GOVERNMENT OF KERALA Health and Family Welfare (G) Department CIRCULAR
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1 GOVERNMENT OF KERALA Health and Family Welfare (G) Department CIRCULAR No /G2/2012/H&FWD, Dated, Thiruyananthapuram, 11th July Sub: - Medicat Reimbursement - Further Instructions Issued - Regarding. It has been brought to the notice of Health & -Family Welfare Department that many Administrative Departments In Government Secretariat recommend and forward proposals for Medical Reimbursement in respect of Government employees to this Department even though the -hospital where treatment was undergone is a recognized one by the Government and the patient has been referred by an Authorized Medical Attendant. Such a procedure results in undue delay in settling the Medical Reimbursement Claims even in deserving cases. In order to reduce the Administrative delay and to make the procedure much easier the Administrative Departments in Government Secretariat including Law and Finance are directed to examine the cases of Medical Reimbursement Claims properly on the basis of the following before forwarding the files to Health and Family Welfare Department for concurrence: (1) The cases of Medical Reimbursement claims in which treatment is undergone in Government approved private hospitals can be settled by the AD themselves as per K.GSMA rules, 1960, in consultation with DHS and Finance Department, as per the ceiling limit fixed in this regard if the patient is referred by an Authorized Medical Attendant. (2) Only those proposals for which special sanction is required for reimbursement (ie for the treatment in unapproved private hospitals with or without proper reference) need be forwarded to this Department. In such cases specific recommendation at the level of Secretary is required. A list of approved hospitals and list of diseases for which Medical Reimbursement is admissible is appended herewith. Which is available in the Website of this Department also. V.V. VINAYAKUMAR Special Secretary to Government HAND BOOK ON GOVERNMENT ORDERS September, 2012
2 SI. NO Name of Centre Name of Disease Government Order by which the centre is approved by Govt. (1) (2) (3) (4) 1. Alshifa Hospital Orthopaedics G O. (Rt.) No. 2175/03/H&FWD Perithalmanna dated AKG Memorial (1) Cardiology and G O. (P) No. 126/2007/H&FEW Co-operative Cardiovascular dated Hospital, Kannur Disease (2) Neuro Medicine (3) Neuro (4) Urology (5) Paediatric Medicine and (6) Plastic (7) Oncology (8) Obstetrics and Gynaecology (9) Orthopaedics (10) ENT (11) Dermatology (12) General Medicine (13) Ophthalmology (14) General 3. Amala Cancer Cancer G O. (Ms.) No. 195/84/HD Hospital, Thrissur dated Amrita Institute of Cardiology and G O. (P) No. 230/2000/H&FWD Medical Science Cardio Vascular dated and Research Centre, Kochi
3 (1) (2) (3) (4) (1) Gastro Intestinal G O. (P) No. 263/2002/H&FWD Diseases and dated (Gastro enterology) (2) Orthopaedic (3) Rental Transplantation and Dialysis (4) Neurology and Neuro (5) Investigations in Radio Diagnosis Department (Including CT Scan, MRI, Ultra Sound etc.) (6) All types of Laboratory INvestigations (7) Urology including Lithotripsy (8) Paediatric Cardiology (9) Nuclear Medicine Department Medical Oncology G O. (P) No. 182/2009/H&FWD Radiation Oncology dated Surgical Oncology 5. August Nursing & Undergoing Treatment G O. (Rt.) No. 3911/84/HD Homoeopathic In the Institution dated Research Centre. G O. (Rt.) No. 2929/85/HD Kalamassery dated
4 6. Caritas Hospital Cancer G O. (P) No. 524/2011 Kottayam H&FWD dated Cosmopolitan Hospital, Orthopaedics G O. (P) No. 45/97/ H&FWD dated EMS Memorial (1) Cardiology G O. (P) No. 126/2007/ Co-operative (2) Neurology H&FWD dated Hospital & Research (3) Neuro Centre, Perinthalmanna (4) Nephrology (5) Gastroenterology (6) Urology (7) Andrology (8) Infertility (9) Paediatric Investigation facilities MRI Scan CT Scan Echo Cardiography TMT ECG Nerve Conduction Studies (1) General G O. (P) No. 316/2009 Medicine H&FWD dated (2) General (3) Orthopaedics (4) Gynaecology and Obstertrics (5) Paediatrics (6) ENT
