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SHORT TITLE AND EXTENT OF APPLICATION:-They shall apply to all Government servants other than
(i). those in railway service and
(ii). those of non-Gazetted rank stationed in or passing through Calcutta, whose conditions of service are prescribed by Rules made or deemed to be made by the Central Government, when they are on duty, leave or Foreign Service in India or when under suspension. -
“Authorised Medical Attendant” means –
(i). in respect of a Government servant who belongs to a Central Service, Class I, or whose pay is not less than Rs.500 per mensem, the Principal Medical Officer of the district appointed by the Government to attend its officers in the district;
(ii). in respect of Government servant not belonging to a Central Service Class I, whose pay is less than Rs.500 but more than 150 per mensem, an assistant surgeon grade I (Medical Graduate), or other medical officer appointed by the Government to attend its officers in the station.;
(iii). in respect of any other government servant an Assistant Surgeon Grade II (Medical Licentiate), or other Medical Officer, similarly appointed -
“Medical Attendance” means-
(i). in respect of a government servant specified in above para attendance in hospital or at the residence of government servant, including such pathological, bacteriological, radiological or other methods of examination for the purpose of diagnosis as are available in any government hospital in the district and are considered necessary by the authorised medical attendant and such consultation with specialist or other medical officer in the services of the Government stationed in the state as the authorised medical attendant certifies to be necessary, to such extent and in such manner as the specialist of medical attendant determine;
(ii). in respect of any other government servant but excluding a member of the central service class IV, attendance at a hospital or in the case of illness which compels the patient to be confined to his residence , at the residence of the government servant, including such methods of examination for purposes of diagnosis as are available in the nearest government hospital and such consultation with a specialist or other medical officer of the government stationed in the district as the authorised medical attendant certifies to be necessary to such extent and in such manner as the specialist for medical officer may, in consultation with the authorised medical attendant, determine;
(iii). in respect of a member of the central service, class IV, attendance at a hospital including such methods of examination for purposes of diagnosis as are available in the nearest government hospital and such consultation with a specialist or other medical officer of the government stationed in the district as the authorised medical attendant certifies to be necessary to such extent and in such manner as the specialist or medical officer may, in consultation with the authorised medical attendant, determine. - “Treatment” means the use of all medical and surgical facilities available at the Government hospital in which the Govt. servant is treated and includes-
(i). the employment of such pathological, bacteriological, radiological, or other methods as are considered necessary by the authorised medical attendant;
(ii). the supply of such medicines, vaccines, sera or other therapeutic substances as are ordinarily available in the hospital;
(iii). the supply of such medicines, vaccine, sera or other therapeutic substances not ordinarily so available as the authorised medical attendant may certify
(iv). such accommodation suited to his status; accommodation in general or free wards for a member of the Central Services, Class IV;
(v). such nursing as is ordinarily provided to in-patients by the hospitals;
(vi). the specialist consultation but does not include diet or accommodation superior to their entitlement - MEDICAL ATTENDANCE:-A Government servant shall be entitled, free of charge to medical attendance by the authorised medical attendant; any amount paid by him on account of such medical attendance shall, on production of a certificate in writing by the authorised medical attendant in this behalf be reimbursed to him by the Central Government.
- TRAVELLING ALLOWANCE FOR MEDICAL ATTENDANCE JOURNEYS:-
When the place at which a patient falls ill is more than five miles by the shortest route from the consulting room of the authorised medical attendant-
(a). the patient shall be entitled to traveling allowance for the journey to and from such consulting room, provided the Application for traveling allowance shall be accompanied by a certificate in writing by the authorised medical attendant stating that medical attendance was necessary or
(b). if the patient is too ill to travel the authorised medical attendant shall be entitled to traveling allowance for the journey to and from the place where the patients provided Application for traveling allowance shall be accompanied by a certificate in writing by the authorised medical attendant stating that the patient was too ill to travel.
