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CGHS Order 2013 – Clarification regarding admissible non-admissible items under CGHS

F.No.2-1/2012/CGHS/VC/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare

Nirman Bhawan, New Delhi
Dated the 1st August, 2013.

OFFICE MEMORANDUM

Subject : Clarification regarding admissible non-admissible items under CGHS.

With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum of even number dated 1st October 2012 issued by this Department in compliance of the directions of Hon’ble High Court of Delhi in the case of Shri Kanhiya Singh Vs UOl and others [W.P.(C) 9044/2011] clarifying admissibility / inadmissibility of items of expenditure for claiming reimbursement under CGHS. The same are being reproduced for a wider circulation and information in compliance of Hon’ble High Court’s latest direction issued on 16.05.2013 in this case. The requisite clarifications regarding admissible and non- admissible items under CGHS are provided here with as under:

a) “CGHS Package Rate’ shall mean and include lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) — (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet. (iv) Operation charges. (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (X) Transfusion charges, (xi) Anesthesia charges. (xii) Operation theatre charges, (xiii) Procedural charges / surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential investigations, (xvii) Physiotherapy charges etc. (xviii) Nursing care and charges for its services.

b) Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates for Implants / stents / grafts or as per actual, whichever is lower, in case there is no ceiling rate prescribed under CGHS.

c) During In-patient treatment of the CGHS beneficiary, the hospital will not ask the beneficiary or his/her attendant to purchase separately the medicines /sundries/equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items.

d) In cases of conservative treatment / where there is no CGHS package rate, the above mentioned items are admissible-items wise at CGHS rates or as per AIIMS rates (if there is no CGHS rate) or as per actual (if there is no CGHS / AIIMS rate) available for any item.

e) Package rates envisage up to a maximum duration of indoor treatment as follows.

12 days for Specialized (Super Specialties) treatment;
7 days for other Major Surgeries;
3 days for Laparoscopic surgeries/normal deliveries; and
1 day for day care / Minor (OPO) surgeries.

However, if the beneficiary has to stay in the hospital for his /her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement shall be limited to accommodation charges as per entitlement , investigations charges at approved rates, and doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay).

No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure or due to any improper proceed.

f) In addition to the above mentioned items, some patients may require additional facilities / procedures, which are admissible with proper justification in deserving cases. Therefore, it is not possible to give a comprehensive list of items, which are not admissible.

However, the following items are not admissible:

Telephone charges
Toiletries
Sanitary napkins
Talcum powder
Mouth fresheners

2. It has also been decided to clarify that expenses incurred on medicines, consumables, sundry equipment’s and accessories etc.. which are purchased from outside, based on specific authorization of treating doctor / staff of the concerned hospital will be reimbursable if they are not falling under the list of non-admissible items. In case the empanelled hospital has asked a CGHS beneficiary for purchase of the said items over and above the package rates, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospital.

3. This Office Memorandum is issued in compliance of the directions of Hon’ble High Court of Delhi in W.P. (C) 9044/2011 [Sh. Kanhiya Singh Vs UOI and others).

[V.P.Singh)
Deputy Secretary to Government of India

Original Order :
http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File609.pdf

Review of Forms for Pensionary/retirement benefits and Nominations under various Rules of the Department of Pension & Pensioners’ Welfare

No.1/19/2013-P&PW (E)
Government of India
Ministry of Personnel, P.G. & Pensions
Department of Pension & Pensioners’ Welfare

Lok Nayak Bhawan,
Khan Market, New Delhi
Dated: 1st August, 2013

Circular

Sub: Review of Forms for Pensionary/retirement benefits and Nominations under various Rules of the Department of Pension & Pensioners’ Welfare.

