Min of Health & Family
Welfare
No.
S-11045/40/2012/CGHS/HEC/CGHS(P) Dated 1-1-2013.
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