Copy of Min of Health & Family Welfare OM No. S-11045/40/2012/CGHS/HEC/CGHS(P) Dated 1-1-2013 is reproduced below.
OFFICE MEMORANDUM
Subject: Regarding investigations at private hospitals / diagnostic laboratories / imaging centres empanelled under CGHS.
With reference to the above
mentioned subject the undersigned is directed to state that this
Ministry has been receiving representations for simplification of
procedure for undergoing investigations fat private hospitals /
diagnostic laboratories / imaging centres empanelled under CGHS. The
matter has been examined and with a view to alleviate the inconvenience
to CGHS beneficiaries in obtaining requisite permission for undergoing
investigations at CGHS empanelled private hospitals / diagnostic
laboratorei9es / imaging centres, it has now
been decided that CGHS beneficiaries shall herein after be allowed to
undergo investigations at private hospitals / diagnostic laboratories /
imaging centers empanelled under CGHS after specific investigations have
been advised by a CGHS Medical Officer or a Government Specialist
without requirement of any other referral (permission ) letter.
2. Private empanelled
hospitals / diagnostic laboratories/ imaging centres shall perform the
investigations / diagnostic tests on cashless basis in respect of
pensioners, ex-MPs., freedom fighters and other eligible categories of
CGHS beneficiaries, who are presently eligible for credit facility and
shall enclose the prescription issued by a CGHS Medical Officer or a
Government Specialist, in original along with the hospital bill
submitted to competent authorities.
3. Serving government
employees shall enclose the prescription issued by a CGHS Medical
Officer or a Government Specialist in original, while submitting the
medical claim to the concerned M\ministry/ department / office for
reimbursement.
4. CGHS Medical Officer/
Government Specialist shall not refer the beneficiaries to any
particular diagnostic laboratory or imaging centre by name but, shall
specify the investigation and mention ‘ referred to CGHS empanelled
centre’.
5. These orders
are applicable only in respect of investigations for which CGHS rtes
are available. It shall come into force with immediate effect.
6. This issue with the concurrence of Integrated Finance Division vide FTS No. 31560/2012.
Sd/-
(VP Singh)
Dy. Secretary to the Govt. of India
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