The undersigned is directed to state that the Department of Pension & PW is in the process of reviewing Forms for Pensionary/retirement benefits and Nominations under the following Rules administered by this Department:

1. CCS (Pension) Rules, 1972
2. CCS (Commutation of Pension) Rules, 1981
3. CCS (Extraordinary Pension) Rules,
4. General Provident Fund (Civil Services) Rules, 1960
5. Contributory Provident Fund (India) Rules, 1962
6. Payment of Arrears of Pension (Nomination) Rules, 1983

2. The Forms are available at the Departmental websitc persmin.nic.in and pensionersportal.gov.in.

3. Suggestions are invited from all concerned, including pensioners and pensioners’ associations for making these Forms simple. user-friendly and compatible with the amended provisions of the Rules.

4. You may forward your suggestions to Shri Harjit Singti, Deputy Secretary, Department of Pension & Pensioners’ Welfare, at his e-mail [email protected]. within 15 days.

(D.K. Solanki)
Under Secretary to the Govt. of India

Original Order :
http://ccis.nic.in/WriteReadData/CircularPortal/D3/D03ppw/PPWE010813.pdf

DoPT Order 2013 – Children Education Allowance – Reimbursement of Examination Fee

No.12011/01/2012-Estt.(AL)
Government of India
Ministry of Personnel, Public Grievances and Pension
Department of Personnel & Training

Block-IV, Old JNU Campus,
New Delhi, July 31, 2013

OFFICE MEMORANDUM

Subject: Children Education Allowance – Reimbursement of Examination Fee

Subsequent to issue of Department of Personnel & Training’s O.M.No.12011/03/2O08-Estt.(Allowance) dated 2nd September, 2008, and subsequent clarifications issued from time to time on the subject cited above, a number of references have been received on reimbursement of ‘examination fee’. After due consideration of the references, in consultation with the Ministry of Finance, Department of Expenditure, it has been agreed to allow reimbursement of ‘examination fee’ as part of reimbursable items as indicated in para 1(e) of O.M. dated 2nd September, 2008, with effect from the current academic year, subject to the fulfillment of other existing conditions.

2. In so far as persons working n the Indian Accounts and Audit Departments are concerned, these orders issue in consultation with Comptroller and Auditor General of India.

(Vibha Govil Mishra)
Director

Original Order :
http://ccis.nic.in/WriteReadData/CircularPortal/D2/D02est/12011_01_2012-Estt.AL-31072013.pdf

AICPIN for the month of June 2013

Consumer Price Index Numbers for Industrial Workers (CPI-IW) June 2013

According to a press release issued today by the Labour Bureau, Ministry of Labour & Employment the All-India CPI-IW for June, 2013 rose by 3 points and pegged at 231 (two hundred and thirty one). On 1-month percentage change, it increased by 1.32 per cent between May and June compared with 0.97 per cent between the same two months a year ago.

The largest upward pressure to the change in current index came from Food group contributing 2.98 percentage points to the total change. At item level, Rice, Fish Fresh, Eggs (Hen), Poultry (Chicken), Milk, Onion, Ginger, Chillies Green, Potato, Tomato & other Vegetables, Tea Leaf, Tea (Readymade), Bidi, Cigarette, Electricity Charges, Doctor’s fee, Medicine (Allopathic), Petrol, etc. are responsible for the rise in index. However, this was compensated by Wheat, Groundnut Oil and Mustard Oil putting downward pressure on the index.

The year-on-year inflation measured by monthly CPI-IW stood at 11.06 per cent for June, 2013 as compared to 10.68 per cent for the previous month and 10.05 per cent during the corresponding month of the previous year. Similarly, the Food inflation stood at 14.86 per cent against 13.24 per cent of the previous month and 10.45 per cent during the corresponding month of the previous year.

At centre level, Pune, Bhilai and Guntur recorded the highest increase of 8 points each followed by Jalpaiguri, Asansol, Mumbai, Bokaro, Siliguri and Kanpur (7 points each) and Warrangal and Vijaywada (6 points each). Among others, 5 points rise was registered in 9 centres, 4 points in 8 centres, 3 points in 12 centres, 2 points in 15 centres, and 1 point in 14 centres. On the contrary, a decline of 1 point each was recorded in Amritsar and Coimbatore centres. Rest of the 7 centres’ indices remained stationary.

