AP Notification No: G.O.Ms.No.135 (29-Oct-14) Health, Medical and Family Welfare – Employees Health Scheme (EHS) – Detailed Guidelines on Out-patient (OP) Treatment for Chronic Ailments - Issued
G.O.Ms.No.135
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.
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:
3.1. Out-Patient Treatment for Chronic Ailments:
• Chronic diseases that require OP treatment include those ailments like non communicable diseases (NCDS) such as Diabetes, Hypertension, Coronary Artery diseases, cerebro-vascular diseases, Cancers, Renal failure; communicable diseases such as Tuberculosis, Leprosy, etc., postsurgical, post-traumatic conditions, etc., all of which require longer-term sustained medical treatment.
• For chronic OP Treatment in the Area Hospital / District Hospital / Teaching...
To continue reading
Request your trial