G.O Ms.No.135 Dated 29.10.2014 Employees Health Scheme OP Treatment Guidelines

G.O Ms.No.135 Dated 29.10.2014. AP Govt Employees Health Scheme OP Treatment Guidelines. AP Employees Health Scheme Guidelines for Out Patients.

G.O Ms.No.135 Dated 29.10.2014 EHS OP Treatment Guidelines

Health, Medical and Family Welfare – Employees Health Scheme (EHS) – Detailed Guidelines on  Out-patient (OP) Treatment for Chronic Ailments  - Issued.

HEALTH, MEDICAL AND FAMILY WELFARE (I.1) DEPARTMENT

G.O.Ms.No.134, Dated 29.10.2014, Read the following:

1. G.O.Ms.No.174   HM&FW (M2) Dept dated  01-11-2013.
2. G.O.Ms.No.175   HM&FW (M2) Dept dated  01-11-2013.
3. G.O.Ms.No.176  HM&FW (M2) Dept dated  01-11-2013.
4. G.O.Ms.No.26 HM&FW (M2) Dept dated 05-02-2014.
5. G.O.Ms.No.117 HM&FW (I.1) Dept dated 12-08-2014.
6. From the CEO., AHCT., letter No.1159/P&C/EHS/2014 dated 03-03-2014.
7. G.O.Ms.No.134, HM&FW (I.1) Dept dated.29 -10-2014.
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ORDER:

In the G.O. first read above, as amended in the G.Os., 4th  and 5th read above, the then  Government of Andhra Pradesh launched the “Employees Health Scheme” (EHS) with effect from 05-12-2013, to provide cashless treatment to the employees, pensioners and their dependent family members in empanelled network hospitals for the listed therapies notified in G.O.Ms.No.176 HM&FW (M2) Dept dated 01-11-2013, and this scheme ipso facto replaces the existing reimbursement system under APIMA Rules, 1972. In para 4.2.2.1 of the G.O., first read above it is mentioned that Out Patient (O.P)  treatment for pre-defined long-term (Chronic) diseases will be provided in notified hospitals and that orders on the modalities and provision of budget to the notified hospitals will be issued   separately.  In his letter 6th read above, the Chief Executive Officer, Aarogyasri Healthcare Trust had submitted proposals for issuing guidelines on ‘chronic OP treatment’.

2.  Consequent on reorganization of Andhra Pradesh, Government have reviewed the implementation of the Employees Health Scheme and has decided that out patient treatment for chronic  diseases, including consultation, medicines and diagnostics shall be provided in the notified Government Hospitals and the expenditure on this would be met from within 15% of the total estimated annual budget of Rs.220 crores.

3.    Accordingly, after careful examination, Government hereby issue the following guidelines for Chronic Out-Patient treatment in notified Government Hospitals:

Download G.O Ms.No.135 Dated 29.10.2014 for more information
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