MoH&FW O.M. dated 28.06.2024

 MoH&FW O.M. dated 28.06.2024. key points from the memorandum regarding the revised guidelines for the CGHS referral process:

 Revised guidelines for Referral Process in CGHS – MoH&FW O.M. dated 28.06.2024. key points from the memorandum regarding the revised guidelines for the CGHS referral process:

Modifications:

1. Previous Guidelines Modified:
   • Partial modifications to MoHFW OM No. Z.15025/117/DIR/CGHS/EHSS dated 15.01.2018 and 10.12.2018.
   • Revised guidelines for referral procedures for Consultation, Investigations, and Treatment in Government and Private hospitals (empanelled with CGHS).

Key Points:

A. Inclusion of Government Hospitals:

• Continuation of OM No. Z.15025/18/2020 dated 09.10.2020.
• “Government hospital” includes all AIIMSs, Institutions of National Importance (INIs), North East Institutions, Tata Memorial Hospital, and all other central government medical institutions.
• No referral/permission/endorsement required for consultation, investigation, or treatment procedures, including unlisted ones.

B. Treatment at Private Empanelled Hospitals:

• Single Referral for Specialist Consultation:
  • Valid for three months.
  • Beneficiary can consult up to three specialists (including primary specialist).
  • Maximum of 6 consultations allowed within 3 months.
• Investigations and Treatment Procedures:
  • No further endorsement required for routine listed investigations and minor procedures (non-hospitalization) within the validity period of 3 months.
  • Referral/endorsement required for special investigations (e.g., CT Scan, MRI, PET Scan) costing over Rs. 3,000/-.
  • Referral/endorsement required for procedures requiring hospitalization, valid for 3 months.
• Unlisted Investigations and Treatment Procedures:
  • Permission as per delegated powers (vide OM Z.15025/14/2023/DIR/CGHS dated 27.12.2023 for pensioners and OM No. S 12020/4/97-CGHS(P) dated 07.04.1999 for serving employees):
    • CGHS (Additional Director/Director) for pensioner beneficiaries.
    • Head of Department/Office (HOD/HOO) for serving employees.

C. Special Provision for CGHS Beneficiaries:

• Age limit for availing consultation, investigations, and treatment procedures reduced to 70 years (previously 75 years as per OM dated 29.05.2019).
• Other conditions remain unchanged.
• Tele-consultation available through e-Sanjeevani 2.0 (https://esanjeevani.mohfw.gov.in/).

D. Emergency and Post-Operative Follow-Up Treatment:

• Instructions as per extant rules.
• Reference Instructions: O.M. No. S.11011/29/2019-EHS dated 13.09.2019 and O.M. No. Z 215025/35/2019/DIR/CGHS/CGHS(P) dated 29.05.2019 (regarding post-operative follow-up treatment).

File No.: 215025/19/2024/DIR/CGHS/EHS(Comp No. 8281286)
/3687286/2024
Government of India
Ministry of Health & Family Welfare
(EHS Section)

Nirman Bhawan. New Delhi
Dated the 28-06-2024

OFFICE MEMORANDUM

Subject: Revised guidelines for Referral Process in CGHS-reg.

In partial modification of MoHFW OM No. Z.15025/117/DIR/CGHS/EHSS dated 15.01.2018 and 10.12.2018. the undersigned is directed to convey approval of the Competent Authority for issue of revised guidelines for referral procedures for Consultation, Investigations and Treatment in Government and Private hospitals (empanelled with CGHS), as per details given below:

A. In continuation of OM No Z.15025/18/2020 dated the 09.10.2020 the term “Government hospital”. shall also include all AIIMSs, Institutions of National Importance (INIS), North East Institutions, Tata Memorial Hospital and all other medical institutions under central government. No referral ‘‘permission/endorsement shall be required for undergoing consultation investigation/ treatment procedure including unlisted investigations/ procedures.

B. Treatment at Private empanelled hospital(s):

1. Single referral for Specialist Consultation: A referral issued by any Medical Officer of a CGHS Wellness Centre will be valid for three months. During this period. the beneficiary may consult two more specialists i.e. up to total of three specialists, if recommended by the primary specialist. A maximum 6 consultations shall be allowed during this validity period of 3 months.
2. Investigation and treatment Procedures advised by specialist of empanelled private hospital after referral by CGHS: No further endorsement from CGHS shall be required for undergoing routine listed investigations and minor procedures, not requiring admission in the hospital. as advised by the specialist, within the validity period of 3 months from the date of issue of the initial referral. However, Referral/endorsement from CGHS _ shall be required for special investigations like CT Scan, MRI Scan. PET Scan and any other investigation costing over Rs. 3.000/- and the referral will be valid tor 3 months.
3. Correspondingly, referral’ endorsement would be required from Medical Officer of CGHS for any procedure requiring admission in the hospital. which would be valid for 3 month.
4. Unlisted investigation(s) and treatment procedures advised by the Specialist of CGHS empaneled hospital: Permission for undergoing such investigations and treatment procedures shall be considered as per the delegated powers vide OM Z.15025/14/2023/ DIR/CGHS dated 27.12.2023 in case of pensioners and OM No. S 12020/4/97-CGHS(P) dated 07.04.1999 in case of serving employees. i.e.
   1. CGHS (Additional Director/ Director) in case of Pensioner beneficiaries.
   2. Head of the Department/ Office (HOD/HOO) in case of serving employee(s) 

