No. 6/6/2011-CS-II(C)
Government of India
Ministry of Personnel, Public Grievances and Pension
Department of Personnel and Training
3rd floor, Lok Nayak Bhawan, Khan Market,
New Delhi date 12th January, 2012
OFFICE MEMORANDUM
Subject: Pay fixation on grant of non-functional selection grade (NFSG) to UDCs of CSCS and Stenographer Grade ‘D’ of CSSS subsequent to implementation of CCS ( Revised Pay) Rules, 2008 – reg.
The undersigned is directed to refer to this Department’s O.M No. 6/6/2011-CS-II(C) dated 22/9/2011 regarding issuance of zone of consideration for placement of eligible Stenographer Grade ‘D’ in Non Functional Selection Grade (NFSG) consequent upon creation of new grade of UDC (NFSGJ and Stenographer Grade ‘D’ NFSG) in CSCS and CSSS respectively vide this Department’s 0M. No. 20/49/2009-CS.ll(B) dated 22/6/2011 and to say that the matter relating to pay fixation on grant of NFSG to UDCs and Stenographers Grade ‘D’ of CSCS and CSSS respectively subsequent to implementation of CCS(Revised Pay) Rules, 2008 has been considered in this Division in consultation with Estt. (Pay) Division.
2. It has been clarified by Estt.(Pay) Division vide their Dy. No. 6117/11- Estt.(Pay I) dated 6/1/2012 that at the time of grant of non functional selection grade to UDCs and Stenographers Grade ‘D’, their pay fixation may be done under the Rule 13 of CCS ( Revised Pay ) Rules, 2008 i.e. they should be granted one increment @ 3% of their basic pay and to the figure so arrived at, the difference in grade pay ( Rs. 4200 — Rs. 2400 Rs. 1800) should be added.
3. All the Cadre Units of CSCS and CSSS are requested to take further necessary action accordingly.
(Kiran Vasudeva)
Under Secretary to the Govt. of India
No. 2(25)/2004-E.II(B)
Government of India
Ministry of Finance
Department of Expenditure
*****
New Delhi. 15th December, 2011
OFFICE MEMORANDUM
Subject:-Re-imbursement of rent to Government servants during their stay in State Bhavans/Guest Houses run by State Governments/Autonomous Organizations, etc..
The undersigned is directed to invite reference to this Ministry’s O.M. No. 2(39)194- E.ll(B) dated 27.10.1994 and subsequent O.M. of even number dated 19.08.2004 on the subject mentioned above. it has been represented to this Ministry that the officials, who are posted to the Centre and temporarily stay in State Bhavans/Guest houses run by the State Govts/autonomous organizations, face hardship due to non-reimbursement of the amount of the rent paid by them equal to 10% of their basic pay.
2. The matter has been considered and it has been decided that, in supersession of the instructions as contained in the OMs. referred to above, the officials who are posted to the Centre and temporarily stay in State Bhavans/Guest Houses run by the State (Govts./autonomous organizations, may be reimbursed the amount of rent paid by them or the HRA admissible to them, whichever is less, subject to fulfillment of the following conditions:
(a) the official has applied for accommodation of his entitlement, subject to exception of cities as specified in para 4(a)(ii) of O.M. No.2(37)-E.ll(B)/64 dated 27.11.1965 as amended from time to time but has not been allotted residential accommodation by the Government:
(b) the concerned Guest House should be located at the place of posting of the official; and
(c) the official must have stayed in State Bhavans/Guest Houses run by the State
Govt,/autonomous organization and submit rent receipts in support of payment of rent.
3. The amount paid as rent in excess of admissible HRA, if any. will have to be borne by the official concerned on his own.
4. These orders shall he effective from the date of issue.
5. In so Far as the persons serving in the Indian Audit and Accounts Department are concerned. these orders issue in consultation with the Comptroller & Auditor General of India.
6. Hindi version is attached.
(Anil Sharma)
Under Secretary to the Govt. of India
Tamil Nadu Government Pensioners’ Health Fund Scheme, 1995 – Enhancement of Subscription – Orders – Issued.
