CGHS Ayush Hospital Room Rent and IPD Empanelment

CGHS Empanelment & Room Rent for AYUSH HCO, IPD

The Central Government Health Scheme (CGHS) is considering a revision of the room rent for empanelled AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) Healthcare Organizations (HCOs). This revision aims to ensure that the room rent charges are fair and in line with the services provided by these organizations. Additionally, the CGHS is also in the process of empanelling IPD (In-Patient Department) AYUSH Hospitals to expand the range of healthcare options available to its beneficiaries. This step will allow individuals to access AYUSH treatments and therapies during their hospital stays, promoting a holistic approach to healthcare.

Revision of room rent for CGHS empanelled AYUSH HCOs and Empanelment of IPD AYUSH Hospitals

Revision of room rent for CGHS empanelled AYUSH Health Care Organizations and Empanelment of IPD AYUSH (Ayurveda, Yoga & Naturopathy, Unani and Siddha) Hospitals is a proposal to adjust the rental fees for rooms in healthcare facilities that are affiliated with the Central Government Health Scheme (CGHS) and offer alternative medicine treatments, such as Ayurveda, Yoga & Naturopathy, Unani and Siddha. This proposal aims to provide affordable healthcare options for individuals seeking these types of treatments and to expand the network of inpatient departments (IPDs) within the AYUSH hospitals, allowing for more comprehensive care options.

F. No.S-11011/90/2016-CGHS/(HEC)/A YUSH/PT-II. /255-281
Ministry of Health & Family Welfare
Directorate General of CGHS
Office of the Director, CGHS
R.K Puram, Sec-13, New Delhi

Dated: 05th July, 2023

OFFICE MEMORANDUM

Subject: Revision of room rent for CGHS empanelled AYUSH Health Care Organizations and Empanelment of IPD AYUSH (Ayurveda, Yoga & Naturopathy, Unani and Siddha) Hospitals — reg.

The matter regarding revision of room rent of CGHS empanelled AYUSH Health Care Organizations has been under consideration of MoHFW for some time. In this regard the undersigned is directed to convey, the approval of the Competent Authority for revision of the room rent and modified terms & conditions for the empanelment of AYUSH Hospitals under CGHS as per the details given below:

1. The revised room rent for private AYUSH Hospitals empanelled under CGHS shall be as under:

2. It has been decided to empanel hospitals under Unani and Siddha systems also in addition to the Hospitals under Ayurveda, Yoga & Naturopathy. The existing NABH accredited AYUSH  Hospitals shall be allowed to continue on CGHS panel by signing the new MoA and acceptance letter for CGHS rates and terms & conditions and submission of revalidated PBG.

3. Hospitals which are shortlisted for empanelment under CGHS, have to onboard on the NHA Platform, within 30 days, failing which their empanelment would be rejected.

4. The ceiling of Rs. 1000/- as one day combined package for both Yoga & Naturopathy procedures (Rs. 250/- per day as one day yoga therapy package for Yoga & Rs. 750/- per day as one day package treatment for Naturopathy), shall be allowed as per the Annexures – N2 & Y2 of O.M dated 09.11.2017. However, rates, room rent and number of treating days will be counted as per the clarification issued by CGHS on 30.09.2022.

5. CGHS/CS (MA) beneficiaries may directly obtain consultation/treatment from the empanelled Hospitals / Centres for Yoga & Naturopathy for a period upto two-weeks (ceiling) and shall be eligible for reimbursement, subject to prior intimation to their respective Ministries/Department, in respect of serving CGHS / CS (MA) beneficiaries and to the concerned ADs of CGHS cities in respect of CGHS pensioner beneficiaries. There should be a gap of at least 3 months for the treatment if the patient undergoes upto two-weeks treatment and a gap of at least 45 days for the treatment if the patient undergoes upto one-week treatment.

6. The empanelled AYUSH Hospitals shall also be permitted to provide OPD consultation after referral by CMO/SMO/MO. However, medicines shall be prescribed only from CGHS formulary and shall be obtained from CGHS AYUSH Wellness Centres.

7. The CGHS Inspection squad will make surprise visits for the empanelled Hospitals/Centres, atleast once In a month or as per the complaints received to ensure and address the quality and safety treatment to the beneficiaries including performance of the Hospital as per MoA.

8. The Application for empanelment under CGHS is available on CGHS website and shall be submitted enclosing the requisite documnts.

9. These orders are valid from the date of issue.

10. This issues with approval of Competent Authority and the concurrence of IFD, MOHFW vide CD No. 971 dated 26.06.2023.

Dr. Manoj Jain
(Director, CGHS)

Click to View the order in PDF Format

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