The Controlling Officer of a patient may require that any certificate required by these Rules to be given by the authorised medical attendant for traveling allowance purposes shall be countersigned-
(a). in the case of a certificate given by the principal medical officer of a district, by the Chief Administrative Medical Officer of the State; and
(b). in the case of a certificate given by any other medical officer, by the principal medical officer of the district - CONSULTATION WITH SPECIALIST:- If the authorised medical attendant is of opinion that the case of a patient is of such a serious or special nature as to require medical attendance by some person other than himself, he may, with the approval of the Chief Administrative Medical Officer of the State (which shall be obtained beforehand unless the delay involved entails danger to the health of the patient)-
(a). send the patient to the nearest specialist or other medical officer other in the services of the Government stationed in the state/district, by whom, in his opinion, medical attendance is required for the patient; A patient sent under this sub-rule shall on production of a certificate in writing by the authorised medical attendant be entitled to travelling allowance for the journeys to and from the headquarters of the specialist or other medical officer. Or
(b) if the patient is too ill to travel, summon such specialist or other medical officer to attend upon the patient. A specialist or other medical officer summoned under this subrule shall, on production of a certificate in writing by the authorised medical attendant in this behalf be entitled to travelling allowance for the journey to and from the place where the patient is. - MEDICAL TREATMENT:-
A Government servant shall be entitled, free of charge, to treatment-
(a). in such Government hospital at or near the place where he falls ill as can in the opinion of the authorised medical attendant provide the necessary and suitable treatment; or
(b) if there is no such hospital in such hospital other than a Government hospital at or near the place as can in the opinion of the authorised medical attendant, provide the necessary and suitable treatment;
Any amount paid by him on account of such treatment shall, on production of a certificate in writing by the authorised medical attendant in this behalf, be reimbursed to him by the Central Government - TREATMENT AT RESIDENCE:-
If the authorised medical attendant is of opinion that owing to the absence or remoteness of a suitable hospital or to the severity of the illness, a Govt. servant cannot be given treatment at hospital, the Government servant may receive treatment at his residence.
A Government servant receiving treatment at his residence under this sub-rule shall be entitled to receive towards the cost of such treatment incurred by him a sum equivalent of the cost of such treatment as he would have been entitled, free of charge, to receive under these rules if he had not been treated at his residence. Claims for sums admissible under this sub-rule shall be accompanied by a certificate in writing by he authorised medical attendant stating- (a) his reasons for the opinion referred to in sub-rule (1); and (b) the cost of similar treatment referred to in sub-rule (2). - OTHER MEDICAL FACILITIES:-
Charges for services rendered in connection with but not included in medical attendance on, or treatment of, a patient entitled, free of charge, to medical attendance or treatment under these Rules, shall be determined by the authorised medical attendant and paid by the patient.
If any question arises as to whether any service is included in medical attendance or treatment it shall be referred to the Government and the decision of the Government shall be final. - TRANSFER TO FOREIGN SERVICE:- No Government servant shall be transferred to foreign service unless the foreign employer undertakes to afford to him so far as may be privileges not inferior to those which he would have enjoyed under these Rules if he had been employed in the service of the Government of India.
- TREATMENT OUTSIDE INDIA:-
A Government Servant desirous of availing of medical treatment outside India for himself or for a member of his family for any treatment specified in the Table below may make an application through the Department/Ministry to which the Government servant is attached to the Standing Committee established under this rule in the form specified by the Standing Committee.
Treatments permissible outside India
***It shall be competent for the Central Government to review from time to time the list of treatment facilities as specified in the above Table and make such additions or deletions as it may deem fit by notification in the Official Gazette.(1). Complex/high risk Cardio Vascular Surgery cases for treatment at Centres with extensive experience; (2). Bone marrow Transplant; (3). Complex Medical and Oncological Disorders, such as leukaemia and Neo-plastic conditions; (4). Complex high risk cases in Micro Vascular and Neuro Surgery for treatment at Centres with extensive experience; (5). Treatment of extremely complex ailments other than those mentioned above which in the opinion of Standing Committee can only be treated abroad and fall in the high risk category. The Central Government may for purposes of this rule, constitute a Standing Committee consisting of :-
(a). the Director-General of Health Services in the Ministry of Health in the Central Government,
(b). the Director-General of Armed Forces Medical Services.
(c). the Director-General of the Indian Council of Medical Research, and
(d). the Joint Secretary in the Ministry of Health and Family Welfare (Convener), for purposes of considering and recommending to the Central Government cases for medical treatment outside India.On receipt of an application for medical treatment outside India, the Standing Committee may, it after due consideration, satisfied that the ailment or treatment can be treated only outside India, issue a certificate to the concerned Department or Ministry to which the applicant Government servant is attached conveying its approval of the application and the concerned Department or Ministry shall, on the strength of that certificate incur necessary expenditure in getting the Government servant concerned or the member of his family treated outside India in accordance with the procedure laid down by the Standing Committee.
