy Vehicles Factory Complex, Avadi, Chennai-600054
4	GOPALAPURAM WC	No1, 1st street, Goplapuram, Chennai-600086
5	GUINDY WC	Block No,6/1-5, BCG Staff quarters, Guindy, Chennai-600032
6	KK NAGAR WC & KKNAGAR POLYCLINIC	CPWD Quarters, KK Nagar,    Chennai-600078
7	MEENAMBAKKAM WC	DGQA Complex, Meenambakkam, Chennai-600114
8	NANDAMBAKKAM WC	Quarter No. 16-19, CDA Residential Complex, Nandambakkam, Chennai-600089
9	NUNGAMBAKKAM WC	C&B Block, Ist Floor, Shastri Bhavan, Haddows Road, Chennai-600006
10	PERAMBUR WC	No.1 srp koil street Agaram Junction Perambur, Chennai
11	RA PURAM WC	No.6, Kamaraj Salai, RA Puram, Chennai-600028
12	ROYAPURAM WC	CPT QUATERS CLIVE BATTERY E1 BLOCK CHENNAI
13	TRIPLICANE WC	CPT QUATERS NAPIER BRIDGE A1 BLOCK CHENNAI
14	VEPERY WC	No .10 1st floor ,Vasu Street Kilpauk chennai 600010
15	PUDUCHERRY WC	IGMC&RI KADIRKAMAM PUDUCHERRY 605009
16	(CMS )CENTRAL MEDICAL STORES	CMS RAJAJI BHAVA

Prescription of Timelines under CGHS for settlement of Medical claims of Pensioner CGHS beneficiaries

Prescription of Timelines under CGHS for settlement of Medical claims of Pensioner CGHS beneficiaries

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
Office of the Director, CGHS

No: Z.15025/38/2018 /DIR/CGHS

545-A Nirman Bhawan, New Delhi

Dated the 14th May, 2018

OFFICE MEMORANDUM

Subject :- Prescription of Timelines under CGHS for settlement of Medical claims of Pensioner CGHS beneficiaries

With reference to the above subject the undersigned is directed to draw attention to the OM No Z 15025/79/1/DlR/CGHS dated the 5th October 2016 and to state that it has now been decided to review the timelines prescribed for processing and settlement of medical claims of pensioner CGHS beneficiaries in compliance of the directions of Hon'ble Supreme Court of India in their Judgement in the WP(CiviI) No 694 of 2015 between Shiva Kant Jha Vs UOI delivered on 13th April 2018 and in supersession of the earlier guidelines as per the details given under:

Medical Claims not requiring Special approvals
Pensioner CGHS beneficiaries shall submit the Medical claims to the CMO I/C of the CGHS Wellness Centre , where the CGHS Card is enrolled . CMO I/C of CGHS Wellness Centre issues Serial Number and sends the claim papers to the office of the Addl. Director, CGHS for processing. The Bills shall be processed by the Dealing Asstants and CMO and after the approval by the Additional Director, the bill for payment shall be sent to the Pay & Accounts Office for payment to the beneficiary by ECS. The payment shall be completed within 30 days of submission of the Medical claim papers at the CGHS Wellness Centre.

Medical claims reguiring approval of higher authorities

Total time within 45 days in Delhi
Total time within 60 days in other cities

Medical claims reguiring opinion of specialists

Total time 45 days

2. Chief Medical Officer in charge shall thoroughly check the papers initially for the completeness of the requisite documents before accepting the claim papers to ensure that the claim papers are not returned subsequently for want of some documents.

3. If approval of Directorate or Ministry is involved, the Addl. Directors shall submit only e-file with self-contained note and recommendation, enclosing only relevant scanned documents. Care shall be taken not to regret medical claims of pensioner CGHS beneficiaries on minor technical objections if , they fall under procedural lapses, which can be condoned.