Read the following:-
1. G.O. Ms. No. 562, Finance (Pension) Department, dated:11.07.1995
2. G.O. Ms. No. 404, Finance (Pension) Department, dated:09.10.2001
3. G.O. Ms. No. 188, Finance (Pension) Department, dated:09.05.2008
4. G.O. Ms. No. 474, Finance (Pension) Department, dated:30.09.2009
5. G.O. Ms. No. 475, Finance (Pension) Department, dated:30.09.2009
6. From the Director of Pension, Chennai – 6 Letter No RC.51168/2011/Bills, Dated 24.08.2011
*******
ORDER:
The Government in their order first read above had constituted a fund called “Tamil Nadu Government Pensioners’ Health Fund” with effect from 01.07.1995 to provide financial assistance to pensioners for undergoing specialised treatment / surgery, when they are affected by major ailments.
2. In the Government Order third read above the subscription recoverable from the pensioners was enhanced to Rs.50/-per month with effect from 01.04.2008 and the maximum limit was enhanced to Rs.1,00,000/- or 75% of the actual cost of treatment, whichever is less.
3. In the Government order fourth read above, the Tamil Nadu Government Pensioners’ Health Fund Scheme, 1995 was extended to the spouse of the pensioners with effect from 17.02.2009, subject to the maximum limit of Rs.1,00,000/- or 75% of the actual cost of treatment, whichever is less, for both the pensioner and spouse combined together and the contribution recoverable from the pensioners’ monthly pension was enhanced from Rs.50/- to Rs.100/- per month with effect from 01.09.2009.
4. In the Government Order fifth read above, the scheme was extended to the family pensioners including teacher family pensioners, with effect from 01.09.2009 for whom subscription to the fund was fixed at Rs.75/- per month on their option to enroll under the scheme.
5. Though initially the scheme was introduced as a financially self sustaining one, the receipt of funds under the scheme by way of subscription collected from the pensioners was not sufficient to meet the claims received from the pensioners resulting in a backlog of pending applications for sanction of assistance under the scheme. Owing to extension of the scheme to the spouse of the pensioners and family pensioners and also due to the extension of the facility for those pensioners/ family pensioners who have undergone treatment/ surgery even in unaccredited hospitals, claims received under the scheme increased enormously, leading to a deficit of more than Rs.4crores per month which has to be supported by the Government and so far around Rs.80crores has been sanctioned by the Government as additional grant to the fund from the inception of the scheme.
6. In order to avoid the ever increasing additional burden to the Government and to make a breakeven point, the Government, after careful examination decided to enhance the subscription recoverable from the pension of the State Government pensioners. Accordingly Government direct that the subscription from the pensioners shall be enhanced from Rs.100/- per month to Rs.150/- per month with effect from 01.01.2012 i.e. from the pension payable for the month of January, 2012. The Government also direct that the subscription recoverable from the family pensioners shall be enhanced from Rs.75/- per month to Rs.100/-per month with effect from 01.01.2012 i.e. from the family pension payable for the month of January, 2012. 7. There shall be no change in the other terms and conditions of the scheme.
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan. Maulana Azad Road
New Delhi 110 108
No. S 11012/3/2011- CGHS (P)
Dated: the 29th December. 2011
OFFICE MEMORANDUM
Sub: Issue of Individual Plastic Cards to CGHS beneficiaries – regarding
The undersigned is directed to Invite reference to this Ministry’s O.M No. Misc. 6024/2007/CGHS (HQ)/CGHS(P) dated 30th December, 2009 wherein guidelines on issue of individual Plastic cards to each CGHS beneficiary (serving and retired) were issued. In order to further streamline the issue of CGHS Plastic Cards, the guidelines are revised as follows:
NEW PROCEDURE FOR ISSUE OF CGHS CARDS IN DELHI & NCR
(A) SERVING EMPLOYEES
1. CGHS Cards shall be issued only to the eligible Central Government employees and such class of persons as may he decided by the Government whose place of residence is situated within the coverage area of CGHS.
2. Requisition for CGHS Cards shall be prepared in duplicate in Form ‘A’. One copy to be forwarded to Additional Director (HQ), CGHS, New Delhi and the other to be retained with the Department where the applicant is currently employed (hereinafter referred to as ‘sponsoring authority/Ministry/ Department) for record.
3. The requisition shall be sponsored by an officer in charge of administration not below the rank of Under Secretary.
4. Requisitions for CGHS Cards shall be accompanied by two copies of recent 3×5 cm. size individual photographs of all family members of the government employee, one set of which shall be pasted on the application form and shall be attested by a Gazetted Officer in charge of administration. Another set of photographs shall be signed on the back by the concerned beneficiary and enclosed with the application form for onward submission to the Office of Additional Director (HQ), CGHS. New Delhi.
