Directions to Private HCOs empanelled under CGHS regarding simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rule, 1944
Dated: 24 109/2018
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_ CPD 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