F.No.18(54)/2018/WE/D(Res-1)
Government of India
Department of Ex Servicemen Welfare
New Delhi, dated 02 August. 2018
To
Managing Director
Ex-servicemen Contributory Health Scheme,
Maude Line,
Delhi Cantt
Subject: Change inwards System of Referral- No referral to last inwards the Name of whatsoever Private Empanelled Medical Facility.
Sir,
The undersigned is straightaway to solid soil that equally per the Ministry of Health & Family Welfare OM No.Z15025/105/2017/DIR/CGHS/EHS dated 09.11.2017 the CGHS Dr. / Government Specialist shall non refer the beneficiary to whatsoever item empanelled infirmary past times shout but shall specify the handling physical care for in addition to shout “referred to whatsoever CGHS empanelled centre”
2. ECHS has to follow the CGHS Norms. However, it is seen that doctors at CHS Polyclinics are issuing referrals past times shout to specific Pvt. Empanelled Medical Facilities.
3. In persuasion of the above, it has been decided past times the competent potency that henceforth no ECHS Dr. volition number referrals past times shout to whatsoever Pvt. Empanelled Medical Facility. The ECHS doctors shall shout on the prescription the handling procedure/tests required past times the ECHS beneficiary in addition to and so write equally follows:
“Referred to whatsoever ECHS Empanelled Medical Facility located inside the Area of Responsibility of Regional Centre, (Name of City).”
4. CO, ECHS in addition to RC, ECHS volition ensure that the listing of Pvt. Empanelled Medical Facilities along amongst the medical handling procedures/tests for which they stimulate got been empanelled is prominently displayed on the website of ECHS, Regional Centre wise. OIC, of every Polyclinic, volition last responsible for ensuring that difficult copies of this listing downloaded from ECHS website is kept inwards the Polyclinic inwards sufficient numbers in addition to given to the ECHS beneficiary whenever demanded. If whatsoever alter lakes house inwards this list, it shall last the responsibleness of Director RC, ECHS concerned ensure display of the corrected/amended listing on the website of ECHS without whatsoever delay.
5. Whenever an ECHS beneficiary approaches a Pvt. Empanelled Medical Facility amongst such a referral from ECHS Polyclinic in addition to the Pvt. Empanelled Medical Facility is non empanelled past times Ministry of Defence (MoD) for the required handling physical care for / tests, it shall last the responsibleness of the Pvt. Empanelled Medical Facility to inform the beneficiary that it is non empanelled for the required handling physical care for / tests. If whatsoever Pvt. Empanelled Medical Facility is flora providing handling physical care for / conducting tests to such an ECHS beneficiary for which it is non empanelled, in addition to so apart from non reimbursing the expenses incurred past times the Medical Facility on such treatment, activity volition last taken against the said ECHS Empanelled Pvt Medical Facility nether the rules / equally per the provisions of Memorandum of Agreement (MoA).
6. No ECHS Polyclinic Officer/Official/Doctor should indulge inwards whatsoever activity strength canvassing for/against whatsoever ECHS empanelled Pvt. Medical Facility.
7. The higher upward orders shall come upward into strength amongst immediate effect.
sd/-
(A.K. Karn)
Under Secretary to the Government of India
Authority:https://echs.gov.in/
Tag :
CGHS,
Ex.Serviceman
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