Ayush Hospitals empanelled under CGHS and CSMA rules

Empanelment of AYUSH Hospitals / Centers under CGHS and CS (MA) Rules for Ayurveda, Unani and Yoga & Naturopathy treatments/ procedures and Fixation of Package rates.

Directorate General of Central Government Health Scheme has issued an OM regarding Empanelment of AYUSH Hospitals / Centers under CGHS and CS (MA) Rules for Ayurveda, Unani and Yoga & Naturopathy treatments/ procedures and Fixation of Package rates.

F. No Z. 28015/01/2006-HD Cell/CGHS/

Government of India

Ministry of Health & family welfare

Directorate General of Central Government Health Scheme

Nirman Bhavan, New Delhi

Dated: 01.10.2015

OFFICE MEMORANDUM

Subject: Empanelment of AYUSH Hospitals / Centers under CGHS and CS (MA) Rules for Ayurveda. Unani and Yoga & Naturopathy treatments/ procedures and Fixation of Package rates.

Reference is invited to the Notification. No Z. 28015/01/2006-HD Cell/ AYUSH/ CGHS/HQ/Pt-I, dated 03/7/2015 and O.M. No. Z. 28015/01/2006-HD Cell/CGHS dated 3/7/2015.

The undersigned is directed to state that after following the prescribed proceedure and on submission of required documents like Memorandum of Agreement, Performance Bank Guarantee and Acceptance letter etc. by the QCI recommended AYUSH Hospitals and Centers for empanelment under CGHS and CS (MA) Rules were considered by the competent authority and approved. The list of such AYUSH hospitals and package rates/rates for treatments/ procedures are enclosed as Annexures “A” and “B” respectively. The rates and the O.M. is valid for a period of 6 months from 3/7/2015 to 02/1/2016 or new rates are finalised through fresh tender process whichever is earlier.

2. The undersigned is further directed to clarify as under

(a) “Package Rate” means rates for a package of treatment of standard set of procedures that are administered to the patient while undergoing treatment for a pre-diagnosed disease condition for the specified time period. The package rates which are specified for diagnosed diseases/conditions in Annexure “B” should strictly be adhered. Procedures other than the package rates listed in Annexure “B” for a nonspecific disease condition which is not mentioned under package rates will be considered as per the list. The duration of the treatments should not exceed 34 days for Ayurveda and 28 days for Yoga and Naturopathy in the light of P.M. dated 1-1-2008.

i) This includes all charges pertaining to a particular treatment/procedure including registration charges, admission charges, accommodation charges, cost of medicines, Panch Karma charges, Labor Room charges, charges for Kshar sutra operation/procedure charges Doctor/Consultant visit charges, Monitoring charges, operation theatre charges, procedural charges/Surgeon’s fee , cost of disposable surgical charges and cost of all sundries used during hospitalization related to routine investigations, physiotherapy charges etc. from the time of admission to till discharge. This also is inclusive of all sub-procedures and related procedures to complete the treatment.

ii) No additional charge on account of extended period shall be allowed if that extension is due to any improperly conducted procedure.

(b) The rates not indicated in Annexure “B” in respect of items under the head of admission fee, consultation fee, laboratory Investigations/diagnostic tests/procedures, hospitalization Nursing care, Transportation, engagement of attendants etc. will be the same as prescribed for recognized private Allopathic Hospitals under the CGHS. The rates pertain to 2008 of allopathic system are applicable as the O.M. of the dated 1-1-2008 of AYUSH procedures are extended.

(c) Re-imbursement for treatment/procedures for which prescribed rates have not been indicated in Annexure “B” will be charged as per actual. The Hospitals are not required to give medicines in OPD or at the time of discharge of the patient. Medicines so provided shall not be reimbursable. Procedures / Treatments given to the beneficiary outside the list will be discouraged if justification is not given for doing outside procedures.

(d) Ward entitlement and rates for room charges will be as prescribed earlier for CGHS beneficiaries. Room rent is applicable only for treatment procedures for which there is no prescribed package rate and will include charges for occupation of bed, diet for the patient, charges for water and electricity supply, linen charges, nursing charges and routine up-keeping. Expenses on toiletries, cosmetics, telephone bills etc. are not reimbursable and are included in rates/package rates.

