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Post Operative Follow Up Rules

The document is an Office Memorandum from the Council of Scientific & Industrial Research regarding post-operative follow-up treatment for critically ill beneficiaries under the Central Government Health Scheme (CGHS). It outlines the conditions under which follow-up treatment can be undertaken at CGHS empaneled hospitals without the need for re-validation, including specific medical conditions such as post-cardiac surgery and cancer treatment. The memorandum also details the procedures for obtaining permissions and reimbursement for beneficiaries and their dependents.

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0% found this document useful (0 votes)
17 views3 pages

Post Operative Follow Up Rules

The document is an Office Memorandum from the Council of Scientific & Industrial Research regarding post-operative follow-up treatment for critically ill beneficiaries under the Central Government Health Scheme (CGHS). It outlines the conditions under which follow-up treatment can be undertaken at CGHS empaneled hospitals without the need for re-validation, including specific medical conditions such as post-cardiac surgery and cancer treatment. The memorandum also details the procedures for obtaining permissions and reimbursement for beneficiaries and their dependents.

Uploaded by

sandesh sahu
Copyright
© © All Rights Reserved
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tate ae sqrt ous COUNCIL OF SCIENTIFIC & INDUSTRIAL RESEARCH waa, 2 wat ari, 7g feet — 110001 ‘Anusandhan Bhawan, 2, Rafi Marg, New Delhi- 140001 ‘MN. : §-1(66)/2008-PD ‘treated: 10.12.2021 From : seer we (wear) Joint Secretary (Adm) et To: Aceang.are fash cee sabmreraratieieetiepeararew ts eT “The DirectorsiHeads of ll CSIR National Labs nts Hare /Unis ‘rates eLzaMadam, ah ee oe ae tse ae HAAR afer are at se TI, sata te agar i ee rer wee a Re EITE | am directed to forward herewith the folowing Office Memorandum Issued by the Government of India for your information, guidance and compliance: wae ‘eras mea a. od ‘SL.No. Office Memorandum No, Subject 1. | oer eare, eareear ee often arear aire, | Post-operative Follow-up treatment men ‘rom Hospitals empanelied under ee CGHS in respect of critcaly il art eZ 15025/9520191DIR/CGHS! | cous beneficanes regarding CGHS(P) Ri 29.05.2019 Government of India, Ministry of Healy & Family Welfare, Department of Heath & Family Welfare Office Memorandum No. Z 15025/85/2019/01RICGHS! CGHS\P) dated 29,05 2019 radharYours fatty, MAwd 05 $0 3o0 (ea areas se ran Manna Baran rar afta (@Afer waITVUS (PD) eae AAs above BIRFARICopy to 1) an sane soar ere ae oe Reet eg Ret ser eT eT Head, Dison wi be request io make ths crear later aval on the wens & Polcy Repost, 2) src sO copy a TAT OT TET TT BTA TT, TSS Fa 81-11.28714788, Gram. CONSEARGH, NEW DELH|,E-mal: eager in 2 15028/3872018/0IR/CGHS! CoHS(P) Government of India Ministry of Health & Family Weltare Department of Heath & Family Welfare Nirman Bhewan, Now Delhi Dated the 23” Way , 2019, OFFICE MEMORANDUM Sub: Postoperative Follow-up treatment from Hospitals empanelied under CGHS. in respect of critically il CGHS benefcleries-regarding With ference tothe above mentioned subject the undersigned is creed to state that in ew ote ical bing faced by ertcaly il COHS benefciares In geting sosvoneroien {olow.up treatment at CGHS empaneled hospi, the mater was reviewed aha then swe been decided that crticaly il CGHS beneficiaries shall be permed for folow up treatment’ CGHS empaneliod hospitals as per tne details oven under | Permission for post-operative followup treatment in regpect of the felowing post — cperatve condos ‘requiring frequent Consultations. from ‘Specalate at Povaie hospitals empanelied under CGHS, need not be re vaidated from te to ine ad follow-up weaiment may be undertaken al CGHS rates wit ane on The, consuitaton ovestigations are permited under these folow-is cases. The conditions covered ar! Post Cardiac Surgery Cases incluing Coronary Angioplasty Post Organ Transplant Cases (Liver. Kidney, Heart ee) © Post Neuro Surgery CasesiPost Brain Soke cates requiing regular folowup ‘eoatment End Siage Renal Diseasefollow up cates of Liver Fale Cancer treatment ‘Autoimmune dsorers ike Rheumatol Arts requtng regula oon Neurological csorders ike Dementia, Alzheimers deease, Pakisorsam et, Medicines prescribed are to be procured fram CGHS Welles Centre. {The beneficiaries shal nave to submit a setattested photocopy of the permission eter {othe hospital to enable the hospitals to provido ret facility m respects paren and other categories of CGHS beneficiaries ented for erect tasty Sertag orp (and their dependents) who may net be ented for cashless facies ea eaeers ef attested photo copy of permission ltr to claim rembursement fom he coven rea Ministry Department Iv ermision in respect of Pensioner CGHS benefisaris, xP (end ft categories of SGHS beneficries, whose medical exenciute ls bome by CONS) ok, eto Se ‘ranted by CGHS. Permission in respect of Honbie Members of Parveroit shal fe granted by Rajya Sabho SecretaravLok Sabha Secretarial as the tase may and by concerned Ministry ‘Deparment in respect of serving beneficiaries an by convenes ‘Autonomous Body ! Statutory Body in respect of eorving (pensioner bereicarisa, However if any non-lsted investigations / procedures are advised permission from competent Authorty shal be required, except n emergency, 2 These orders ae in suporsescon ofthe eal guidelines onthe subject, ‘Adal, DOGHO), CCHS 1 AllMnisves / Departments, Government of India 2. Director, CGHS, Niman Bhawan, New Delhi 3 CGHS Desk-!Desk-/CGHS-ICGHS., De GH, Niman Bhawan, New Delhi 4 Esti Este Est Estt1V Section, Ministy of Heath & Family Welfare ‘5 Adm (Adm. Sections of Oto GHS 8 Addl Director, CGHS(H0)/ Ade. DkactoralJoint Directors of CGHS Cites 7 Rajya Sabha /Lok Sabha Secretariat Regisvar, Supreme Court of Inca Punjab & Haryana High Cous, Chandigarh 8 Under Secretary, UP-S.c, 10 Under Secretary Finance Division ‘11 Deputy Sseretany (Civil Service News), Deparment of Personne! & Training, Sth Flor, Sardar Patel Bhavan, New Doth 12 PPS to Secretary (H&FW)/ Secretary (AYUSHY! SecretaryHRV Secrelary(AIDS onto), Ministry of Heat & Family Welfare 19 PPS to ASEMD, NRHM ASH) IDGHS 14 Secretary, Stat Sie, 13:C, Ferazshah Road, New Delhi 15 AllStaf Side Membors of National Counc (JCM) (a per list attached) 16 Offce ofthe Comptroller & Ausitor General of India, 10 Bahadur Shah Zafar Marg, New Det 17 AllOfices / Sections / Desk nthe Ministry 18 UTI infrastructure Technology And Services Limtad, UTLITSL Tower, Pot Nod Sector - +5, CBD Belapur, Navi Mumbai-400644 18 Nodal Ocer, MTC, CCHS with request upload a copy of OM on CGHS Web-site 20 All Hospitals empaneied under CGHS through Addl. Dect, CGHS of concerned ely. 21 Office Order folder (Copy fr information to Joint Secretary, Cabinet Secretariat, Rashtrapti Bhawan , New Delhi

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