Procedure For Empanelment of Hospitals, Nursing Homes ... - ECHS

No. 24(9)/03/US (WE)/D (Res)Government of IndiaMinistry of DefenceNew Delhi the 16 th June’2004To,The Chief of Army StaffThe Chief of Naval StaffThe Chief of Air StaffSubject:Procedure for empanelment of Hospitals, NursingHomes and Diagnostic Centres under Ex-servicemenContributory Health Scheme (ECHS)Sir,1. With reference to Govt. of India, Ministry of Defence letter No. 22(1)/01/US(WE)/D(Res) dated 30 thDec’2002, I am directed to convey the sanction of the Government that the ‘Procedure for Empanelment ofHospitals, Nursing Homes and Diagnostic Centres as spelt out in Appendix A to this letter will be followed by theECHS with immediate effect.2. The empanelment procedure will be reviewed after one year.3. This issues with the concurrence of Ministry of Defence (Finance) vide their U.O No.581/PD/04 dated15-06-2004Yours faithfullySd/-xxx(V.K. JAIN)Under Secretary to the Govt. of India172

i) Additional Secretary(M) - Chairpersonii) JS(ESW), MOD - Memberiii) JS(E)/Med - Memberiv) Addl FA, Def(Fin) - Memberv) Rep of DGAFMS - Membervi) DGD C&W or his - Member Secretarynominated representativePeriod and Terms of Agreement7. On receipt of approval of the Empowered Committee of MOD, Memorandum of Agreement (MOA) asper standard ECHS format will be signed by the Station Commander with the concerned Hospitals/ NursingHomes and Diagnostic Centres. The period of empanelment will be valid for two years or until further orderswhichever is earlier. If the services of the Hospitals, Nursing Homes and Diagnostic centres are found to besatisfactory, extension of empanelment may be done on mutual agreement, with the approval of the sanctioningauthority.8. In case of unsatisfactory performance, unethical practices or medical negligence by any empanelledHospital, Nursing home and Diagnostic Centre, a show cause notice will be issued to concerned empanelledfacility by the Station Commander. Agreement/contract of empanelment will be terminated if charges are established,on approval from Ministry of Defence i.e. the appointing authority.Payment Procedure9. Payments will be made to Hospitals/Nursing Homes and Diagnostic Centres directly by the concernedStation Headquarters on approval by the Competent Financial Authority (CFA). Such payments shall be made bycheque and shall be post audited. The detailed procedures for payment to empanelled facilities have been issuedvide MOD’s letter No. 24(8)/03/US(WE)/D(Res) dated 19 th December 2003.Settlement of Disputes10. In case any dispute arises between the Station Commander and any empanelled Hospital, DiagnosticCentre or Nursing Home, the empanelled facility concerned has the right to appeal to one superior level. Thedecision taken by the superior authority will be final and binding to both parties. Arbitration for any dispute will beconducted in terms of the Memoranda of Agreement signed between empanelled facility and Station Commander.Derecognition/Disempanelment11. If any empanelled Hospital, Nursing Home or Diagnostic Center is detected to be indulging in malpractice,unethical practice or medical negligence, the matter will be got investigated by the Station Commander.12. On receiving information of derecognition of Hospitals, Nursing Homes and Diagnostic Centres by theCGHS, Railways, DGAFMS or other Govt Organizations, the matter will be got investigated by the StationCommander.13. On receiving information in both cases as listed out in paragraphs 1 1 and 12 above, the empanelledfacility will be given an opportunity to show cause before a decision of disempanelment is taken.175