(e) The prescribed rates as indicated in Annexure “B” shall be valid for the period of Memorandum of Agreement required to be signed by the Hospital/ Centre with the CGHS in general but in the present case the period is specified in the second paragraph of the O.M. The additional time taken in the MOA is meant to address any dispute arise between the parties while the activities are in operational or in case if extension is required to be obtained from the authorities in exigencies.

3. The treatment at these empanelled AYUSH Hospitals/Centers may be taken only with the prior authorization/ permission in accordance with the CGHS Rules or the CS (MA) Rules as the case may be in force at the time of taking treatment.

4. (i) In respect of the CGHS beneficiaries permission for treatment is granted by CMO In charge/ Additional Director / Joint Director, CGHS in case of pensioners, former Governors , Former Vice-president Ex-MPs, Freedom Fighters etc. and by Rajya Sabha / Lok Sabha Secretariat as the case may be in case of Members of Parliament by the Registrar General of Supreme Court and by the Registrar Delhi High Court in respect of serving employees and pensioners of case of serving Govt, employees serving employees and pensioners of autonomous bodies covered under CGHS such permission shall be issued on the basis of recommendation from CMO/SMO I/C of the concerned AYUSH dispensary.

ii) In respect of the Government employees covered under the CS (MA) Rules, authorization/permission is to be issued by the concerned administrative Ministry/Department based on the recommendations of the AMA of the concerned system of the medicine.

iii) For Yoga & Naturopathy Office Memorandum NO. 15/11-21/2009/CGHS (SZVCGHS (P) dated 27th October, 2009 which is in free will continue.

5. The AYUSH Hospitals/Centers will not refuse admission/treatment to Central Government Employees or their dependant family members who are not CGHS beneficiaries if they produce certified/ attested copies of identity cards issued by the Government of India and have been referred to the Hospital/Diagnostic centre by the organization in which they are working and shall not charge more than the prescribed package rates/ rates in such cases.

6. An AYUSH Hospital/centre empanelled as above, whose rates for treatment procedures/tests are lower than the prescribed rates shall charge as per actual.

7. (a) Hospitals shall provide credit facility to the following categories of CGHS beneficiaries (including dependant family members, whose names are entered on CGHS Card) on production of valid permission letter:

• Members of Parliament;
• Pensioners of Central Government drawing pension from central estimates;
• Former Vice-presidents, Former Governors and former Prime Ministers;
• Ex-Members of Parliament;
• Freedom Fighters;
• Serving CGHS employees;
• Serving employees of Ministry of Health & Family Welfare (including attached / subordinate offices under the Ministry of Health & Family Welfare); and
• Such other categories of CGHS cardholders as notified by the Government.

(b) Bills should be submitted to the Office of the Rajya Sabha Secretariat / Lok Sabha Secretariat in case of sitting Members of Parliament and to Additional Director. CGHS (Hqrs), Delhi / concerned CGHS city, in case of beneficiaries enlisted above, once in a month.

8. Reimbursement in case of pensioners, former Governors, former Vice-Presidents, ex-MPs, Freedom Fighters, etc.. Is made by Additional Director of concerned CGHS city through BCA and by Rajya Sabha Secretariat / Lok Sabha Secretariat in case of sitting Members of Parliament and by concerned Ministry / Department/ Organization in case of serving Govt, employees, serving employees and pensioners of autonomous bodies covered under CGHS.

9. Any legal liability arising out of such services, responsibility solely rests on the hospital and shall be dealt with by the concerned empanelled hospital/diagnostic centre. Services will be provided by the Hospitals/Diagnostic centers as per the terms of agreement

10. The Hospitals/Diagnostic centers will give a discount 5% on every cash payment charged directly from the beneficiaries.

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

The room rent will be Rs.500/-, Rs.1000/- & Rs.1500 for General Ward, Semiprivate Ward and Private Ward. It is clarified that indoor package rates for Yoga & Naturopathy are inclusive of room rent as per entitlement of the beneficiary.

11. A hospital empanelled under CGHS, whose normal rates for treatment procedure / test are lower than the CGHS prescribed rates shall charge as per the rates charged by them for that procedure / treatment from a non-CGHS beneficiary and will furnish a certificate to the effect that the rates charged from CGHS beneficiaries are not more than the rates charged by them from non-CGHS beneficiaries.