5. Requisitions shall be sent along with two copies of the challan as in Form ‘C’ duly filled in, to the Additional Director (HQ), CGHS, New Delhi.
6. The Office of Additional Director (HQ). New Delhi shall process the requisition forms and get the cards prepared in the prescribed format which shall then be delivered to the concerned sponsoring authorities as per the laid down procedure.
7. CGHS Cards will be delivered only to the person authorised by the sponsoring authority after obtaining an acknowledgement in Form ‘D’.
8. The sponsoring authority shall ensure that the government employee, for whose family members the CGHS Cards are made out, gives a proper receipt on taking delivery of card(s) by putting his/her signature.
9. On the occurrence of death, CGIHS cards issued to a government employee shall be withdrawn and deposited by the Administration of his/her Department with Additional Director (HQ), CGHS, New Delhi for cancellation.
10.In case of change in entitlement for CGHS facilities, the Government employee shall enclose the CGHS card(s) with the application for issuing new card(s) with the revised entitlement.
11. In case of mutilation, the mutilated CGHS Card shall be enclosed with the application along with the challan in token of payment of the prescribed charges for issuing a new card.
12.CGHS Card(s) may be issued to employees of autonomous bodies (if CGHS facility is allowed to such body) under the Administrative Ministries of
Government of India in accordance with the procedure prescribed above. Officers of a rank equivalent or corresponding to Under Secretary In such autonomous bodies though not enjoying Secretariat status shall be the requisitioning authority and certifying authority in respect of such employees.
13.CGHS Card(s) for employees of autonomous bodies attached to the Ministries will be issued only if the employee is residing within the CGHS covered areas.
14.Duplicate cards may be issued on payment of prescribed fee with the details of the lost / misplaced cards. For Issue of duplicate cards, the same procedure shall be followed by the concerned employee and his/her sponsoring authority/Department /Office.
15.The employees should be encouraged to submit their applications online by using the CGHS portal. After online submission of the application from they should take a print out of the same and submit the hard copy duly signed and photographs affixed thereon, to the sponsoring authority for processing and onward submission to the Office of Additional Director (HQ), CGHS for issuing the cards. Detailed instructions for online submission of applications are at APPENDIX.
16.The plastic cards issued by CGHS shall be valid for a period of five years from the date of issue. The validity period shall also be indicated on the card.
(B) PENSIONERS
1. CGHS card(s) will be issued to the eligible pensioners and his/her dependent family members whose place of residence is situated in the CGHS covered areas. However, CGHS card(s) can also be issued to the pensioners whose place of residence is outside the CGHS covered areas but they have opted for the CGHS membership.
The Government sanction a lumpsum Pongal Prize amount of Rs.500/- (Rupees five hundred only) to all pensioners including adhoc pensioners of all categories and family pensioners of Government including All India Service, Aided Educational Institutions, Local Bodies and Ex-Village Officers..
2. This order shall be applicable to all the existing pensioners / family pensioners mentioned in paragraph 1 above. This order shall also be applicable to provisional pensioners. The Pongal Prize amount shall not be admissible to those employees who retire on or after 02.01.2012 and to the families of those employees who die in harness on or after 02.01.2012.
3. Those who have retired / died in harness during the period from 01.10.2010 to 01.01.2012 are not eligible for the Pongal Prize amount if they are paid Adhoc Bonus / Special Adhoc Bonus as per the orders issued in the Government Order second read above. For this purpose, the pension disbursing officers shall obtain non-drawal certificates from the departments concerned before making payment to these pensioners.
4. This order is not applicable to the following categories of pensioners:-
i) Special pensioners such as Ulema Pensioners, State Freedom Fighters Pensioners and Social Pension for Scholars and Eminent
persons, etc.
ii) Family pensioners who are appointed on compassionate grounds if adhoc bonus / special adhoc bonus is paid to them as applicable to the employees in service.
