CGHS-GUIDELINES FOR REFERRING THE CASES TO HEALTH MINISTRY
Government of India
Ministry of Health
& Family Welfare
Department of Health
& Family Welfare
Nirman Bhawan,
Maulana Azad Road
New Delhi 110 108
No.S.11011/1/2012-CGHS
(P)
Dated the 27th June,
2012
OFFICE MEMORANDUM
Sub: Guidelines to be followed by Ministries/Departments while
referring cases to Ministry of Health
& Family Welfare on CGHS matters — reg.
Central Government Health Scheme
(CGHS) was introduced in 1954 to provide comprehensive medical care for
serving/retired Central Government employees and their family members.
Instructions have been issued from time to time to regulate this medical
facility to ensure that Ministries and Departments of Government of India
including the CGHS beneficiaries have a clear idea on different aspects of
CGHS.
2. Various instructions on
eligibility, dependency, CGHS contributions, issue of CGHS cards, medical
advance, settlement of medical claims and medical facilities provided under
CGHS have been issued. These instructions are by no means exhaustive but an
effort has been made to ensure that most cases are settled at the beneficiary’s
own Ministry / Department.
3. Despite issuing a number of
guidelines on settlement of reimbursement claims and delegation of powers for
referral and approval cases, it has been observed that cases are being referred
to this Ministry in a routine manner without adequate examination. Instances of
cases have come to notice where despite the lack of documentary evidence, cases
have been recommended and referred to this Ministry for examination, with or
without the approval of the concerned Joint Secretary/Head of Department.
4. In such cases, it becomes
difficult to examine the legitimacy of the claims and much time and effort is
spent in collating and verifying the facts of the case. Accordingly, it is impressed upon all the
Ministries/Departments of the Government of India to ensure that cases are examined
thoroughly as per the CGHS guidelines and instructions. If any clarification on
CGHS policy matter/relaxation of rules is required, the Administrative Ministry
/ Department may, if they are satisfied with the justification/merit of the
case, refer it to this Ministry with the specific recommendation of the
concerned Joint Secretary /Head of Department along with all supporting
documents.
5. This issues with the approval
of Additional Secretary & Director General (CGHS).
sd/-
(V.P.Singh)
Deputy Secretary to the
Government of India
CGHS-DISTRIBUTION OF LIFE SAVING MEDICINES IN WELLNESS CENTRES
GOVERNMENT OF INDIA
MINISTRY OF HEALTH
& FAMILY WELFARE
DIRECTORATE GENERAL
OF CGHS
No: F.No.
1-32/2012-13/CGHS/MSD/IMP
Dated the 24th July,
2012
OFFICE MEMORANDUM
Subject: Distribution
of Life Saving Medicines/Anti Cancer Medicines to CGHS beneficiaries in NCR
towns at Wellness Center level.
The undersigned is directed to
refer to the subject mentioned above and to state that the Ministry has been
receiving requests from CGHS beneficiaries residing in the NCR towns of NOIDA,
Ghaziabad, Gurgaon and Faridabad, for providing the delivery of life saving
medicines/anti cancer medicines at the CGHS Wellness Centre level as against
the present system in which these are provided at the Medical Store Depot (MSD).
Gole Market, New Delhi. In view of the hardships faced by the CGHS
beneficiaries in collecting the above medicines, it has been considered
sympathetically by the Ministry and it has now been decided to arrange delivery
of the life saving drugs and anti cancer drugs to the CGHS beneficiaries in the
above cities at the CGHS Wellness Centre level.
The life saving medicines and
anti cancer medicines will be delivered at the Wellness Centre by the supplier
between 11AM to 1 PM on third day of placing the indent. The beneficiaries can
collect their indented medicines from the Wellness Centre accordingly. In case
of emergency they can also collect medicines from Medical Store Depot (MSD),
Gole Market, New Delhi, itself on the next working day after due confirmation
from the Medical Store Depot(MSD).
sd/-
(V.P .Singh)
Deputy Secretary to the
Government of India
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