Sd/-

(Dr.D.C.Joshi)

Director, CGHS

Source: cghs.gov.in

Clarification regarding demarcation of CGHS covered areas under CGHS Wellness Centre

Clarification regarding demarcation of CGHS covered areas under CGHS Wellness Centre

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
Nirman Bhawan, Maulana Azad Road
New Delhi 110 011

No. C 14012/02/2018/CGHS-III/DIR
Dated: 6th April, 2018

OFFICE MEMORANDUM

Subject:- Clarification regarding demarcation of CGHS covered areas under CGHS Wellness Centre

With reference to the above subject the undersigned is directed to state that in some of the CGHS Cities the areas covered under CGHS were not specified resulting in inconvenience to the beneficiaries. The matter has been reviewed and it is now decided that hereinafter the coverage of CGHS shall be limited to the areas within 5 km (approx.) radius of the CGHS Wellness Centres , in all CGHS covered Cities , where such demarcations were not specified. The Additional Director, CGHS concerned City shall notify such areas covered under CGHS Wellness Centres.

The serving Central government employees residing outside the CGHS covered areas shall be covered under CS(MA) Rules. However, in all CGHS covered cities the serving Central government employees residing within the Municipal limits of the city, shall be given a onetime choice to opt for CGHS (instead of CS(MA) Rules) from the nearest CGHS Wellness Centre.

S/d,
(Dr.D.C.Joshi)
Director, CGHS

Signed copy

CGHS: ADVERTISEMENT FOR ENGAGING RETIRED DOCTOR ON CONTRACT BASIS

CGHS: ADVERTISEMENT FOR ENGAGING RETIRED DOCTOR ON CONTRACT BASIS

Engagement of Retired Doctors on Contract Basis for CGHS Wellness Centre

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
OFFICE OF THE ADDL. DIRECTOR, CGHS
NONGRIM HILLS SHILLONG-793003
Tele/Fax No. : 0364 - 2520626 Email: ad.cghs-mega:gov. in

No.CGHS/ESTT/72/2/405356

Dated: Shillong, the 20th February 2018

ADVERTISEMENT FOR ENGAGING RETIRED DOCTOR ON CONTRACT BASIS

Applications are invited from the retired allopathic doctors from Central / State Govt. / PSU’s who are below the age of 66 years having MBBS degree, recognized by Medical Council of India, for engaging on contract basis (purely temporary) as Medical (01 no. posts) under CGHS, Wellness Centre, Imphal initially for a period of 01 year at a fixed remuneration of Rs. 75,000/- p.m.

Application in plain paper With 2 copies PP size photo, complete bio-data and copies of requisite certificates viz. proof of identity, proof of retirement, MBBS certificate and registration certificate etc. may be submitted to the undersigned or O/0 CMO In-charge, CGHS Wellness Centre Imphal, Ground Floor, Manipur Voluntary Health Association(MVHA) Building, Wangkhei Ningthem Pukhri Mapan, Imphal East. Manipur-795001 within 30 days from the date of publication of this advertisement. Shortlisted candidate will have to appear before the interview board. Date and time Of interview Will be intimated separately. Candidates having knowledge in computer will be preferred.

sd/-
Dr.L.Somorendra Singh, CHS,
Additional Director,
CGHS, Shillong.

Source: www.cghs.gov.in

Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

Government of India
Ministry of Health and Family Welfare
Department of Health Family Welfare
Directorate General of CGHS

Nirman Bhawan, New Delhi 110 011
Dated the 11th July, 2017

OFFICE MEMORANDUM

Subject: - Guidelines for special provisions to CGHS beneficiaries aged 80 years and above

With reference to the above mentioned subject the undersigned is directed to convey the approval of competent authority for special provisions under CGHS to the beneficiaries aged 80
years and below.

a) Consultation of Doctor at CGHS Wellness Centre without standing in Queue

b) CGHS Doctors shall enquire by phone, at least once in a month to enquire about their well being / make a home visit if residing within 5 K.M.s of CGHS WC

c) Settlement of medical claims on priority out of turn

d) Follow up treatment from same specialist in non-empanelled hospital from where he/she was earlier taking treatment- as a special case in view of advanced age and to difficulty to change physician subject to the reimbursement limited to CGHS rates and collection of medicines as per CGHS guidelines.

sd/-
(Dr.D.C.Joshi)
Director, CGHS

Authority: http://cghs.gov.in/