Tuesday 26 June 2018
Procurement of Generic Medicines under CGHS Procurement of Generic Medicines under CGHS through M/s HLL. – CGHS Orders
Government of India
Ministry of Healtth and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
Ministry of Healtth and Family Welfare
Department of Health & Family Welfare
Directorate General of CGHS
No:Z.15025/DIR/CGHS/2018/Procurement Policy Drugs
Nirman Bhawan, New Delhi 110 011
Dated the 12th June, 2018
Dated the 12th June, 2018
OFFICE MEMORANDUM
Subject:- Procurement of Generic Medicines under CGHS through M/s HLL., regarding
With reference to the above mentioned the undersigned is to convey the approval of Competent authority for procurement of Rate Contracted Generic Medicines under CGHS through M/s HLL, till 30th Novemeber, 2018 as per the details given under:
i) During the first three months the indents prepared (CGHS Wellnes Centre-wise ) shall be submitted to M/s HLL on monthly basis by Addl. Director, CGHS(MSD) in Delhi and by Addl Director, CGHS of the concerned city, in cities outside Delhi.
ii) The initial indents shall be based on approx requirement of each Wellness Centre.
iii) M/s HLL shall deliver the medicines at the concerned CGHS Wellness Centre.
iv) After the initial three months computer generated automated indents for generic medicines based on consumption pattern (as in the case of earlier Pilot Project Medicines) shall be placed to M/s HLL., directly by the concerned CGHS Wellness Centre and M/s HLL shall deliver the medicines at the CGHS Wellness Centre.
v) The invoices shall be raised in the name of Addl Director, CGHS (MSD) in case of Delhi and in the name of Addl Director of City in other cities and payment shall be made through the concerned P.A.O.
(Dr. D.C. Joshi)
Director, CGHS
Director, CGHS
Authority: https://cghs.gov.in
Friday 8 June 2018
Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims
Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
No: Z.15025/38/2018/DIR/CGHS/EHS
Nirman Bhawan, New Delhi
Dated the 22nd May, 2018
OFFICE MEMORANDUM
Subject: – Relaxation of Rules for consideration of reimbursement in excess of the approved rates pertaining to medical claims.
With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum No. 4-18/2005- C&P [Vol. l-Pt (1)], dated the 20th February 2009 and to state that it has now been decided to modify the Para 3 (2) of the above referred Office Memorandum as per the details given under the succeeding paragraphs.
a) The requests for full reimbursement which fall under the following defined criteria shall be examined by Directorate General of CGHS and submitted to AS&DG (CGHS) for consideration of approval. After the recommendation of AS&DG (CGHS), the concurrence of Internal Finance Division and approval of Secretary, Ministry of Health & Family Welfare are required for reimbursement in excess of CGHS rates:
1) Treatment was obtained in a private unrecognized hospital under emergency and the patient was admitted by others when the beneficiary was unconscious or severely incapacitated and was hospitalized for a prolonged period.
2) Treatment was obtained in a private unrecognized hospital under emergency and was admitted for prolonged period for treatment of Head Injury, Coma , Septicemia, Multi-organ failure , etc.
3) Treatment was obtained in a private unrecognized hospital under emergency for treatment of advanced malignancy.
4) Treatment was taken under emergency in higher type of accommodation as rooms as per his/her entitlement are not available during that period.
5) Treatment was taken in higher type of accommodation under specific conditions for isolation of patients to avoid contacting infections.
6) Treatment was obtained in a private unrecognized hospital under emergency when there is a strike in Govt. hospitals.
7) Treatment was obtained in a private unrecognized hospital under emergency while on official tour to non-CGHS covered area.
b) The requests from CGHS beneficiaries. having a valid CGHS Card at the time of treatment, in respect of the following conditions shall be considered by a High Powered Committee constituted by Ministry of Health & Family Welfare:
(i) Settlement of medical claims in relaxation of rules
(ii) Approval for air-fare with or without attendant on the advice of treating doctor for treatment in another city even though he/she is not eligible for air travel treatment facilities are available in city of residence.
(iii) Representations from CGHS beneficiaries seeking full reimbursements under special Circumstances, which are not notified.
c) The other terms and conditions mentioned in the OM No. 4-18/2005- C&P[Vol. l-Pt(1)] dated the 20 February 2009 shall remain unchanged.
S/d,
(Rajeev Attri)
Under Secretary to Government of India
Tel : 011- 2306 1883
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