The indices of 39 centres are above All-India Index and other 38 centres’ indices are below national average. The index of Bhilwara centre remained at par with all-India index.

The next index of CPI-IW for the month of July, 2013 will be released on Friday, 30 August, 2013. The same will also be available on the office website www.labourbureau.gov.in.

– PIB

DOPT Order 2013 – Promotion to the grade of Deputy Secretary on ad-hoc basis – Extension of period for one year beyond 30.7.2013

No.4/5/2013-CS-I(D)
Government of India
Ministry of Personnel, Public Grievances & Pensions
Department of Personnel & Training

2nd Floor, Lok Nayak Bhavan,
Khan Market, New DeIhi-3
Dated the 23rd July, 2013

OFFICE MEMORANDUM

Subject :- Promotion to the grade of Deputy Secretary on ad-hoc basis – Extension of period for one year beyond 30.7.2013.

The undersigned is directed to refer to this Department’s Order No.4/14/2011-CS-I(D) dated 31st July, 2012 and subsequent orders dated 1/10/2012, 12/11/2012, 14/12/2012, 29/1/2013 and 7/3/2013, for promotion of Under Secretaries of the CSS to the grade of Deputy Secretary on ad-hoc basis. The tenure of ad-hoc appointment of some of the officers covered under the above orders and still continuing on ad-hoc basis is upto 31/7/2013, while in case of other officers, the tenure is for different periods.

2. With the approval of the competent authority, the tenure of ad-hoc appointment of all the Deputy Secretaries is hereby extended upto 30/6/2014 or till the posts are filled up on regular basis , whichever is earlier.

3. This order will be applicable to all such officers who are continuously holding the post of Deputy Secretary on ad-hoc basis asper afore mentioned orders. This order will, however, not be applicable to those officers whose promotions were cancelled subsequently. The continuation of the ad-hoc promotion beyond 31/7/2013 is subject to the conditions as mentioned in this Department’s aforementioned orders.

(Utkaarsh R.Tiwari)
Director

Original Order :
http://ccis.nic.in/WriteReadData/CircularPortal/D2/D02csd/OM1.pdf

Grant of Family Pension and Gratuity to the eligible member of the family of any employee/pensioner

Family pension is payable to the family of a Government employee or pensioner after his death. Difficulties in payment arise when a Government Servant or pensioner goes missing. Clarificatory instructions have recently been issued by the Central Government for payment of benefits in such cases.

According to these instructions, the family must lodge a report with the concerned police station and obtain a report from the police, that the employee or pensioner or family pensioner has not been traced despite all efforts made by them.

The report may be a First Information Report or any other report such as a Daily Diary or General Diary Entry.

The family can apply for the grant of family pension, amount of salary due, leave encashment due and the amount of GPF and gratuity (whatever has not already been received) to the Head of Office of the organisation where the employee or pensioner had last served, six months after lodging of police report.

The amount of salary due, leave encashment due and the amount of GPF will be paid to the family in the first instance as per the nominations made by the employee or pensioner on filling of a police report and submission of an indemnity bond.

Detailed instructions are available at Department of Pension & Pensioners’ Welfare’s website www.persmin.nic.in.

– PIB

Payment of Arrears of family pension

In case of death of a pensioner, all money payable to the pensioner on account of pension are payable to the nominee of the deceased pensioner. In the absence of any valid nomination made by the pensioner, the arrears of his/her pension are paid to the legal heir. However, dependants of some pensioners expressed difficulties in obtaining the legal heir-ship certificates and represented that the necessity of production of legal heir-ship certificates may be waived where the amount of arrears payable is small.

In such cases a provision had been made in 1985 for Payment of Lifetime Arrears of Pension on the basis of any documentary proof regarding the relationship and heir-ship of the claimant if the gross amount of arrears does not exceed Rs.25,000. If the gross amount did not exceed Rs.5,000 and case represented no peculiar features, the Accounts Officer was authorised to make the payment on his own authority.

The Government has further looked into the matter and decided to increase the limits of Rs.5000 and Rs.25000 to Rs.50,000 and Rs.2,50,000 respectively.

