Committee to Investigate EHS Cases with Treatment Costs of Over 2 Lakhs through GO.79
Committee to Investigate EHS Cases with Treatment Costs of Over 2 Lakhs through GO.79: Constitution of Technical Committee to look into the cases where the cost of treatment exceeds Rs.2.00 lakhs – Orders Issued.
1.G.O.Ms.No.174,
HM & FW (M2) Dept., dt.01.11.2013
2.From the Chief Executive Officer, Aarogyasri Health Care Trust, Letter No.186/EHS/P&C/2014, dated.10.01.2014.
O R D E R:
1. In the G.O.1st read above, Government have issued orders for implementation of Employees Health Scheme (EHS) which is intended to provide cashless treatment to the State Government Employees / Pensioners and their dependent family members in empanelled network hospitals which will ipso facto replace the existing medical reimbursement system under APIMA Rules 1972, with additional benefits such as post-operative care and treatment of chronic diseases which do not require hospitalization and treatment in empanelled hospitals.
2. In the letter 2nd read above, the Chief
Executive Officer, Aarogyasri Health Care Trust has stated that in para
4.3 of the G.O.Ms.No.174, HM & FW (M2) Department, dated.01.11.2013
under ‘Financial Coverage’, the following is mentioned:
3. The Chief Executive Officer, Aarogyasri
Health Care Trust has further stated that already 10,44,000 temporary
health cards have been generated under the Scheme, in respect of the
Employees / Pensioners and their family members who have already enrolled. As
many as 396 beneficiaries have undergone surgeries so far. In order to
meet any eventuality where the cost of treatment exceeds Rs.2.00 lakhs, it
is necessary to constitute a Technical Committee in terms of para.4.3 (c)
of G.O.Ms.No.174, HM & FW (M2) Dept., dated.01.11.2013.
4. The Chief Executive Officer, Aarogyasri
Health Care Trust has requested the Government that a ‘Technical
Committee’ with the following composition may be constituted in terms of
para.4.3 (c) of G.O.Ms.No.174, HM & FW (M2) Dept., dated.01.11.2013.
1. Director of Medical Education - Member.
2. Commissioner, APVVP - Member.
3. Executive Officer (P&C), AHCT - Member-Convener .
He has also stated that the panel doctors of the
Trust, who are specialists in the respective fields, will assist the
Committee in the process of examining and making recommendations in the
above process.
5. Government after careful examination hereby
constitute a ‘Technical Committee’ with the following composition in terms
of para.4.3 (c) of G.O.Ms.No.174, HM&FW (M2) Dept., dated.01.11.2013.
1. Additional Director of Medical Education - Member.
2. Joint Commissioner, APVVP (Medical) - Member.
3. Executive Officer (P&C), AHCT - Member-Convener.
The panel doctors of the Trust, who are
specialists in the respective fields, will assist the Committee in the
process of examining and making recommendations in the above process.
6. The Committee shall take further action in matter.
Ø Download GO.79
Constitution of Three Member Committee for EHS Cases
COMMENTS