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THE ASSAM GAZETTE
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EXTRAORDINARY
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PUBLISHED BY THE AUTHORITY
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No. 21 Dispur, Monday, 17th January, 2022, 27th Pausa, 1943 (S. E.)
GOVERNMENT OF ASSAM
ORDERS BY THE GOVERNOR
HEALTH & FAMILY WELFARE DEPARTMENT
NOTIFICATION
The 7th December, 2021
No. HLA.556/2021/21.-
MODIFIED GUIDELINES FOR IMPLEMENTATION OF ASSAM
AROGYA NIDHI SCHEME UNDER GOVT. OF ASSAM
In the interest of the public service the Health & Family Welfare Department is pleased to modify the guidelines for Implementation of Assam Arogya Nidhi (AAN) Scheme under Govt. of Assam. The details are as follows :
I. Eligibility :
(a) All Indian citizens who are ordinarily resident of the State of Assam will be eligible under the scheme.
(b) All families with annual income up to Rs 5.00 Lakh will be covered under the scheme (c) There will be no age limit for coverage under the scheme.
(d) No Govt. employee or Govt. pensioners and their family members will be eligible under the scheme.
II. Diseases covered : Any serious disease requiring surgery/implants/procedures like Bone Marrow Transplant (BMT) or any other critical disease including senous accident cases.
III. Financial assistance : Maximum benefit upto Rs 3.00 Lakh.
56 THE ASSAM GAZETTE, EXTRAORDINARY, JANUARY 17, 2022IV. Hospitals covered : All financial assistance will be admissible for treatment in all Govt. hospitals including Medical Colleges/Tertiary Health Care facilities all reputed private hospitals registered under the Clinical Establishment Act and empanelled hospitals of Government of Assam AAA (Atal Amrit Abhiyan) and PMJAY (Pradhan Mantri Jan Aarogya Yojana).
V. Procedure for claim/reimbursement :
(a) Any eligible person seeking financial assistance under AAN will submit relevant application in the prescribed form for the purpose furnishing necessary details and all relevant documents as required including medical bills/vouchers/receipts in original duly certified by treating hospital/Doctor.
.
(b) Application in the prescribed format complete in all respects will be submitted to NHM. Assam or to the Joint Director of Health Services of the District who will forward the same to NHM Assam for necessary consideration.
(c) Person having PMJAY or AAA card will avail the cashless treatment benefit against admissible diseases under the said schemes first before making any application for consideration under AAN.
(d) Person not having PMJAY/ AAA Card or if the disease is not covered under PMJAY/ AAA can submit their application directly.
(e) AAN assistance is for exceptional cases and not the general.
VI. Governing Body :
There will be a Committee at State Level for consideration of all applications for financial assistance under AAN as follows :
i. Hon'ble Minister Health & Family Welfare, Assam : Chairperson
ii. Principal Secretary to the Govt. of Assam : Member
Health & Family Welfare Deptt.
iii. CEO, AAA Society : Member
iv. Mission Director, NHM, Assam : Convenor
v. Director of Health Services, Assam : Member
vi. Director of Medical Education, Assam : Member
vii. Financial Advisor, Health & Family Welfare Department : Member
viii. Principal, GMCH, Bhangaghar : Member
VII. Grant of Assistance :
(a) The Chief Minister Assam may grant permission directly for the maximum benefits available under AAN.
THE ASSAM GAZETTE, EXTRAORDINARY, JANUARY 17, 2022 57(b) The Chairperson of the Committee can clear grant of financial assistance under AAN against eligible cases up to Rs. 2.00 Lakh.
(c) For grant of assistance above Rs. 2.00 Lakh up to Rs. 3.00 Lakh the State Level committee Will decide the eligible cases.
VIII. Mode of disbursement : Financial assistance will be disbursed to the beneficiary concerned or reimbursed to the hospital concerned through bank account transfer only Advance payment shall only be to the hospital subject to maximum of Rs 3.00 lakh.
IX. As per Govt. Notification No. HLA 970/2018/129 dated 9-09-2019. 40% of the left over amount under AAA and PMJAY after deduction for actual expenditure by the concerned hospital would be contributed to the AAN scheme on regular basis in order to streamline this transfer of funds from various hospitals to AAN, it is hereby directed to transfer 10% of claimed amount under PMJAY by different Government Hospitals (Medical Colleges, District hospitals, etc.) directly to AAN account from the office of PMJAY/AAA (SHA) as deduction at source and no further payment shall be made by concerned hospitals. However, the funds already due and lying with various hospitals shall be calculated and settled within 30 days of notification of this order.
X. The fund deposited from PMJAY under AAN may be utilised to provide financial assistance to the eligible AAN beneficiaries following due procedure.
XI. These Guidelines can be relaxed in emergency and extra-ordinary situations.
ANURAG GOEL, Principal Secretary to the Government of Assam, Health & Family Welfare Department.
Guwahati : Printed and Published by the Director, Directorate of Printing & Stationery, Assam, Guwahati-21. Extraordinary Gazette No. 41 -10 + 10 - 17 - 01 - 2022. (visit at– dpns.assam.gov.in)