At present in the event of death of a family pensioner, the right to receive any arrears of family pension automatically passes on to the eligible member of the family next in line. Where there is no member in the family who is eligible to receive family pension after the death of the family pensioner, the payment of arrears of family pension is made on the basis of succession certificate. Now, it has also been decided that the payment of arrears of family pension up to Rs.2,50,000 may be made where no member of family is eligible to receive family pension.

Detailed instructions are available at Department of Pension & Pensioners’ Welfare’s website www.persmin.nic.in.

– PIB

Special IT Return Receipt Counters for Salaried Tax Payers With Income Upto Rs. 5 Lakh

The CBDT has, vide notification dated 1-05-2013, made E-filing of Return compulsory for Assessment Year 2013-14 for persons having total assessable income exceeding Five lakh rupees.

 The CBDT vide its earlier notifications had exempted salaried employees having total income upto Rs. 5 lakhsincluding income from other sources upto Rs. 10,000/- from the requirement of filing return of income for assessment year 2011-12 and 2012-13 respectively. The exemption was available only for the assessment year 2011-12 and 2012-13. The exemption was giving considering ‘paper filing of returns’ and their ‘processing through manual entry’ on system.

However, this year the facility for online filing of returns has been made user-friendly with the advantage of pre-filled return forms. These E-filed forms also get electronically processed at the central processing centre in a speedy manner. Hence, the exemption provided during the last two years is not being extended for assessment year 2013-14. Taxpayers are encouraged to file their returns electronically. E-filing is an easy, fast and secure method of filing of income tax return. Moreover, Digital signature is not mandatory for these taxpayers and they can transmit the data in the return electronically by downloading ITRs, or by online filing and thereafter submit the verification of the return in From ITR-V acknowledgement after signature to Central Processing Centre. The processing for E-filed returns is faster.

 From 25th July to 31st July 2013 (Except 27th and 28th July being holidays), Special Return Receipt Counters (FOR SALARIED TAX PAYERS) will operate at Pratayakshar Bhawan, Civic Centre, Minto Road, New Delhi this year. (Instead ofPragati Maidan and Mayur Bhavan as were done in the past).

   The special counters have been set up jurisdiction wise as follows:

 ·         For CIT-XIV Charge (Govt. Salary) at ‘B’ Block, Ground Floor in Civil Centre,

·         For CIV-XV Charge (PSUs/Schools/Colleges/Bank Salary) at ‘C’ Block, Ground Floor in Civic Centre,

·         For CIT-XVI Charge (Private Salary) at ‘C’ Block, Ground Floor in Civil Centre,

·         In addition special counters separately will function at ‘B’ and ‘C’ Block in Civic Centre for Senior Citizens and Differently abled persons.

             As Returns of Income above Rs. 5 lakhs have to be e-filed online mandatorily, the same will not be received at any of these special counters. Only paper return of income upto 5 lakhs can be filed at these counters. Other facilities like Helpdesk, Tax Return Preparers (TRPs), UTI/NSDL counters, Bank, tax payment facility, PAN facilitation counter etc. Will be also available at Civic Centre, New Delhi during the same period.

Source – PIB

DOPT Order 2013 – Grant of Special Incentive Allowance for non-executive staff in CBI

F.No.207/01/2011-AVD-II (Pt.III)
Government of India
Ministry of Personnel, Public Grievances & Pensions
Department of Personnel and Training

North Block, New Delhi
Dated: 22nd July, 2013

To

The Director
Central Bureau of Investigation
CGO Complex, New Delhi

Subject: Grant of Special Incentive Allowance for non-executive staff in CBI.

In partial modification of this Department’s letter of even number dated 04.10.2011 and pursuant to Calcutta High Court’s order dated 28.02.2013 in Contempt Petition No 509/2012 in WPCT No 118/2008 filed by Shri Kishalay Mukherjee and Others, approval of the competent authority is hereby conveyed for payment of Special Incentive Allowance to Non-Executive Staffs in CBI @ 15% of Basic Pay w.e.f. 20.12.2006.

