Simplification of procedure for treatment
at private hospitals empanelled under CGHS/CS (MA) Rules: Order Dated
24.09.2018
मिसिल संख्या -Misc -69/केसस्वयों) मु(./शिकायत प्रकोष्ठ/2018/981
भारत सरकार / GOVT. OF INDIA
अपर निदेशक का कार्यालय/
OFFICE OF THE ADDITIONAL DIRECTOR
के.स.स्वा.यो (मुख्यालय)/
C.G.H.S. (HQ)
सैक्टर 12
-, आर. के.पुरम,
नई दिल्ली- 22/ Sector -12, R.K.Puram, New Delhi-22
Dated: 24/09/2018
OFFICE MEMORANDUM
Sub: Directions to Private HCOs empanelled
under CGHS regarding simplification of procedure for treatment at private
hospitals empanelled under CGHS/CS (MA) Rule, 1944.
With reference to the above mentioned subject the undersigned is directed to state that this Ministry has been receiving various complaints regarding difficulties being faced by CGHS beneficiaries in getting the OPD/IPD treatment at Pvt. HCOs after valid referral from the CMO/MO/Govt. Specialist. It has been viewed very seriously by the Competent Authority.
It is observed that the CGHS
beneficiaries are facing a lot of resistance from the staff/OPD manager/Doctors
of the private NCOs empanelled under CGHS. OPD timing are clubbed with General
OPD or OPD for EWS, which is causing inconvenience to the CGHS beneficiaries.
OPD Slot for CGHS beneficiaries is also reduced to half an hour, The CGHS
beneficiaries are not allowed to seek the consultation from the Senior Doctor
or their OPD, so called premium OPD.
It is reiterated that HCOs empanelled
under CGHS shall adhere to the term and conditions while providing
treatment/investigation facilities to the CGHS beneficiaries. The private HCOs
empanelled under CGHS shall provide quality service to CGHS beneficiaries and
care may be taken to avoid inconvenience, especially for the Senior Citizen,
Cancer Patients and terminally ill patients. Pvt. HCOs shall avoid any
discrimination to CGHS beneficiaries.
As per MOA clause No. 18 (9)
discrimination against CGHS beneficiaries’ vis-å-vis general patients — “The
amount of Performance Bank Guarantee will be forfeited and the CGHS shall have
the right to de-recognize the Health Care Organization as the case may be. Such
action could be initiated on the basis of a complaint, medical audit or
inspections carried out by the CGHS teams at random. The decision of the CGHS
will be final.
All the empanelled HCOs under CGHS
Delhi/NCR are hereby warned/directed to follow the specified guidelines laid
down in MOA and OMs issued by the Ministry Of Health & Family Welfare,
Govt. of India from time to time, failing which the Show Cause Notice will be
served and action as deemed fit shall be taken.
This issues with the approval of
Competent Authority.
sd/-
Dr. Sanjay Jain
Addl. Director, CGHS (HQ)
Dr. Sanjay Jain
Addl. Director, CGHS (HQ)
Source: https://cghs.gov.in/showfile.php?lid=5160
