No:
S.11011/23/2009-CGHS D.II/ Hospital Cell (Part IX) datedthe 14th February 2013
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Maulana
Azad Road, Nirman Bhawan
New Delhi 110 108.
New Delhi 110 108.
OFFICE
MEMORANDUM
Subject:
Revival of ‘Continuous Empanelment Scheme’, for private hospitals and
diagnostic centres under CGHS.
1. With a view to ensuring comprehensive
health care to CGHS beneficiaries, CGHS has been, apart from the Government
Hospitals, empanelling private hospitals and diagnostic centres by floating
tenders periodically. The latest tender process in this context commenced in
the second half of 2009. Even the already empanelled hospitals (including
dental clinics and eye centres) / diagnostic centres under CGHS were required
to submit the bids under this tender process. Through this process, package
rates for different treatment procedures and investigations were notified in
2010. As a part of this process, certain hospitals and diagnostic centres which
accepted these rates and also signed MOAs with CGHS were notified in CGHS
covered cities. Subsequently, with a view to empanel more hospitals and
diagnostic centers , continuous empanelment scheme was initiated in December
2010 and was in operation till July 2011 in some cities & till 26th
December 2011 in some other cities.
2. However, it has been noticed that the
number of hospitals and diagnostic centres notified as empanelled under CGHS is
not adequate to provide a satisfactory level of health care to CGHS
beneficiaries in all areas of CGHS covered cities.
3. Accordingly, it has become necessary to
revive ‘Continuous Empanelment Scheme’, to empanel more hospitals and
diagnostic centres to take care of existing inadequacy. In this background, it
has been decided to invite private hospitals and diagnostic centers to come
forward and apply for empanelment under CGHS if, they are willing to accept the
rates notified by CGHS in 2010 & as per OM
No.Misc.1002/2006/CGHS(R&H)/CGHS (P) dated 6/2/2013 and fulfill the same
terms and conditions as notified earlier under ‘Continuous Empanelment Scheme’
except for the following modifications:-
a) Hospitals / Diagnostic centres shall be
empanelled for all facilities in all specialties available in the hospitals
including those listed under super specialties. Existing hospitals already on
panel of CGHS shall not be allowed to add selective specialties/super
specialties and will have to offer all available facilities (Undertaking shall
be submitted on Rs.100/- non-Judicial Stamp paper attested by Notary Public by
hospitals already on panel of CGHS that such hospital shall abide by the terms
and conditions of empanelment for the additional facilities and would provide
facilities to CGHS beneficiaries in all available specialties/Super specialties
(list all the facilities available ) in addition to the agreement signed
earlier by such hospitals). The empanelled hospitals will not be permitted to
add new specialties or discontinue some specialties subsequently without the
approval of the Government.
b) Application under Super Specialty category or change of
category to Super Specialty from already empanelled and other eligible
hospitals will be considered only if all facilities available in the hospital
are offered as per applicable CGHS rates..
c) The scrutiny of the applications and
finalization of the lists of eligible hospitals and diagnostic centres of a
particular city shall be done by a committee under the chairmanship of AD/JD,
CGHS of concerned city with two senior most CMOs of that city as members.
d) Addl. Director / Joint Director of
concerned CGHS city may inform the eligible hospitals / diagnostic centres to
submit the letters of acceptance of the terms and conditions of the empanelment
process. Ads / JDs shall send the details of eligible hospitals / diagnostic
centres to Director, CGHS after signing MOA with eligible hospitals/ diagnostic
centres and obtaining Performance Bank Guarantee so that the eligible hospitals
/diagnostic centres shall be notified by Ministry of Health & Family
Welfare as empanelled hospitals / diagnostic centres under CGHS.
4. Empanelment shall be for a period of one
year from the date of notification or till new empanelment process , whichever
is earlier. All the empanelled hospitals / diagnostic centres shall however,
have to participate in the new empanelment process, as and when initiated
inorder to continue their empanelment under CGHS.
5. The continuous empanelment scheme would be in force till next
empanelment.
6. Further, the undersigned is directed to
refer to the Office Memorandum of even number dated 15.12.2012 and to state
that it has been decided to extend the validity of empanelment of presently
empanelled hospitals, diagnostic laboratories and imaging Centers on the same
terms and conditions under which they were empanelled for one year or till next
empanelment, whichever is earlier.
7. The application form for the continuous
empanelment scheme can be downloaded from the website of CGHS,
www.mohfw.nic.in\cghsnew\index.asp.
(V.
P. Singh]
Deputy Secretary to the Government of India
Deputy Secretary to the Government of India
No comments:
Post a Comment