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La Gazette de L' État de Poudouchéry The Gazette of Puducherry
PART - I
➢ EXTRAORDINAIRE EXTRAORDINARY
Published by ➢ Publiée par
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No. 19 Poudouchéry Jeudi 12 Mars 2015 (21 Phalguna 1936)
No. Puducherry Thursday 12th March 2015
GOVERNMENT OF PUDUCHERRY
HEALTH SECRETARIAT
(G.O. Ms. No. 15, dated 25th February 2015)
NOTIFICATION
Consequent upon the discontinuation of Rajiv Gandhi Medical Insurance Scheme (RGMIS) in Yanam region from 1-1-2014 which was operated by M/s. The New India Assurance Company Limited, Perambalur it was decided that the medical benefits to below poverty line families of Yanam region shall be taken up by the "Po nd icherr y Med ical Relief So ciety fo r P o o r " co nstituted vide G.O. Ms. No . 5 2 , d ated 1 5-9 -19 9 8 o f Health and Welfare Department (Health), Puducherry. Accordingly, the following sub-committee is constituted in Yanam region for the effective implementation of the said scheme:-
(a) Regional Administrator, Yanam . . Chairman (b) Deputy Director, Government General Hospital, Yanam . . Member (c) Assistant Director (RMO), Government General Hospital, Yanam . . Member-Secretary 2. (A) Guidelines.— (a) A savings bank account shall be opened in any Nationalised bank at Yanam jointly operated by both Regional Administrator, Yanam and Deputy Director, Government General Hospital, Yanam.
(b) Funds shall be disbursed through crossed cheques duly attested both by Regional Administrator, Yanam and Deputy Director, Government General Hospital, Yanam to the hospitals concerned and electronic cash transfer to the savings bank account of the patients concerned may be done. No money transaction shall be made as per the CVC guidelines.
[ 147 ]LA GAZETTE DE L'ETAT [ PART-I 148 148 (c) Cash book shall be maintained as per the double entry system and simultaneously should be entered electronically also and to be closed every month for auditing. A monthly account showing the allotment and expenditure incurred shall be prepared and submitted to the Directorate for scrutiny. Annual accounts shall be drawn and duly audited by a Chartered Accountant and to furnish a Utilisation Certificate to the Government of India.
(d) Annual budget should be prepared with provision of required funds for payment of remuneration to the contractual employees and for making payment to the hospitals at a tentative cost. These accounts are liable for inspection both by the Directorate and by the Auditor-General's office.
(B) Procedures to be adopted.— (i) Application form: The claimant shall submit an application form as prescribed along with bills received from the hospital. The said application shall have the following enclosures:
(a) Application duly filled and signed
(b) NOC from the Government General Hospital, Yanam
(c) Residence Certificate -10 years
(d) Income ceiling is ` 75,000 per annum and shall come into force
with effect from 1-10-2014 as was prescribed by the Government for economically weaker section of the society/family.
(e) Photocopy of Red Ration Card
(f) Photocopy of Bank Passbook with IFSC Code
(g) Medical bills in original
(h) Photocopies of the discharge summary
(i) Photocopy of Aadhaar Card.
(ii) If approved, the application should duly be submitted to the Office of the Regional Administrator, Yanam. The entire applications shall be scrutinised and put up in a consolidated manner and sent to the Chairman's office for approval through Director of Health and Family Welfare Services, Puducherry. After receipt of approval, cheques shall be issued duly signed by both Regional Administrator, Yanam and Deputy Director, Government General Hospital, Yanam.
(iii) The Deputy Director, Government General Hospital, Yanam shall be the referral authority who would examine and recommend cases to private hospitals by giving NOC and NAC based on the referral letter issued to empanelled hospitals which would give cashless treatment. The list of empanelled hospitals are as follows:-
Sl. Name of the hospital No.
(1)
(2)
1 Apollo Samudra Hospitals, Kakinada
2 Nayana Eye Care, Kakinada
3 Safe Emergency Hospital, Bhanugudi, Kakinada
4 Sai Sudha Hospital, Salipet, Kakinada
5 Surya Global Hospital, Rama Rao Peta, Kakinada
6 Siddhartha Hospital, Kakinada
7 Trust Hospital, Kakinada
8 Vasan Eye Care Hospital, Kakinada
9 Sri Bala Nursing Home, Sri Bala ENT Care Centre,
Kakinada.
PART-I ] LA GAZETTE DE L'ETAT 1493. The Deputy Director, Government General Hospital, Yanam in consultation with the Director of Health and Family Welfare Services, Puducherry shall draw a border line indicating which are the facilities shall be undertaken in Government General Hospital, Yanam and those which are to be referred to.
4. The Deputy Director, Government General Hospital,Yanam in consultation with the Director of Health and Family Welfare Services, Puducherry shall prepare the list and it get approved by the Chairman. To clear any doubt in the matter of medical opinion, Deputy Director, Government General Hospital, Yanam shall get the opinion of the Director of Health and Family Welfare Services, Puducherry.
5. T h e m a x i m u m l i m i t o f m e d i c a l a s s i s t a n c e f o r t r e a t m e n t i n t h e emp anelled hosp itals listed at paragraph 2(iii) above will be ` 1,50,000 for the period up to 30-9-2014 and thereafter the maximum limit of assistance will be enhanced from ` 1,50,000 to ` 2,00,000 and shall come into force with effect from 1-10-2014 onwards.
6. A MoU shall be entered into between the Director of Health and Family Welfare Services, Puducherry and the empanelled hospitals.
7. This issues with the concurrence of the Finance Department vide their U.O. No. 2289/F4/2014, dated 23-10-2014.
(By order of the Lieutenant-Governor)
V. JEEVA,
Under Secretary to Government (Health).
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