12. Private ward is defined as a hospital room where single patient is accommodated and which has an attached toilet (lavatory and bath). The room should have furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet, etc. as well as a bed for attendant. The room has to be air-conditioned.

13.Semi Private ward is defined as a hospital room where two to three patients are accommodated and which has attached toilet facilities and necessary furnishings.

14.General ward is defined as halls that accommodate four to ten patients.

15. Normally treatment in higher category of accommodation than the entitled category is not permissible. However, in case of an emergency when the entitled category accommodation is not available, admission in the immediate higher category may be allowed till the entitled category accommodation becomes available. However, if a particular hospital does not have the ward as per entitlement of beneficiary, then the hospital can only bill as per entitlement of the beneficiary even though the treatment was given in higher type of ward.

16. In case of non-emergencies, the beneficiary shall have the option of availing specific treatment / investigation from any of the empanelled hospitals of his / her choice (provided the hospital is empanelled for that treatment procedure / test), after the same has been advised by CGHS/ other Government Specialist / CMO in-charge and permission is obtained from the competent authority for within the city. For treatment availing by the beneficiary from empanelled list of AYUSH Hospitals from out side city where he is residing no T.A. & D.A. a, will be reimbursed provided the treatments is available in the city of residence.

17. This office memorandum is extension of earlier orders dated 01/01/2008 relating to empanelment of AYUSH Hospitals and Diagnostic centers under CGHS

18. A copy of this OFFICE MEMORANDUM along with the annexures of A & B is placed on the website of Ministry. www.mohfw.nic.in/cghs/htm

(Dr. D.C. Joshi)

Director (CGHS)

Annexure- “A”


LIST OF AYURVEDIC HOSPITALS APPROVED UNDER CGHS & C.S.(M.A) RULES

The following hospitals have been empanelled under CGHS/C.S.(M.A) Rules for Ayurvedic System from 03-07-2015

S.No.	Name and Address of the Hospital/centers	Recommended System
1	Maharishi Ayurveda Hospital, Block-B, Pocket-P, Shalimar Bagh (West) Delhi-110088.	General Ayurveda
2	KLE Ayurveda Hospital Medical Research Center Shahapur Belgaum-590003 Karnataka (India)	General Ayurveda
3	Punarava Ayurveda Hospital Edappally North P.O. Cochin Kerala-682024	General Ayurveda
4	Matha Ayurveda Eye Hospital. Moonga P.O. Near Thachottukavu Trivandrum Pin-695573	General Ayurveda Shalakya
5	Addlife Basavatarakam Indo-American Cancer Hospital And Research Institute 1st Avenue Road No. 14 Banjarahills, Hyderabad-500034	General Ayurveda
6	Shri Dhanwantry Ayurvedic College & Dabour Dhanwantari Hospital Sector-46/B Chandigarh-160047	General Ayurveda
7	Lavanya Ayurvedic Cancer Hospital & Research Centre74/2 Maidangarhi Extension Chhatarpur Maidangarhi Rd Nr Chhatarpur MandirNew Delhi	General Ayurveda
8	Lavanya Ayurvedic Cancer Hospital & Research Centre Dhawa Estate Deva Road Near Telco Chinhat Lucknow (UP)227105	General Ayurveda
9	Parathuvayalil Hospital Keezhillam P.O., Ernakulam District,Kerla State India, PIN-683541.	General Ayurveda
10	B.S.D. Trust’s Ayurved Hospital & Research Centre Vishwashatidham Off Kesnand Road At Post Wagholi Taluka Haveli Dist Pune (MH)412207	General Ayurveda
11	Ahalia Ayurveda Medical College Hospital Kozhipara P.O. Palakkad (Dist) Kerala	General Ayurveda
12	Jaipur Ayurveda Hospital Village-Vatika Tehsil-Sanganer, Distte- Jaipur, Rajasthan	General Ayurveda
13	Sree Subramania Ayurvedic Nursing Home Karikkamkulam Karaparamba PO Calicut-673010 Kozhikode Dist Kerala.	General Ayurveda
14	Alvas Ayurveda Medical College Hospital Vidyagiri Moodbidri South Canara Dist Karnataka State Pin-574227	General Ayurveda
15	Kailash Institute Of Naturopathy Ayurveda & Yoga26 Knowledge Park-1 Greater Noida Gautam Budh Nagar Uttarprades-201308	General Ayurveda
16	Pragati Sparsh Ayurvedic Panchkarma Centre Pragati Resorts Proddatur Village, Shanker Palli Mandal Hyd.	General Ayurveda, Ksharsutra & Shalya Karma
17	Sarathy Ayurvedic Hospital, Elanjichodu Elookkara Munnathadam P.O Aluva Ernakulam Kerala.	General Ayurveda
18	Dr.Augustine’s Arya Vaidya Asramam Ayurveda Hospital, Thiruvanchikulam, kodungallur P.O, Trissur Distt, Kerala, Pin. 680664.	General Ayurveda
19	Ayurvaid Hospital, 230, Amarjyoti Layout off Intermediate Ring Road, Domlur Ext., Banglore, Pin-560071.	General Ayurveda
20	Vasudeva Vilasam Nursing Home Near Padma Theertham Fort TVM-695023.	General Ayurveda
21	Sitaram Ayurveda Speciality Hospital, Veliyannur Road, Thrissur Pin- 680021, Kerala.	General Ayurveda

