Processing of permission for respiratory devices such as CPAP, BiPAP and Oxygen Concentrator in online mode – Standard Operating Procedure : CGHS O.M. dated 22-01-2025
भारत सरकार/ Government of India
कार्यालय अपर निदेशक (मुख्य)/ O/O Additional Director (HQ)
के. स. स्वा. यो./ Central Government Health Scheme
Ministry/Department of Health and Family Welfare/
Directorate General of CGHS
CGHS Bhawan, Sector-13, R. K. Puram, New Delhi-110066,
Email: adhq[.]dl[@]cghs[.]nic[.]in, Tel: 011-20863435
मिसिल संख्या/File No. 29-1/2025 CGHS EZ (efile number 8315535)
दिनांक : 22/01/2025
OFFICE MEMORANDUM
Subject: Standard Operating Procedure for transition to online mode for processing of permission for respiratory devices such as CPAP, BiPAP and Oxygen Concentrator.
The processing of permission for respiratory devices such as CPAP, BiPAP and Oxygen Concentrator in respect of CGHS pensioner beneficiaries is currently in offline mode, starting from submission of physical documents in Wellness Centre by the beneficiary to physical transport through dak to Office of Additional Director to submission of physical file to O/O Additional Director (Reimbursement and Hospitalization) CGHS (HQ), sending to Committee of Respiratory Medicine Specialists for opinion regarding admissibility of the respiratory device and finally the physical file travelling back to the concerned Additional Director for physical letter to be issued to the pensioner beneficiary. The entire process takes anywhere between 15 to 45 days or longer, during which time the pensioner beneficiary often has to rent these respiratory devices, the cost of which is not reimbursable.
In order to expedite the processing of these critical respiratory devices and provide relief to the beneficiaries, it has been decided to transition the processing of permission for such devices, to an end-to-end online mode as follows:
- At the Wellness Centre, the application for permission to purchase the respiratory device complete in all respects, as per the attached checklist at Annexure A including the duly filled and endorsed proforma for the respiratory devices annexed as Annexure B, C, D along with affidavit (Annexure E) (all Annexures are also available on CGHS website) shall be scanned and emailed to the Office of the concerned Additional Director of Zone and city.
- In case high speed scanners are not available in the Wellness Centre at present, physical documents for the said permission shall be sent through dak to the Office of Additional Director within a day or two of receiving the application. Additional Directors shall procure high speed scanners for every Wellness Centre so that maximum possible dak including requests for permissions can be emailed to Office of Additional Director. Besides expediting the processing of permissions for beneficiaries, this would also be a step forward in enabling end-to-end ebill processing.
- The concerned section in the Office of Additional Director shall, on priority, scrutinize the application for permission to purchase respiratory devices received through email/dak for any deficiency. Any deficiency shall be communicated the same day to the beneficiary telephonically and through email for fulfilment. The application complete in all respects shall then be put up in efile with all relevant documents hyperlinked, by the concerned section in the Office of Additional Director of city/Zone.
- The subject matter of efile shall include the name of the beneficiary and the Beneficiary ID. All respiratory devices henceforth issued to the particular beneficiary shall be put up in the same efile. This shall enable maintenance of an electronic record of permissions issued to the
beneficiary.
- An excel sheet having the Computer Number of the efile, name and Beneficiary ID of the beneficiary, name of device and the details of permission issued may be maintained separately in the concerned section dealing with permissions in the Office of the Additional Director, for ease of tracking the efile.
- The efile shall be sent to the Office of Additional Director (Reimbursement and Hospitalization), CGHS (HQ) (directly by Delhi Additional Directors and through ADDG by outside Delhi cities) for forwarding to the Committee of Respiratory Medicine Specialists. The recommendation of the Committee shall be uploaded in efile and sent back to CGHS HQ and subsequently to the concerned Additional Director of the city/Zone. (In cities where a similar Committee of Specialists exists locally, they may continue sending the requests for permission for respiratory devices to their local Committee).
- The letter addressed to the beneficiary, conveying the recommendation of the Committee (recommended/ rejected) shall be issued through eOffice, duly digitally signed by the Additional Director. The soft copy of the permission shall be emailed to the beneficiary through his email ID or collected as a physical copy by the beneficiary as per his convenience.
This issues with the approval of the Director CGHS.
Digitally signed by
Honnamma
Date: 22-01-2025
10:37:56
डा. होनम्मा
अपर निदेशक के. स. सवा. यो. (मु)
Encl:
- Annexure A [Checklist for permission for BiPAP, CPAP, O2 Concentrator]
- Annexure B [Certificate of medical necessity to be issued to CGHS beneficiaries being prescribed long term oxygen therapy/Oxygen Concentrator (to be filed by the treating physician)]
- Annexure C [Certificate of medical necessity to be issued to CGHS beneficiaries being prescribed]
- Annexure D [Certificate of medical necessity to be issued to CGHS beneficiaries being prescribed Bilevel Continuous Positive Airway Pressure (Bi-Level Cpap) / BI-Level Ventilatory Support System]
- Annexure E [Affidavit]
COMMENTS