Suspension of Ramaiah Hospital, Bengalure from CGHS Panel

F. No. 19-3/2013(129)/Admin/1371

Office of the Additional Director , CGHS

Bangalore

Date-14/3/2014

MIS has empanelled private hospitals and diagnostic centres in various CGHS covered cities to provide healthcare facilities to CGHS beneficiaries. Empanelment of the private hospitals is done under a contractual agreement between the Government of India and the private hospitals and diagnostic centres on mutually agreed terms and conditions.

It was reported that your hospital has taken a unilateral decision of denying cashless/ credit facilities to eligible CGHS beneficiaries, which is tantamount to violation of terms and conditions of MOA. Provision of treatment. to Pensioners.and other eligible CGHS beneficiaries is one of the terms of essence, as denial of credit facility causes immense hardship to pensioner beneficiaries, who have to spend money from their meagre savings.

In this connection a Show Cause notice was issued vide F.No. 19-3/2013(129)/Admin/1272 Dated 8/03/2014 giving an opportunity to your hospital to put forth your stand on the issue. 

The reply submitted by you in response to the show cause notice has been examined. It is observed that CGHS signed IV10A with individual hospitals and not with any association and hence association has no locus st3ndi In the matter .Hence, the reference is not relevant .Even if your hospital has some grievance and consider not viable for it to continue on the panel, it can withdraw from the list of empanelled hospital*. Government has taken several steps to clear the pending bills on priority basis and therefDre, there is no major issue regarding pendency of hospital bills. It is felt that denying the treatment on cashless basis is a gross violation of the terms and conditions of the MOA signed by your hospital for empanelment with CGHS.

Since, it is open for your hospital to withdraw from the panel and since denial of cashless facility to eligible beneficiaries is not acceptable from any hospital on the panel , it has been considered appropriate to suspend the CGHS empanelment of your hospital with immediate effect for a period of ‘6’ months or till further orders, whichever may be earlier. The hospital shall no longer be a part.of the list of CGHS empanelled hospitals/ Diagnostic centres for any purpose under CGHS. Patients already admitted prior to the issue of this order shall however, be provided treatment at CGHS rates.

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