LIST OF YOGA & NATUROPATHY HOSPITALS APPROVED UNDER CGHS AND C.S.(M.A.) RULES.

The following Hospitals have been empanelled under CGHS/C.S.(M.A.) Rules for Yoga & naturopathy System from 03-07-2015

S.No.	Name and Address of the Hospital/centers	Recommended System
1.	Addlife Basavatarakam Indo-American Cancer Hospital And Research Institute 1st Avenue Road No.14 Banjarahills, Hyderabad-500034.	Yoga & Naturopathy
2.	Jaipur Ayurveda Hospital Village-Vatika Tehsil-Sanganer, Distt.-Jaipur Rajasthan	Yoga & Naturopathy
3.	Bapu Nature Cure Hospital & yogashram Gandhi Nidhi Mayur Vihar Ph-1 Patparganj Delhi-1 10091	Yoga & Naturopathy
4.	Kailash Institute Of Naturopathy Ayurveda & Yoga, 26 Knowledge Park-l Greater Noida Gautam Budh Nagar Uttarprades-201308	Yoga & Naturopathy
5.	Vivekanand Hospital, Vivekanand pratisthan parishad, Vivekanand Hospital Khureji Delhi-51.	Yoga & Naturopathy

(Dr. D.C. Joshi)

Director (CGHS)

ANNEXURE “B”.

RATES OFFERED FOR PROCEDURES AS PER EXISTING OM DATED 01/01/2008

Rates prescribed for Ayurveda, Yoga & Naturopathy Treatments/ procedures in respect of the empanelled AYUSH Hospitals /Centers and will be effective from the date of issue of Office Memorandum. No. Z.28015/01/2006-HD Cell/CGHS dated 03/07/2015.

