hospitals agreeing to CGHS rates, the provisions as applicable under
CGHS/CSMA rules may be followed and for expeditions and smooth
implementation Director Health Services ... hospitals agreeing to CGHS rates, the provisions as applicable
under CGHS/CSMA rules may be followed and for expeditions and smooth
implementation Director Health Services
intimated that claim amounting to
Rs.1,58,710/- admissible under CSMA rules has been settled by the Health
Department in respect of the claim ... because of excess bed charges are inadmissible as per CSMA
rules.
ii) As regards Brahm Shakti Hospital, as against the claim amount
rules. At this point of time we are not quashing the rule for the very
simple reason that there may arise issues wherein the rules ... hold
that applicant will be eligible to be considered under the CSMA rules and for the
benefits according to the CSMA. This is declared
rules. At this point of time we are not
quashing the rule for the very simple reason that there may arise
issues wherein the rules ... CSMA. Therefore there will be a direction to the
respondents to calculate and modulate payment to be made for the
particular disease under CSMA rules
case of
non-emergency treatment from the hospital approved under CSMA
Rules and ECHS Scheme, it is necessary to obtain prior approval from ... treatment from the hospitals in non-CGHS areas recognized under
CSMA Rules and ECHS can be taken for which they required to submit
the medical
case of non-emergency treatment from the hospital approved under
CSMA Rules and ECHS Scheme, it is necessary to obtain prior approval
from ... treatment from the hospitals in non-CGHS areas recognized under
CSMA Rules and ECHS can be taken for which they required to submit
the medical
Information required Reply
1. Copy of Medical Policy In SAI, CSMA rules 1944 is
applicable to the employee of applicable.
the Sports Authority of India ... Copy of Medical Policy As per CSMA rule 1944 an
applicable to the employee of amount of Rs.500/- is being
the Sports Authority
radius from the dispensary will be covered
under CS (MA) Rules as per Directorate's OM dated 6.4.2018. Further, the
Memorandum states that ... Government
employees residing outside the CGHS areas will be covered under CSMA
Rules. In respect of all CGHS covered cities, the Applicants residing within
CARE UNIT
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3. They specifically contend as below:
"As per CSMA rules, if there
was no facility in Lokmanya
Hospital, Nigdi for
Angiography/Angioplasty ... Chief Medical Officer, and this was not in
accordance with the Rules of CSMA. They
also state that all these decisions of the
Ministry were
said amount was restricted
to the rates of existing CGHS/CSMA Rules.
6. Having regard to the aforesaid facts and circumstances
of this case ... medical claim as per the rates of
existing CGHS/CSMA Rules. As such the present OA is
dismissed. There shall be no order
