FRESH EMPANELMENT OF PRIVATE HOSPITALS AND
REVISION OF ROOM RENT APPLICABLE UNDER CGHS
No: S.11011/23/2009-CGHS D.II/Hospital Cell (Part I)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
*************
Maulana Azad Road, Nirman Bhawan
New Delhi 110 108 dated the 16th November , 2010
O F F I C E M E M O R A N D U M
Subject: Fresh empanelment of private hospitals and revision of Room Rent
applicable under CGHS.
The undersigned is directed to state that CGHS had initiated action for fresh
empanelment of private hospitals under CGHS and also for the revision of package
rates (which were fixed in 2006-07), to be paid to hospitals, by floating tender for the
same. On the basis of the responses received package rates for various procedures
/ treatments have been arrived at and have been uploaded in the website of CGHS:
www.mohfw.nic.in\cghsnew\index.asp and can be downloaded.
2. "Package Rate" shall mean and include lump sum cost of inpatient treatment /day care / diagnostic procedure for which a CGHS beneficiary has been permitted bythe competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) – (i) Registration charges, (ii)Admission charges, (iii) Accommodation charges including patients diet, (iv)Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor /consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x)Transfusion charges, (xi) Anesthesia charges, (xii) Operation theatre charges, (xiii)Procedural charges / surgeon's fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines, (xvi) Related routine and essential investigations, (xvii) Physiotherapy charges etc. (xviii) Nursing care and charges for its services.
(b) Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates for Implants / stents / grafts or as per actual, in case there
is no CGHS prescribed ceiling rates.
(c) Treatment charges for new born baby are separately reimbursable in addition to delivery chares for mother.
d) The hospitals empanelled under CGHS shall not charge more than the
package rates / rates.
2.2 Package rates envisage upto a maximum duration of indoor treatment as follows:
12 days for Specialised (Super Specialties) treatment;
7 days for other Major Surgeries;
3 days for Laparoscopic surgeries / normal deliveries; and
1 day for day care / Minor (OPD) surgeries.
2.3 However, there are certain procedures where there is no prescribed package
rate under CGHS. Similarly, there are medical emergencies where the treatment is
mainly conservative. The admissible amount in such cases is calculated item wise,
room rent, procedures, investigation , etc.,.
Therefore, it has now been decided to revise the rates applicable for room rent
(Accommodation Charges) for different categories of wards as given below:
General ward -Rs.1000/- per day
Semi-private ward -Rs. 2000/- per day
Private ward -Rs.3000/- per day
3. CGHS beneficiaries are entitled to facilities of private, semi-private or general
ward depending on their basic pay / pension. The entitlement is as follows:-
S. No
Basic Pay (without the inclusion of grade pay)
Entitlement
1.Up to Rs. 13,950/- General Ward
2.Between Rs.13,951/ - and Rs.19,530/- Semi-Private Ward
3.Rs. 19,540/- and above Private Ward
4.2 This issues with the concurrence of Internal Finance Division in the Ministry of
Health & Family Welfare, vide Dy. No: AS & FA / 3932 /2010 dated the 8th November
, 2010.
The revised rates will come into effect from the date of issue of this Office Memorandum.
A copy of this Office Memorandum along with rate list and a copy of MOA are
placed on the internet at http://mohfw.nic.in/cghsnew/index.asp.
[R Ravi]
Director
CONFEDERATION CIRCULAR NO.23 DATED 14th DECEMBER-2010
Dear Comrade,
We write this in continuation of our circular letter No. 22 dated.6th December, 2010 wherein we had conveyed the decisions taken at the National Council meeting held at Mumbai on 1st December, 2010. The Central Trade Unions had convened a meeting of all federations on 8th December, 2010 at NRMU office at New Delhi. Since the undersigned had been out of Delhi, we could not participate in the said meeting. The meeting had discussed of the need to make the Workers march to Parliament programme slated for 23rd Feb. 2011 a grand success by eliciting the participation of large number of employees and workers. As you are aware we had discussed the issue in our last National Council meeting and had taken the decision to mobilise large number of Government employees in the march.
In order to ensure that the CGEs from various states do participate in this important event, it would be better that the State Committees take steps immediately in the matter. In the annexure to this letter we have indicated minimum number of comrades, each State Committee to deploy in this programme. While it should be the endeavour of the neighbouring States to mobilise larger number of employees, the far off State Committees are requested to meet and identify the comrades and book their to and fro passage and indicate to the CHQ as to whether any arrangements must be made for their stay etc. At Delhi. Unless the number is indicated it would be difficult to book accommodation for stay at Delhi. The comrades who are deployed to participate in the programme from far off States are requested to please reach Delhi latest by 22nd night as the trains are likely to be delayed on 23rd Feb. 2011. The neighbouring States may kindly arrange buses to carry the comrades to Delhi and back. They are also requested to make these arrangements as early as possible and intimate us so that we can make arrangements for parking of these vehicles as large number of vehicles is likely to be reaching Delhi on that day carrying comrades to participate in the programme. As and when we receive any other details from the sponsoring committee of this programme we shall intimate the same to you.
With greetings,
Yours fraternally,
K.K.N.Kutty
Secretary General
(Minimum Number of comrades to be deployed by each State. The number is determined taking into account the distance and the number of employees working in each State. All State committees are requested to kindly ensure that the minimum indicated is adhered to.)
Kerala -30, Karnatakla-30,T,Nadu-50, A.P-50. West Bengal -60, Assam (including all NE States) -40, Orissa-20, Jharkhand-20, Chattisgarh-20. Maharashtra-Mumbai -50, Vidharba -30, Gujarath-40, Bihar -50, J & K, 10
Delhi – 2000, Rajasthan(Jodhpur, Jaipur, Udaipur-100. Haryana (Rohtak, Ambala, Panipet, Kurukshetra)-100, Western UP-300. (Lucknow, Baireilly, Meerut, Agra, Aligarh, Ghaziabad etc. Eastern U.P. (Allahabad, Varanasi, Gorakhpur etc-150, Punjab (Jullunder, Amritsar, Ludhiana, Patiala, Chandigarh) -150) Himachal Pradesh –Simla and Solan-50, Madhya Pradesh (indore, Jabalpur, Bhopal and Gwalior)-75