5. The Government also direct that the procedure indicated below be followed for disbursement of Pongal Prize amount in respect of pensioners / family pensioners coming under the Pension Pilot Scheme.
i) In respect of those pensioners / family pensioners to whom pension / family pension is sent by Money order at Government cost, the Pongal prize amount also shall be sent by Money Order at the Government cost.
ii) In respect of pensioners / family pensioners to whom pension / family pension is paid through Banks,
a) In Pension Pay Office, Chennai and District Treasuries / Sub Treasuries where the cheque system of payment of bills / Electronic Clearing System is in vogue, the Pension Pay Officer, Chennai and District Treasury officers / Sub Treasury officers are permitted to issue cheques and send the cheques to the respective paying branches of the bank with a covering list of pensioners / family pensioners for crediting the amount to the pensioners’ / family pensioners’ savings bank account.
b) As regards banking Sub-Treasuries where the cheque system of payment of bills / Electronic Clearing System is not in vogue, the Sub Treasury officers are permitted to get Banker’s cheque / Bank draft and send them to the respective pensioners for crediting the amount to the pensioners’ / family pensioners’ savings bank account.
c) As regards Non-Banking Sub-Treasuries, the Sub-Treasury officers are permitted to draw the Pongal prize amount and arrange to send the same to the respective paying branches of the bank for crediting the amount to the pensioners’ / family pensioners’ savings bank account.
6. In respect of pensioners / family pensioners coming under the Public Sector Bank Scheme, all Public Sector Banks are authorised to credit the amount to the pensioners’ / family pensioners’ account.
7. In respect of pensioners / family pensioners for whom expenditure is met from State Funds, the expenditure shall be debited to the following Head of Account:
“2071. Pensions and Other Retirement Benefits – 01. Civil –
800. Other Expenditure – I. Non-Plan – AF. Pongal prize to
Pensioners and Family Pensioners – 27. Pensions – 09. Others
(D.P.C. 2071 01 800 AF 2799)”.
In respect of payment of Pongal Prize to Ex-Village Officers, the expenditure shall be debited to the following head of account opened under Demand No.50 as detailed below:-
“2071. Pensions and Other Retirement Benefits – 01. Civil –
800. Other Expenditure – I. Non-Plan– AK. Pongal Prize to
ExVillage Officers – 27. Pensions – 09. Others (D.P.C. 2071
01 800 AK 2791)”
In respect of pensioners / family pensioners of Local Bodies for whom expenditure is met from the fund maintained by the Director of Local Fund Audit or Municipal Funds, as the case may be, the expenditure shall be met from the respective funds referred to above.
8. The Pongal Prize amount sanctioned above shall be paid to the eligible pensioners / family pensioners and Ex-Village Officers immediately.
9. Necessary provisions have been made under the relevant head of account in Budget Estimate 2011-2012. However, if additional provisions are required, they will be made under the relevant head of account in RE/FMA 2011-2012 and the required funds may be drawn pending such provision.
10. This order issues with the Additional Sanction Ledger No.1318 (One thousand three hundred and eighteen).
BONUS – Adhoc Bonus – Special Adhoc Bonus for the year 2010–2011 – Sanction – Orders – Issued.
Read the following :-
1. G.O.Ms.No.1, Finance (Allowances) Department, dated 3.1.2011.
2. Government of India, Ministry of Finance, Department of Expenditure,
7/24/2007/E-III/(A)/ Branch Office memorandum dated 13.09.2011.
********
ORDER:-
Government has decided to grant Adhoc Bonus equivalent to 30 days emoluments on a base of 30 days a month to all regular and temporary Government employees, employees of Local Bodies and Aided Educational Institutions including teachers on regular time scales of pay for the financial year 2010-2011.
2. Employees in Groups ‘C’ and ‘D’ were paid Adhoc Bonus equivalent to 30 days emoluments subject to a ceiling of Rs.3,000/- during the year 2009-2010. Accordingly, Government direct that all regular and temporary Government employees who are on regular time scales of pay, employees of Local Bodies and Aided Educational Institutions including teachers on regular time scales of pay in ‘C’ and ‘D’ group be paid adhoc bonus equivalent to 30 days emoluments on a base of 30 days a month for the financial year 2010-2011. The Adhoc Bonus shall be computed on the basis of actual emoluments as on 31st March 2011. The amount of adhoc bonus shall be calculated as if monthly emoluments were Rs.3,000/- per month. In respect of those drawing pay in the pre-revised / revised scales of pay, the calculation of adhoc bonus shall be based on the emoluments drawn subject to the upper ceiling of Rs.3,000/- (Rupees Three thousand only) per month. The upper ceiling limit shall be applicable irrespective of whether the emoluments are drawn in the pre-revised or revised scales of pay.