Sl.No	System of Medicine and Treatment/Procedure	Unit cost in Rupees
(A)	AYURVEDA
1	Abhyanga (Sarvanga)	200
2	Tail Shirodhara	300
3	Takra/Dugdha Shiro Dhara	150
4	Pizhichi 1 (Sarvang)	350
5	Pizhichil (Ekang)	250
6	Dhanyamla Dhara	300
7	Nasya (Inclusive of Abhyanga & Svedana of Shira, Griva etc.)	100
8	Shiro Vasti	300
9	Kati Vasti	150
10	Prishta Vasti	150
11	Shiro Lepa	100
12	Shastika Shali Pinda Sweda (Navarakizhi)	350
13	Patra Potali Pinda Sweda	200
14	Anna Lepa (Sarvang)	300
15	Upanaha Sweda	100
16	Avagaha Sweda (with Abhyanga)	200
17	Kati Avagaha Sweda	100
18	Sushka Sweda (Sarvanga)	150
19	Sushka Sweda (Ekanga)	100
20	Udvartana	150
21	Sneha/Anuvasana Vasti (Inclusive of Abhyanga & Swedana)	200
22	Kashaya/Niruha vasti (Inclusive of Abhyanga & swedana)	150
23	Matra Vasti	100
24	Uttara Vasti	100
25	Yoga Vasti Package ( 5 Anuvasana and 3 Niruha Vasti)	1250
26	Kala Vasti package ( 10 Anuvasana and 6 Niruha Vasti)	2500
27	Karma vasti package ( 18 Anuvasana and 12 Niruha Vasti)	5000
28	Vaitarana Vasti	150
29	Ksheer Vasti	150
30	Vashpa/Nadi Sweda (Sarvanga)	150
31	Vashpa/Nadi Sweda (ekanga)	100
32	Vamana Package (inclusive of Poorva Karma, Pradhan Karma and Paschat Karma)	1000
33	Virechana package (inclusive of poorva karma, Pradhan karma and paschat karma)	1000
34	Netra Trapana/Aschyotana	100
35	Netra Putapaka	100
36	Rakta Mokshana (siravedha & Abhyanga)	150
37	Prachhana/Jaloka Avacharana	100
38	Snehapana Package	750
39	Ksharsutra application in Bhagandara (Initial)	400
40	Follow up Ksharsutra application in Bhagandara	250
41	Ksharsutra application in Parikartika (Anal Fissure)	250
42	Ksharsutra application in piles	250
43	Ksharsutra application in other conditions	250
44	Agni Karma	200
45	Kshar Karma	150
46	34-day Pakshaghata treatment Package inclusive of Snehana for 7 days, Svedana for 3 Days, Virechana for 1 day, Vasti for 8 days, Nasya for 7 days and Shiro Vasti/Shiro Dhara for 8 days.	5,650
47	28- day Pakshaghata treatment package inclusive of Shirodhara & Pizhichi 1 for 14 days and Pinda Sweda & Vasti for 14 days	17,150
48	28- day Vata Rakta /Sandhi Roga Treatment package inclusive of Pizhichil for 14 days and Shastika Shali Pinda Sweda & Vasti for 14 days	12,950
49	11- Day Shwasa Rog etc. treatment package inclusive of Snehana (Abhyanga & Sneha pana) for 7 days, Swedana for 3 days, Vamana/Virechana for 1 day.	2,650
50	11- Day Vrikka Roga Treatment package inclusive of Snehapana for 7 days , Avagaha sweda for 3 days and Virechana for 1 day	1,750
51	23- Day Sthoulya treatment package-1 Inclusive of Snehapana for 7 days, Vamana for 1 day, Virechana for 1 day, Takradhara/ Udvartana for 14 days.	3,650
52	23- Day Sthoulya treatment package-11 Inclusive of Swedana with Udavartana for 14 days, Vamana/Virechana for 1 day and Vasti for 8 days	6,550
53	19- day treatment package for Amlapitta/Parinaamshool/Yakrita-Pleehodara/other Udara Roga inclusive of Snehana for 7 days, Swedana for 3 days, Virechana for 1 day and Khseer vasti for 8 days	2,950
54	23-day Manasa Roga ( Unmada/Apasmara/Anidra/Bhrama) treatment package inclusive of Snehana ( Bahya& Abhyantara) for 7 days, Svedana for 7 days, Vamana for 1 day, Virechana for 1 day and Shiro Vasti or Shiro dhara for 7 days	5,750
B	Yoga & Naturopathy
1	One week package of Asana, Pranayama and Meditation Minimum one hour per day	150
2	Two Weeks package of Asana, Pranayama and Meditation Minimum one hour per day	250
3	Four Weeks package of Asana, pranayama and Meditation Minimum one hour per day	400
4	Shatkarma procedures per week	150
5	One week package of Nine Naturopathic treatment including special diet	2100
6	Tow week package of Nine Nine Naturopathic treatment including special diet	4000
7	Three week package of Nine Naturopathic treatment including special diet	6000
8	Four week package of Nine Naturopathic treatment including special diet	8000
9	Naturopathy Massage	200
10	Physiotherapy applicable to Naturopathy	100
11	Steam bath	100
12	Whole body mud-bath	150
13	Local Mud-pack/Application	50
14	Plantain Leaf Bath	50
15	Thermoleum bath	50
16	Magneto therapy	50
17	Special Yoga/Naturopathy diet	75

Note: The room rent will be Rs.500/-, Rs.1000/- & Rs.1500/- for General Ward, Semiprivate Ward and Private Ward. It is clarified that indoor package rates for Yoga & Naturopathy are inclusive of room rent and diet as per entitlement of the beneficiary.

(Dr.D.C.Joshi)

Director (CGHS)

Download CGHS OM F. No Z. 28015/01/2006-HD Cell/CGHS/ dated 01.10.2015