Non NABH rates for emergency under CSMA.pdf
सत्यमेव जयते
F.No.S.14025/14/2012-MS Government of India
Ministry of Health and Family Welfare
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Nirman Bhawan, New Delhi - 110108 Dated the 11th June, 2013.
OFFICE MEMORANDUM
Subject: Revision of rates for reimbursement of medical expenses incurred in
emergency conditions under CS (MA) Rules, 1944.
The undersigned is directed to state that the issue of revision of rates for reimbursement of medical expenses incurred on availing medical treatment in emergency conditions under CS (MA) Rules, 1944, when treatment is taken in a non- empanelled private hospital, has been under consideration of the Government for some time.
2.
It has now been decided that, reimbursement of medical expenses incurred by a Central Government employee covered under CS (MA) Rules, 1944 on availing medical treatment for himself and his dependent family members in emergency conditions, would be allowed as per the prevailing non-NABH CGHS rates as applicable to a CGHS covered city and non-NABH rates applicable to the nearest CGHS covered city in case of non-CGHS city, as the case may be, or the actuals, whichever is less.
3.
For the medical treatment in such cases where package rates are prescribed under CGHS, the non-NABH rates of the CGHS covered city and non-NABH rates of the nearest CGHS city (in case of non-CGHS covered city) or the actuals, whichever is less, will be applicable.
4. This OM supersedes all earlier orders issued from time to time under CS(MA) Rules, 1944 on this subject for allowing reimbursement of medical expenses in emergency conditions when treatment is taken in a non-empanelled private hospital.
5. This OM will come into effect from the date of issue.
6.
This issues with the concurrence of the Integrated Finance Division vide their Dy.No.C-282 dated 22.05.2013.
(V.P. Singh)
Deputy Secretary to the Government of India
To
1. All Ministries/Departments, Government of India 2. All States/UTS Governments.
야
Contd....2/-
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3. Rajya Sabha/Lok Sabha Secretariat
4.
Registrar, Supreme Court of India
5. U.P.S.C. Dholpur House, Shahjahan road, new Delhi
6. Deputy Secretary (Civil Service News), Department of Personnel & Training,
5th Floor, Sardar Patel Bhawan, New Delhi.
7.
Shri Umraomal Purohit, Secretary, Staff Side, 13-C,Ferozshah road, New Delhi
8.
All Staff Side Members of National Council (JCM) (as per list attached) 9. Office of the Comptroller & Auditor General of India, Bahadur Shah Zafar
Marg, New Delhi.
10. DDG(M),Dte.GHS./CMO(SRA),Dte.GHS/M.G.-II Section,Dte.GHS, MOHFW 11. CGHS(P) Division, MoHFW, Nirman Bhawan, New Delhi
12. Director, CGHS, Nirman Bhavan, New Delhi
13. AD (Hq), CGHS, Bikaner House, New Delhi
14. Addl.DDG (HQ), CGHS, MOHFW, Nirman Bhavan, New Delhi 15. All Addl Directors/Joint Directors of CGHS cities outside Delhi 16. Additional Director (SZ)/ (CZ)/(EZ)/(NZ), CGHS, New Delhi 17. JD(Grievance)/JD(R&H), CGHS, Delhi
18. Hospital Empanelment Cell, CGHS, Nirman Bhawan, New Delhi 19. CGHS -I/II/III/IV, MOHFW, Nirman Bhawan, New Delhi
20. Estt.I/Estt.II/Esst. III/Estt.IV Section, MOHFW, Nirman Bhavan 21. Admn.I/Admn.II Section, Dte. GHS, Nirman Bhawan, New Delhi 22. Integrated Finance Division, MOHFW, Nirman Bhawan, New Delhi 23. PPS to Secretary (H&FW)/Secretary (AYUSH)/Secretary (HR)/Secretary
(AIDS Control), Ministry of Health & Family Welfare
24. PPS to DGHS/AS & DG (CGHS)/AS& FA/AS&MD, NRHM
25. Dr. D.P. Pande, ED(H)/Planning, Railway Board, Ministry of Railways, Rail
Bhawan, Rafi Marg, New Delhi - 110001
26. Brig. S.P. Patil YSM, ODS, Central Organization, ECHS, Department of Ex-
Servicemen Welfare, Ministry of Defence, New Delhi
27. Chairman, Employees State Insurance Corporation, Ministry of Labour & Employment, Panchdeep Bhawan, C.I.G Marg, New Delhi -110 002
28. All Offices/Sections/Desks in the Ministry
29. Swamy Publishers (P) Ltd., P.B. No. 2468, R.K. Puram, Chennai 600028. 30. Swamy Publishers (P) Ltd.,4855, 24, Ansari Road, Daryaganj, New Delhi. 31. Sr. Technical Director, NIC, MOHFW, Nirman Bhawan, New Delhi with the
request to upload this OM on the Ministry's website under the link of CS(MA) Rules.
32. Hindi Section for providing Hindi version of this OM.
33. Guard File