3. Employees in Groups ‘A’ & ‘B’ including those coming under University Grants Commission / All India Council for Technical Education / Indian Council of Agricultural Research scales of pay and All India Service Regulations are not covered by the bonus scheme and are not entitled to get any adhoc bonus amount. Government has decided to grant Special Adhoc Bonus to these employees and direct that employees in groups ‘A’ & ‘B’ including those on University Grants Commission / All India Council for Technical Education / Indian Council of Agricultural Research scales of pay and All India Service Regulations be paid Special Adhoc Bonus of Rs.1,000/- (Rupees One thousand only).
4. The Special Adhoc Bonus of Rs.1,000/- (Rupees One Thousand only) shall also be admissible to full-time and part-time employees paid from contingencies at fixed monthly rates, employees on consolidated pay/special time scale of pay including employees in Nutritious Meal Programme/ Integrated Child Nutrition Project (Anganwadi Workers), Mini Anganwadi Workers, Village Assistants on special time scales of pay, Panchayat Assistants / Clerks, Makkal Nala paniyalargal on special time scales of pay in Village Panchayats under Rural Development and Panchayat Raj Department, Contract employees, Temporary Assistants on contract basis, the employees on daily wages and the employees partly worked on daily wages and subsequently brought under regular establishment and worked continuously for atleast 240 days or more during the year 2010-2011.
5. Deputationists from the State Government working in Corporations / Boards / Joint Sector companies who are not in receipt of bonus / exgratia payment from the undertakings concerned are eligible for the benefit of Adhoc Bonus / Special Adhoc Bonus.
6. The Adhoc Bonus/Special Adhoc Bonus sanctioned in paras 2 to 5 above shall be admissible subject to the conditions prescribed in the annexure to this order.
7. The expenditure on Adhoc Bonus/Special Adhoc Bonus shall be debited to the sub-detailed head “04 Other Allowances” under the detailed head “01. Salaries” or the detailed head “02. Wages” as the case may be, under the relevant service head of the department concerned.
8. The expenditure on Special Adhoc Bonus in respect of temporary Assistants appointed on contract basis in the year 2003 shall be debited to the Detailed / Sub-Detailed head “33 – Payments for Professional and Special Services” “04 – Contract Payment” under the relevant service head of the department concerned.
9. Necessary provisions have been made under the relevant heads of account in, BE 2011-2012. However, if additional provisions are required, it will be made under the relevant heads of account in RE/FMA 2011-2012 and the required funds may be drawn pending such provision.
10. This order issues with the Additional Sanction Ledger No.1307 (One thousand three hundred and seven).
May the new year Bring these wishes to all of you Warmth of love, comfort of home Joy for your children, Company and support of family n friends A caring heart that accepts N treats all human beings equally Enrichment of knowledge n Richness of diversity Courage to seek n speak the truth Even if it means standing alone Hopes n dreams of a just world n The desire to make it happen A light to guide your path Helping hands to strengthen unity Serenity n peace within your mind, Heart n soul Food for thought n soul A hand to hold
All-India Consumer Price Index Numbers for Industrial Workers on Base 2001=100 for the Month of November 2011
All India Consumer Price Index Number for Industrial Workers (CPI-IW) on base 2001=100 for the month of November, 2011 increased by 1 point and stood at 199 (one hundred & ninety nine) .
During November, 2011, the index recorded maximum increase of 12 points in Mysore centre, 5 points each in Madurai and Puducherry centres, 4 points in Coimbatore centre, 3 points in 2 centres, 2 points in 14 centres, 1 point in 11 centres. The index decreased by 5 points in Lucknow centre, 4 points in Faridabad centre, 3 points in 4 centres, 2 points in 10 centres and 1 point in 15 centres, while in the remaining 16 centres the index remained stationary.