5. In partial modification — of O.M. No. Z 215025/35/2019/DIR/CGHS/CGHS(P) dated 29.05.2019, the special provision for CGHS beneficiaries to avail Consultation/ investigations/ treatment procedures shall hereinafter apply to CGHS beneficiaries aged 70 years and above. as against 75 years prescribed in OM as mentioned above dated 29.05.2019. The other conditions shall remain unchanged. The beneficiaries can also avail of the services through tele-consultation facility available through e-Sanjeevani 2.0  (https ://esanjeevani.mohfw.gov.in/).
6. In case of treatment under emergency and post-operative follow-up treatment, the instructions shall remain as per extant rules. Reference Instructions:
   1. O.M. No. S.11011/29/2019-EHS dated 13.09.2019.
   2. O.M. No. Z 215025/35/2019/DIR/CGHS/CGHS(P) dated 29.05.2019 (regarding post-operative follow-up treatment).

Signed by
Hemlata Singh
Under Secretary to the Go BeBe aaa
Tel 011-23061778.

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Benefits to Customers:

• No need to remember due date of payment 
• Reduces the risk of late or default fee 
• Provides hassle-free automated procedure 
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• Avoids physical visits to Post Office after mandate acceptance
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No. DA-19/7/2021-DA-DOP 

Government of India 

Ministry of Communications 

Department of Posts (IR & GB Division)

Dak Bhawan, Sansad Marg

New Delhi-110001 Dated: 26.06.2024

OFFICE MEMORANDUM

Subject: Resumption of booking of international mail to Israel and Iran.

The temporary suspension of international mail services to Israel and Iran, due to unforeseen situations, invoked vide letters of even no. dated 16.04.2024 and 19.04.2024 has been reviewed and it is decided to resume the booking of international mail to Israel and Iran with immediate effect. This may be brought to the notice of all concerned.

(Himanshu Chaudhary)

ADG (International Mail)

To
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2. (CEPT) with the request to upload this OM on India Post website and enable the booking for Israel and Iran in the POS.
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DoPT Directive for Assessing the Performance of Government Employees

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F. No. 25013/01/2024-Pers.Policy A-IV
Government of India
Ministry of Personnel, Public Grievances and Pensions
Department of Personnel and Training
(Personnel Policy A-IV)

North Block, New Delhi
Dated : 27th June, 2024

OFFICE MEMORANDUM

Subject: – Periodic Review of Central Government Employees for strengthening of administration under Fundamental Rule (FR) 56(j)/(l) and rule 48 of CCS(Pension) Rules, 1972 [now, revised as Rule 42 of CCS (Pension) Rules, 2021] — reg.

The undersigned is directed to refer to the subject cited above and to state that instructions have been issued from time to time for undertaking periodic review of performance of Government servants with a view to ascertain whether the Government servant should be retained in service or retired from service prematurely, in public interest, as per relevant provisions of Fundamental/ Pension Rules referred to in the subject cited above. In addition to the various instructions/guidelines issued in the subject matter, the DoPT vide its OM No. 25013/03/2019-Estt.A-IV dated 28.08.2020 (copy enclosed) has issued a comprehensive and consolidated guidelines detailing the procedures to be followed in identifying the cases of premature retirement under FR 56 (j)/(l) and Rule 48 of CCS – (Pension) Rules directing all the Ministries/Departments to follow the content of the said OM strictly and ensure its wide circulation amongst all concerned. The detailed guidelines on the above subject are already available in public domain at https://dopt.gov.in — Archives — Orders — Establishment — Premature retirement.

2. Similarly, in so far as strengthening of administration by periodical review under FR 56(j) in respect of Autonomous Institutions and Statutory bodies is concerned, the DoPT’s OM No. -26012/8/2022-Estt.A-lV dated 20.12.2022 and OM No.25013/1/2016-Estt.A-IV dated 11.03.2016 (copies enclosed) respectively may be referred to.

3. It may be noted that the objective of Fundamental Rule (FR) 56 (j)/(I) and Rule 48 of CCS (Pension) Rules [now, revised as Rule 42 of CCS (Pension) Rules, 2021] is to strengthen the administrative machinery by developing responsible and efficient administration at all levels and to achieve efficiency, economy and speed in the disposal of Government functions.

