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Skip to mainThe Ministry of Health and Family Welfare (MoHFW) stated in an Office Memorandum dated 10 November 2022 that CGHS-paneled hospitals cannot prepare two separate bills for the same period of treatment. As per the most recent order of the MoHFW, empanelled hospitals cannot prepare two separate bills, one to be paid by the beneficiary and one to be paid by CGHS/Department.
"Any violation of these guidelines will be taken seriously, and appropriate action will be taken according to the terms and conditions of the MOA, including removal from the CGHS panel," the Ministry stated.
The allocation of wards in hospitals participating in the CGHS is based on the respective 7th Pay Commission basic pay level for Central Government Employees.
The Health Ministry clarified in 2013 that empanelled hospitals cannot ask the beneficiary or his/her attendant to purchase separately the medicines/sundries/equipment or accessories from outside sources and will provide treatment within the CGHS-set package rate, which includes the cost of all items.
In addition, the Health Ministry has issued the following treatment and billing guidelines for CGHS recipients:
The ministry said that the documents in the bill should be arranged in the following order:
In case documents are not arranged in proper chronological order, the bill may be returned.
“CGHS scrutinizes the credit bills received in respect of the above items and if, it is considered that there are unjustified use of certain items, they shall be deducted from approved bills. CGHS also reserves the right to take suitable action in case of deviation,” the ministry said.
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