The maximum increase of 12 points in Mysore centre is mainly on account of increase in the prices of Rice, Wheat, Arhar Dal, Groundnut Oil, Garlic, Vegetable items, Clothing items, Flower/Flower Garlands, etc. The increase of 5 points in Madurai centres is mainly due to increase in the prices of Goat Meat, Poultry (Chicken), Fish Fresh, Eggs (Hen), Tamarind, Vegetable & Fruit items, Coffee Powder, Flower/Flower Garlands, Washing Soap, Washing Charges, etc. In Puducherry centre the increase of 5 points is the outcome of increase in the prices of Rice, Goat Meat, Fish Fresh, Vegetable items, Tea (Readymade), Firewood, etc. The increase of 4 points in Coimbatore centre is due to increase in the prices of Goat Meat, Eggs (Hen), Onion, Vegetable items, Bidi, Cigarette, Medicine (Allopathic), Hair Oil, Cinema Charges, etc. The decrease of 5 points in Lucknow centre is mainly due to decrease in the prices of Vegetable Items, Primary School Fee and Primary School Books, etc. The decrease of 4 points in Faridabad centre is due to decrease in the prices of Wheat Atta, Pure Ghee, Garlic, Ginger, Vegetable & Fruit items, Electricity Charges, etc.
The indices in respect of the six major centres are as follows :
The point to point rate of inflation based on CPI-IW(General) for the month of November, 2011 is 9.34% as compared to 9.39% in October, 2011. Inflation based on Food Index is 7.61% in November, 2011 as compared to 8.72% in October, 2011.
The CPI-IW for December, 2011 will be released on the last working day of the next month, i.e. 31st January, 2012.
No.21012/01/12008-Estt.(Allowance)
Government of India
Ministry of Personnel. Public Grievances and Pension
Department of Personnel & Training
*****
New Delhi, December 28 2011
OFFICE MEMORANDUM
Subject: Extension of Risk Allowance till 31.12.2011.
The undersigned is directed to refer this Departments OM No.21012/01/2008-Estt.(AL) dated 19.07.2011 vide which payment of Risk Allowance was extended till 31.12.2011. Extension of Risk Allowance for a further period of six months beyond 31.12.2011 has been considered and it has been decided that Risk Allowance may be continued at the existing rates for a further period of six months upto 30.06.2012 or till such time Risk Insurance Scheme is implemented, whichever is earlier.
Subject: Guidelines regarding referral letters and settlement of bills of Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres through UTI-ITSL
With reference to the above mentioned subject the undersigned is directed to state that in response to several queries received by Ministry seeking clarifications regarding settlement of hospital bills through UTI-TSL, it has been decided to issue the following guidelines for the Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres, CGHS and UTI-ITSL:
1. The empanelled Hospitals / Diagnostic labs / Imaging Centres will honour permission letters (Referral letters) duly signed and stamped with proper issue number. Wherever the permission letters have been issued through computers, any manual corrections should be duly countersigned and stamped.
2. The Hospital shall not undertake treatment of referred cases in specialties for which it is not empanelled, But it shall provide necessary treatment to stabilize the patient and transport the patient safely to nearest recognized hospital under intimation to CGHS authorities. However in such cases the Hospital shall charge as per the CGHS rates only for the treatment provided.
3. The Hospitals / Diagnostic labs / Imaging Centres should provide treatment only for the procedures / investigations for which they are empanelled. If any inadvertent permission letter has been issued for other procedures for which they are not empanelled, the Hospital / Diagnostic lab / Imaging Centre will inform the beneficiary accordingly and refer him / her back to the dispensary, except in emergency condition.
4. In case of procedures like Chemotherapy / Radiotherapy / Dialysis and follow—up treatment procedures where the permission is valid for 3-6 months and a copy of the permission letter is enclosed with the hospital bill for the second and
5. subsequent admissions, hospitals will indicate the ID No. of the Claim wherein original permission letter had been enclosed.
6. CGHS Cards / Plastic cards are valid in all CGHS cities, irrespective of the city where the CGHS card is registered. In case any verification regarding the photocopies of Plastic card / CGHS card is required the details of the individual may be ascertained by accessing the data online at http://cqhs.nic.in/welcome.jsp by entering relevant details. A print out of the same may be enclosed. The beneficiary will not be asked to submit a colour photo copy of CGHS / Plastic Card.
6.1 In case of implants and coronary stents the bills must be accompanied by a copy of the relevant invoices pertaining to the procurement of the stents / implants by the hospitals. In addition to this, the outer pouch of the Stent packet along with the sticker on it on which details of the stent are printed shall also be enclosed with the medical bill for claiming reimbursement. In case of medicines, a consolidated list with relevant batch numbers and cost must be enclosed.