2. The expenditure incurred will be met from the sanctioned budget grant of CBI under the relevant head of account in the current financial year 2013-14.

3. This issues with the approval of Department of Expenditure’s ID No.115764/E-III(A)/2013 dated 02/07/2013 and concurrence of IFD/MHA vide DY. No411/Fin-III/13 dated 22.07.2013.

Yours faithfully,

(Rajiv Jain)
Under Secretary to the Government of India

Original Copy :
http://ccis.nic.in/WriteReadData/CircularPortal/D2/D02ser/207_01_2011-AVD-II-A.pd

Merger of 19 Postal Dispensaries presently functioning in 12 CGHS covered cities with CGHS

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, Maulana Azad Road
New Delhi 110 108
*************

No. 4-212006-C&P/CGHS (P)

Dated the 9th July, 2013

NOTIFICATION

Sub: Merger of 19 Postal Dispensaries presently functioning in 12 CGHS covered cities with CGHS

In pursuance of the decision taken by the Government on recommendations of Sixth Pay Commission, the following 19 (nineteen) Postal Dispensaries presently functioning in 12 (twelve) CGHS covered cities, i.e., Ahmadabad (3), Bhopal (I), Bhubaneswar (I), Dehradun (I), Guwahati (2), Jaipur (2), Jammu (I), Jabalpur (I), Lucknow (3), Pune (2), Ranchi (I) and Shillong (I) are hereby merged with the Central Government Health Scheme (CGHS).

2. All serving employees and pensioners of Department of Posts (DoP) and Department of Telecom (DoT) who are residing/settled in the above I2 cities and are beneficiaries of the 19 Postal Dispensaries shall now be covered under CGHS and the Postal Dispensaries shall be rechristened as CGHS Wellness Centres. CGHS membership to the pensioners will be confined to those who are residing / settled in these 12 cities only.

3. In so far as the existing facilities and manpower in position in these 19 Postal Dispensaries are concerned, the merger shall be effective as per the following terms and conditions:-

A. All serving employees and pensioners of Department of Post (DoP) and Department of Telecom (DoT) shall have to abide by the CGHS rules and guidelines to become a member of the Scheme. They shall have to pay the requisite contribution as per the prevailing rates prescribed by the Ministry of Health and Family Welfare/CGHS. DoP and DoT will take necessary action to inform their employees and pensioners in this regard.

B. All existing facilities and infrastructure like buildings, furniture and fixtures, equipments etc. will be taken over by CGHS on ‘as is where is’ basis. The Department of Post shall handover the possession of the Postal Dispensaries accommodation to the Department of Health and Family Welfare /CGHS at a token rent of Re.l/- per annum. In the case of rented accommodations, CGHS will pay the rent from the date of taking over of the dispensaries.

C. All doctors of GDMO sub-cadre of CHS working in the above 19 dispensaries will be taken on roll of CGHS and they shall be placed under the administrative control of Department of Health and Family Welfare/CGHS for all purposes.

D. All employees (technical/non-technical staff) along with the work allocated and posts they are currently holding in these 19 Postal Dispensaries shall be taken over by CGHS. Their seniority and other condition of service in CGHS shall be governed by the relevant instructions and guidelines issued by DoPT from time to time.

E. All expenditure relating to these dispensaries including medicines, hospitalisation and other reimbursable expenses (of pensioners), salaries and other allowances to the Postal dispensary employees as a result of merger of these dispensaries shall be borne by CGHS from its own resources.

F. Local Committees shall be constituted in the respective cities with representatives from both CGHS and Postal dispensaries to resolve all staffing and other local issues arising on account of the merger in consultation with nodal Ministries.

4. These Orders shall be effective from 1″ August, 2013.

5. This issues with the concurrence of Ministry of Finance, Department of Expenditure’s vide I.D No. I 8(3)/E.V/2008 dated 06.03.2013.

(V.P. Singh)
Deputy Secretary to the Government of India

Original Order :

http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File605.pdf

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