It shall be competent for the Central Government to authorize reimbursement of expenditure on medical treatment obtained outside India, if it is satisfied that the prior approval could not be obtained by the Central Government servant due to circumstances beyond control;
Provided that the Government servant fulfils all other conditions relating to medical treatment outside India under this rule.The Standing Committee may, if it is satisfied that in the interest of the Government servant or the member of his family obtaining treatment abroad it is essential so to do, recommend one attendant to accompany the Government servant or the member of his family, as the case may be, and the expenditure so incurred shall also be eligible for reimbursement.
Where the Standing Committee, on receipt of an application for medical treatment outside India consider that adequate facility for treatment of the ailment sought to be treatment is available in any medical institution within India, it shall record such a finding and authorize treatment of such ailment in such medical institution within India whereupon the cost of such treatment shall be reimbursed.
The Ministry of Health in consultation with the Standing Committee shall, from time to time, notify the names of such institutions along with the ailments and the types of treatment available in such institutions.The scale of expenditure and the eligibility for treatment for which a Government servant or a member of his family shall be entitled, shall be identical to the scale of expenditure and the eligibility of an official of the Indian Foreign Service of the corresponding grade in the Ministry of external Affairs under any Assisted Medical Attendance Scheme for the time being in force.
- Rate for rt PCR test for COVID-19:- The rate for rt PCR test for COVID-19 prescribed by Indian Council of Medical Research or the rate prescribed for the State by the concerned State Government or actual, whichever may be lower, shall be admissible for reimbursement for Central Services (Medical Attendance) [CS(MA)] beneficiaries. The private hospitals empanelled under CS (MA) Rules, 1944 / CGHS and approved for undertaking the test shall perform the investigation after the same has been advised as per the prevalent ICMR protocols by any Specialist of Government Hospital / Centre / private empanelled hospital / Authorized Medical Attendant. It shall be applicable w.e.f. 24.01.2020.
- Simplification of procedure for treatment at private hospitals empanelled under CGHS/CS (MA) Rules, 1944:- The CGHS beneficiaries ( who are residing in CGHS covered areas) are allowed to undergo treatment at private hospitals empanelled under CGHS of specific treatment procedures listed under CGHS rate list are advised by a Specialist in a Central Government / State Govt. Specialist hospital or a CGHS Medical Officer without any requirement of any other referral (permission) letter.
Private empanelled hospitals shall perform the treatment on cashless basis in respect of pensioners, ex-MPs, Freedom Fighters, Regular employees {both CGHS and CS (MA) beneficiaries} of this Ministry & other categories of CGHS beneficiaries, who are presently eligible for credit facility and shall enclose the prescription issued by Government Specialist or a CGHS Medical Officer, in original (or a self-attested photocopy) along with the hospital bill submitted to the competent authorities.
Serving government employees shall enclose the prescription issued by a Government Specialist or a CGHS Medical Officer in original (or a self-attested photocopy), while submitting the medical claim to the concerned Ministry /department/office for reimbursement.
CGHS Medical Officer / Government Specialist shall not refer the beneficiaries to any particular empanelled hospital by name but, shall specify the treatment procedure and mention ‘referred to any CGHS empanelled centre’.
These orders are applicable only in respect of treatment procedures for which CGHS rates are available
--- Rule 1 (2) CS(MA) rules 1944
--- Rule 2 (a) of CS(MA) rules 1944
--- Rule 2 (e) of CS(MA) rules 1944
--- Rule 2 (h) of CS(MA) rules 1944
--- Rule 3 of CS(MA) rules 1944
--- Rule 4 & 9 of CS(MA) rules 1944
--- Rule 5 of CS(MA) rules 1944
--- Rule 6 of CS(MA) rules 1944
--- Rule 7 of CS(MA) rules 1944
--- Rule 8 of CS(MA) rules 1944
--- Rule 10 of CS(MA) rules 1944
--- Rule 11 of CS(MA) rules 1944
--- MoH&FW memo F. NO. S.11011/12/2020-EHS dated 13.07.2020
--- MoH&FW memo Z 15025/105/2017/DIR/CGHS/EHS dated 09.11.2017
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