5 (1) (2) (3) (4) (7) Radiology (8) Dental and Maxillofacial (9) Cardiothorasic and Vascular (10) Interventional Cardiology (11) Interventional Neurology Investigation facilities (1) Cardiac Catherization Laboratory (Cash Lab) (2) Bronchoscopy (Cath Lab) (3) Upper Gastro Intestinal Endoscopy, Colonoscopy (4) Puimonary Function Test (5) (a) Clinical Laboratory (b) Bio Chemistry (c) Micro Biology (d) Histopathology (e) Clinical Pathhology (f) Immunology 9 Ernakulam Orthopaedics G O. (P) No. 45/97/ Medical Centre H&FWD dated Ernakulam 10 Indian Institute of Diabetes G O. (P) No. 169/04/ Diabetes H&FWD dated Thiruvananthapuram 11 Indian Institute of For treatment in G O. (Ms) No. 14/96/ Panchakarma the Institution H&FWD dated Cheruthuruthy. Shornur
6 12. Kerala Co-operative (1) Cardiology G O. (P) No. 182/05/ Hospital Complex and (2) Cardiothorasic H&FWD dated Centre for Advanced Medical Services Ltd (3) Nephrology Pariyaram, Kannur (4) Orthopaedics (1) Oncology G O. (P) No. 113/2001/ (2) & H&FWD dated Paediatrics 13. KPM Hospital, Cardiology G O. (P) No. 71/2001/ Malappuram H&FWD dated Komaranchanth Urology Rental Transplan G O. (P) No. 45/97/ & Rental Transplantation tation Paediatrics H&FWD dated Centre, Ernakulam 15. Lakshmi Hospital, (1) Paediatrics G O.(P) No. 291/2011 Aluva (2) Obstetrics and H&FWD dated Gynaecology 16. Lakshmi Hospital, (1) Paediatrics Ernakulam (2) Cardiology (3) Neo-Natology G O.(P) No. 136/02/ (4) Paediatric H&FWD dated Lakshmi Hospital, (1) Paediatrics G O. (P) No. 291/2011/ (2) Obstetrics and H&FWD dated Gynaecology (3) General Medicine 18. Lakshmi Hospital, Obstetrics and G O. (P) No. 291/2011/ Thrippunithura Gynaecology H&FWD dated Lakshmi Hospital (1) General G O. (P) No. 291/2011/ Udyogamandal, Medicine H&FWD dated Ernakulam (2) Paediatrics 20. Lisie Hospital, (1) Cardiology G O. (P) No. 291/2011/ Ernakulam (2) Cardiothorasic H&FWD dated (3) Neuro (4) Orthopaedics (5) Nephrology (6) Urology 21. Malabar Cancer Centre Cancer Treatment G O. (P) No. 251/2002 Society, Kannur H&FWD dated Matha Hospital, Orthopaedics G O. (P) No. 45/97/ Thrissur H&FWD dated
7 23. Medical Trust Hospital, Cardiology and G O. (P) No. 340/97/ Kochi Cardiovascular H&FWD dated Orthopaedics Paediatrics Rental G O. (P) No. 45/97/ Transplantation for H&FWD dated Rental Diseases 24. Moulana Hospital, Cardiology G O. (P) No. 71/2001/ Perinthalmanna H&FWD dated Msgr. Joseph Kandathil Cancer G O. (P) No. 558/2010/ Memorial Cancer Research H&FWD dated Centre, Cherthalla 26. National Hospital, Rental G O. (P) No. 71/2001/ Kozhikode transplantation H&FWD dated for Rental Diseases 27. N.S. Memorial Institute Orthopaedics G O. (P) No. 94/2011/ of Medical Science, H&FWD dated N.S.S. Medical Mission Only for the patients G O. (Ms.) No. 257/86/ Hospital, Pandalam referred by Authorized H&FWD dated Medical Attendent for better Treatment 29. Panchakarma Hospital For treatment G O. (P) No. 20/2007/ and Research Institute in the Institution H&FWD dated P.R.S. Hospital (1) Cardiology and G O. (P) No. 71/2001 Killipalam, Cardiovascular H&FWD dated Thiruvanathapuram (2) Orthopaedics (3) Urology 31. Doctors Diagnostics & For Clinical Tests not G O. (Ms.) No. 482/99/ Research Centre, available in Government H&FWD dated Thiruvananthapuram/ sector, at fixed rate as Kottayam/Ernakulam per Government Order 32. Recognition of Devi For Clinical Tests not G O. (Ms.) No. 70/2001/ Scans Private Ltd., available in Government H&FWD dated Thiruvananthapuram sector, at fixed rate as per Government Order 33. Samaritan Hospital, Complicated Heart G O. (Ms. No. 122/1985/ Aluva HD dated
8 34. Specialist Hospital, (1) Urology G O. (P) No. 71/2001/ Ernakulam (2) Orthopaedics H&FWD dated (3) Plastic Reconstructive 35. SP Fort Hospital, (1) Orthopaedics G O. (P) No. 71/2001/ Thiruvananthapuram (2) thorasic H&FWD dated SUT Hospital, Cardiology and G O. (P) No. 340/97/ Thiruvananthapuram Cardiovascular H&FWD dated 1997 Orthopaedics G O. (P) No. 45/97/ (Fat embolism cases H&FWD dated requiring Ventilatory support) Joint Replacement for Knee and Hip 37. Tellicherry Co-operative (1) Cardiology and G O. (P) No. 126/2007 Hospital, Kannur Cardiovascular H&FWD dated Disease (2) Neuro Medicine (3) Neuro (4) Urology (5) Paediatric Meidicines and (6) Plastic (7) Oncology (8) Obstetrics and Gynaecology (9) Orthopaedics (10) ENT (11) Dermatology (12) General Medicine (13) Ophthalmology (14) General Endocrinology G O. (P) No. 316/2009/ H&FWD dated
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