6.2 The empanelled hospital shall also submit a self certified undertaking that the hospital has not charged the CGHS / CS(MA) beneficiary more than the rate at which stent / implant / medicine has been procured by the hospital and in case of any detection and establishment that the hospital has overcharged the hospital shall be removed from the list of hospitals empanelled under CGHS without any further notice.
7. In case of serving employees admitted under emergency, the hospitals shall ensure that the details pertaining to the office where the patient is employed are entered in records.
8. In case of indoor treatment, routine investigations are included in the package.However, if any special investigations are performed, reports of such special investigations should be enclosed and reimbursement shall be considered on merits of each case.
9. ICU — package includes — accommodation charges in ICU, Monitoring and ECG.Other investigations cost of medicines and disposables and ‘2’ consultations charges per day are reimbursable as per applicable norms in addition to the package rate of ICU, Cost of ventilator and oxygen if, any are reimbursable as per applicable norms. In selected cases, where opinion of other specialists is necessary, only one consultation by a specialist per day may be considered necessary. Reports of Investigations should be enclosed along with the opinion of the other specialist.
10. In case of emergency treatment wherein a CGHS beneficiary has been admitted for more than 10 days detailed summary of reports of all the Investigations shall been closed.
11. In case of CAG / Angioplasty / CABG, the bills should be accompanied by the findings of Coronary angiography test of the beneficiary.
12. In case of pensioner CGHS beneficiaries on a visit to another city and treatments taken under medical emergency or with prior permissions, hospitals / diagnostic centres will send hospital bill through UTI- ITSL to CGHS of City, where the hospital / diagnostic centre is located, irrespective of the CGHS city, where the card is registered.
13.The rates and guidelines for Exclusive cancer hospitals are applicable only for Exclusive Cancer hospitals / units approved under Exclusive Cancer hospitals.
2(B). INSTRUCTIONS TO UTI-TSL
1. UTI-ITSL shall have to thoroughly scrutinize the physical bills submitted by hospitals before they are accepted. This is to ensure that the hospitals receive provisional payments within 10 days of submission of the physical bills.
2. UTI-ITSL shall seek clarifications, if any, within a maximum of ‘3’ days of receipt of the physical bill- all clarifications in one go.
3. UTI-ITSL shall submit physical bills to CGHS in small bundles and ensure that they are acknowledged by CGHS.
4. UTI-ITSL and CGHS shall ensure that reconciliations of the payment of bills with Pay & Accounts Officer is undertaken regularly.
5. UTI-ITSL shall inform the details of deductions made including TDS.
6. UTI-ITSL shall ensure that recoveries, if any are made from subsequent bills of hospitals.
2(C). INSTRUCTIONS TO ADs / JDs / CMOs I/C
1. Permissions shall be issued only for eligible persons and against approved hospitals and diagnostic centres It is the responsibility of the CMO i/c to ensure that permissions are issued only for approved centres and listed procedures.
2. Permission letter should be specific for the treatment / investigation to be undertaken.
3. In case of Chemotherapy / Radiotherapy and Haemodialysis, the permission letters shall clearly mention the number of cycles of Chemotherapy / Radiotherapy planned and how many dialyses are to be undertaken in a week.
4. CMOS i/c shall ensure that permission letters are issued on the same day, if a beneficiary applies for the same before 11 AM.
5. Addl Directors / Joint Directors shall not return the bills in original (RIO) to UTI-ITSL without specifying valid reasons or indicating the deficiencies or the amount to be adjusted in subsequent bills.
6. ADs / JDs shall indicate to UTI-ITSL, the details of deductions made in claimed amount — bill wise – online through an excel sheet.
7. ADs / JDs shall hold review meetings with representatives of UTI-ITSL and hospitals and diagnostic centres on a regular basis.
3. These instructions will be applicable from 26/12/2011.
4. Old settled cases shall not be reopened.
5. These instructions shall supercede the earlier decisions taken during the meeting held on 5th , 6th and 7th of September 2011 in the office of Addl. Director, CGHS(HQ), New Delhi.
UTI-ITSL, ADs including AD (HO) / JDs of CGHS / Empanelled Hospitals / Diagnostic Laboratories / Imaging Centres shall comply with these instructions & guidelines.
(V.P.Singh)
Deputy Secretary to Government of India