4. The Administrative Ministries/Departments have repeatedly been requested to adhere to guidelines issued in this regard and furnish a report to this effect to the Department of Personnel and Training. However, it has come to notice that various Ministries/Departments are not adhering to the said guidelines resulting in delay in identifying the Government employees due for review under relevant provisions of FR- 56 (j)/(l) and Rule 48 of CCS (Pension) Rules [now, revised as Rule 42 of CCS (Pension) Rules, 2021].

5. In view of the above, the Ministries/Departments are requested to take immediate action to identify the employees due for review under relevant provisions of Fundamental/Pension Rules and ensure that their cases are expeditiously submitted for consideration before the duly constituted Review Committee as per extant instructions. Further, all Ministries/ Departments are also requested to direct the Public Sector Undertakings (PSUs)/Banks, Autonomous Institutions and Statutory bodies under their administrative control to undertake the exercise of periodic review of employees under the relevant provisions.

6. Further, all the Ministries/Departments/Organisations are also requested to strictly adhere to the timeline mentioned in DoPT’s OM dated 28.08.2020 for undertaking the exercise of review of performance of the Government servants and for the employees of PSUs/Banks/autonomous institutions/statutory organisations under their administrative control to ensure that the employees with doubtful integrity or found to be ineffective are not allowed to continue in Government and to furnish a report to DoPT in format given below by 15th day of each month starting from July, 2024

7. Hindi version will follow.

(Shankra Nand Bharti)
Deputy Secretary to the Government of India

To,
All Secretaries of Ministries/ Departments of the Govt. of India
(As per the standard list)

Copy to:

1. Comptroller & Auditor General of India, New Delhi.
2. Union Public Service Commission, New Delhi.
3. Central Vigilance Commission, New Delhi.
4. Central Bureau of Investigation, New Delhi. |
5. Parliament Library, New Delhi.
6. All Union Territory Administrations.
7. Lok Sabha/ Rajya Sabha Secretariat. |
8. All Attached and Subordinate Offices of Ministry of Personnel, P.G. & Pensions.
9. Hindi Section for Hindi version.

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Essential CGHS Card Guidelines and Contribution Rates 2024 : Serving Employees and Pensioners Must Read

 Essential CGHS Card Guidelines and Contribution Rates 2024 : Serving Employees and Pensioners Must Read!

Ministry of Health and Family Welfare has released updated CGHS Card Guidelines which are a must read for serving employees and pensioners.

F. No. S.11012/1/2024-EHS(Comp No. 8283407)
I/3687003/2024
Government of India
Ministry of Health & Family Welfare
EHS Section

Nirman Bhawan, New Delhi
Dated 27-06-2024

OFFICE MEMORANDUM

Subject: Guidelines for Issue of CGHS Card to serving employees and pensioners-reg.

In continuation of this Ministry’s OM No . S.11012/3/2011-CGHS(P) dated 29.12.2011, the undersigned is directed to issue the following guidelines, in view of technological changes and change in payment methods of CGHS Contribution, for issuing of CGHS cards to serving employees and pensioners, as follows:

CGHS Card Guidelines for Serving Employees

A. Serving Employees

a. Serving employees shall mandatory apply for a new CGHS card online (www.cghs.nic.in) to generate a temporary reference number. After online submission of the application form, they should take a printout of the same and submit the hard copy duly signed and photographs affixed thereon, to the department currently employed, for processing and onward submission to the concerned Office of Additional Director, CGHS for issuing the cards. One copy is to be forwarded to the Additional Director of the concerned City and the other copy is to be retained by the Employer Department of the Central Government (hereinafter referred to as ‘sponsoring authority) for CGHS benefits.

b. The requisition shall be sponsored by the Head of Department/Head of Office of the employee.

c. A Specimen copy of the application form for the New CGHS Card is enclosed at Annexure-1.

d. CGHS shall scrutinize the application based on the documents provided:

Documents required for Serving Employees

i. Pay Slip indicating the pay scale and CGHS deduction.
ii. Aadhaar Card/PAN card or any other valid document as per RBI guidelines, as ID Proof for Self and Dependent Family Members.
iii. Disability Certificate of Dependant (If applicable) as per OM No.4-24/96-C&P/CGHS(P)/EHS dated 07th May 2018. (Enclosed at Annexure-2)
iv. Photographs of self and Dependant Family Members.

The Standard Operating Procedure is enclosed at Annexure-3.

CGHS Card Guidelines for Pensioners

B. Pensioners

a. CGHS card(s) will be issued to eligible pensioners and family pensioners, drawing pension from Central Civil Estimate and his/her dependent family members, when the pensioner is not availing the Fixed Medical Allowance (FMA).

b. The pensioners also has the option for availing Fixed Medical Allowance with a CGHS card (IPD Card) by paying the full subscription, however, the CGHS ‘IPD only’ card shall be valid only for ‘cashless’ indoor treatment at CGHS Empanelled Private Hospitals/designated Government Hospitals. The beneficiary of ‘IPD only’ CGHS card shall also be eligible for reimbursement of expenses incurred for indoor treatment at any Government/Private Hospital only in case of a Medical Emergency.

c. The pensioners can submit his/her duly filled application form for the new Pensioner CGHS card, in the new Card Application Form (Annexure 3) to the Additional Director of CGHS city concerned.

d. The applications shall be accompanied with payment of CGHS Contribution S.11012/1/2024-EHS I/3687003/2024
on Bharatkosh, along with the Challan generated from Bharatkosh as proof of payment.

e. The contribution (equivalent to 120 times i.e 10 years of existing CGHS contribution rate, at the time of retirement). The existing rates shall be as per the details provided below:

S. No.	Pay Level (7th CPC Pay matrix)	Contribution
1	Level 1 to 5	Rs. 30,000/- for whole life CGHS Card
2	Level 6	Rs. 54,000/- for whole life CGHS Card
3	Level 7 to 11	Rs. 78,000/- for whole life CGHS Card
4	Level 12 and above	Rs. 1,20,000/- for whole life CGHS Card

f. CGHS shall scrutinize the application based on the documents provided:

Documents Required for Pensioners for Issuing CGHS Card

i. Self-attested PPO/ Provisional PPO or Last pay certificate
ii. Aadhaar card ID/PAN card or any other valid document as per RBI guidelines as ID proof for Self and dependent family members
iii. Disability Certificate of Dependant (If applicable)
iv. Photographs of self and dependent Family Members.
v. Copy of Bharat Kosh Challan for CGHS subscription paid
vi. Proof of availing/non-availing FMA (if applicable).

The Standard Operating Procedure is enclosed in Annexure-3.

g. Retiring employees have the option to apply for a pensioner card along with pension papers 6 months before the date of Retirement (Online as a pensioner new card). The office shall observe the same procedure as for a serving employee for getting his/her CGHS card(s) prepared.

C. Consequent to verification of CGHS Card, the electronic form of CGHS card shall be accessible to the beneficiary using the option of ‘Beneficiary Login’ on CGHS Website, myCGHS app & Digilocker app for Android/iOS-based mobile devices. The electronic CGHS card shall be at par with CGHS plastic Card for
availing benefits. The authenticity of CGHS card can be verified using the option of ‘Verify beneficiary’ available on CGHS Website (www.cghs.nic.in).

D. For the issue of a new CGHS plastic card upon mutilation, renewal or loss of the CGHS Card, application Form AA or BB (Annexure 4 & 5) along with the Bharatkosh Payment challan for Rs. 100/- shall be submitted for issuing a new card to the concerned Additional Director. To encourage the CGHS beneficiaries to use digital CGHS cards, it has also been decided that No fee shall be levied, in case the beneficiary opts for renewal/reissue of card without a fresh printed plastic card.

CGHS Card Guidelines for VIPs

E. The Instructions issued for the CGHS beneficiaries from Member of Parliament, Ex-Member of Parliament; eligible Autonomous Institutions, Air India and PIB accredited Journalists shall remain as per extant rules.

F. The CGHS Beneficiary shall inform CGHS immediately, if there is any change in dependency criteria of his family members included in the CGHS Card. If he fails to intimate and if CGHS comes to know of the change, then the CGHS facility is liable to be withdrawn and the CGHS shall be free to write to the appropriate authority for recommending action under Service Rules or Pension Rules.

These guidelines issues with the approval of the competent authority and these guidelines shall be effective from one month from the date of issue.

Encl: As above.

(Hemlata Singh)
Under Secretary to the Government of India

To

1. All Ministries and Departments of the Government of India through CGHS website
2. Addl. Director, CGHS(HQ)/ Addl. DDG(CGHS)/ Addl. Directors, CGHS of Cities / Zone.
3. All CGHS Wellness Centres through concerned AD, CGHS
4. LACs/ ZACs through Addl. Directors, CGHS
5. DDG NIC Health looking after CGHS applications.
6. Sh. Jitendra Singh, CDAC, Noida with the request to create functionality of card application through Mobile application and Web portal integrated with Payment gateway of Bharat Kosh (NTRP).
7. MCTC, CGHS with the directions to upload the document on CGHS Website (www.cghs.gov.in).
8. All Pensioner Associations

Copy of Information to:

1. PPS to Secretary (H&FW), MoHFW
2. PSO/Senior PPS/PPS/PS to Secretary (Personnel), DoPT, MoPPG&P
3. PSO/Senior PPS/PPS/PS to Secretary (DARPG & DoPPW), MoPPG&P
4. Senior PPS to AS & DG CGHS
5. PPS to JS (MoHFW), CGHS

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