TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
Medical-Attendance-Rules-20210531154958.ppt
1. CS(Medical Attendance Rules)1944
• Extent of Application
• These rules apply to all Govt. servants except covered under CGHS
& other than those in Railway service. However Railway
employees on deputation to various other offices under the
Central Govt. are governed by these rules.
• These rules also apply to:-
1. All central govt. servants who are on leave preparatory to
retirement.
2. Govt. pensioners on their re employment under the Central Govt.
3. Defense Accounts Department personnel
4. A probationer
5. Apprentice who are in the whole time service of Govt.
6. All state govt. servants on deputation with the central govt.
2. • These rules do not apply to-
• 1. Defence Service personnel
• 2. Govt. Servants who are on deputation abroad
• 3. Retired govt. Officials
• 4. Govt. Servants who are governed by CGHS while in
stations where this scheme is functioning.
• 5. Officers of All India Services and other persons who are
governed by the All India(MA) Rules, 1954
• 6. India based officers and staff serving in Missions abroad
who are governed by the Assisted Medical Attendance
Scheme.
3. • DEFINITIONS
• “Medical Attendance” means attendance at the
hospital(OPD)or at the residence of the Govt. Servant or at
the consulting room of the AMA whether at the hospital or
at his own residence.
• “Treatment” means the use of all medical and surgical
facilities available at the hospital.
Note: The exp. incurred in connection with treatment may be
treated at reimbursable. No reimbursement will be admissible
if treatment is obtained to improve general physical
fitness/stamina/for cosmetic purpose/improve figure etc. The
refund of the cost of preparations which are not medicines but
are primarily foods, tonics, toiled preparations or disinfectant is
not admissible under the Rules.
4. Authorized Medical Attendant(AMA)
• Authorized Medical Attendant(AMA) means-Medical Officer whether or not
under the employ of the central Govt. appointed by (i) the Deptt. Of Health
of the Govt. of India (ii) any other Department of the GOI in relation to
persons under the employ of that Deptt.,(iii) the Chairman of the Central
Govt. Employees Welfare Co-ordination committee.
• Who can be AMA
There are three categories of Medical Officers who can be appointed as
AMA
(1)MOs under the employ of Central Govt.(2) MOs who are not employees
of the Central Govt.(3) MOs in the employ of the State Govt. or UTs
• Private regd. Medical Practitioner may also be appointed as AMA where
adequate number of Doctors in the employ of the Central Govt. or the State
Govt. is not available or because of the remoteness of the area in which the
patient lives.
• Choice of AMA- Employee should consult the AMA nearest to his residence.
However he may consult any other AMA provided he gives his option in
writing.
• No treatment outside normal duty station from private medical practitioners
appointed as AMAs. Treatment is to be taken from Govt. hospital
5. • Exception in case of emergency:
• In case of extreme emergency or unforeseen circumstances
when an official or the member of his family falls ill, he/she
may be allowed to take treatment from any other
empanelled AMA even if he is not an AMA nominated by his
deptt. Each case could be considered on merits by the
Controlling Officer who would be free to disallow a claim if
he is not satisfied about genuineness of the same after
giving the aggrieved official an opportunity to explain his
case.
6. • The AMA of a Govt. Servant is determined with ref. to the place at
which he falls ill, where it be his permanent residence or place of
casual stay or the place where he may be spending his leave.
• “Medical Attendance” includes attendance at the
hospital/dispensary or at the residence of the Govt. Servant or at
the consulting room of the AMA whether maintained at the
hospital or at his own residence by arrangement with him.
• No AMA should charge any fee for attendance upon, or
professional services rendered to any person at the hospital
premises during hospital hours.
• However if the professional services are rendered outside of the
hospital, whether appointed as AMA or rendering services as a
specialist, is entitled to charge his fees at the prescribed rates, if
otherwise permissible.
• No fee should be charged by MOs who are in receipt of NPA.
7. • No AMAs from RMP owning private nursing homes.
• Validity of panel- one year which is renewable.
• When a MO can be his own AMA- He can be treated as AMA
for himself and family only when there is only one AMA.
• Consultation/visiting fee of AMA
• 1. Medical P.G./Specialist- First consultation Rs. 100/- the Rs.
60/- for subsequent consultation.
• 2. Medical Graduates(MBBS)- First consultation Rs. 70/- the
Rs. 40/- for subsequent consultation.
• No separate charges for day and night consultation.
8. • Fresh or subsequent consultation
• Every consultation after the first in r/o of the same
illness of the same patient should be treated as
“subsequent consultation”.
• Where a patient after being cured of a particular
illness develops a fresh illness & consults the same
doctor, that consultation should be regarded as a
fresh consultation.
• Where a patient consults the same doctor in regard
to the super-imposition of another disease during
the course of treatment of one disease, that
consultation should be regarded as a fresh
consultation.
9. • Hospitals recognized by the State Govt./CGHS/CS(MA) Rules 1944
• Central Govt. Employees and the member of their families may be
permitted to avail of medical facilities in any of the Central Govt.,
State Govt. Hospitals and the hospital recognized by the State
Govt./CGHS /CS(MA) Rules as well as the hospitals funded by
Central/State Govt. Subject to the condition that they will be
reimbursed the medical Exp. at the rates fixed by the Govt. Under
the CGHS/CS(MA) rules.
• If the treatment for a particular disease/procedure is available in
the same city where the Govt. Servant is employed he may be
permitted to avail of medical services in any other city without
any TA/DA. In case treatment is not available in the city, he will be
eligible for TA for taking treatment in a different city.
10. Simplification of procedure for treatment at private hospital
empanelled under CGHS/CS(MA) Rules
• Procedure for treatment at private hospital empanelled under
CGHS/CS(MA) Rules has been simplified now. Beneficiaries are
allowed to undergo treatment at pvt. Hospitals empanelled under
CGHS/CS(MA) Rules for specific treatment as advised by Specialist
in a Central/State Govt. Hospital without any requirement of any
other referral letter.
• Serving Govt. Employees shall enclose the prescription in original
while submitting the medical claim to the concerned
Ministry/deptt. for reimbursement.
• Govt. Specialist shall not refer the beneficiaries to any particular
empanelled hospital by name but specify the treatment and
mention ’referred to any empanelled hospital’.
11. • Simultaneous treatment in two or more systems of
medicine:-
• Treatment for the same ailment should not be
taken simultaneously in more than one system of
medicine. However no objection to treatment being
received simultaneously in different systems of
medicine for different ailments. This should be
done with the knowledge of the attending doctor of
the other system concerned.
12. Medical Attendance
• A Govt. servant shall be entitled, free of charge to medical
attendance by the AMA. If any amount paid by him on
account of such medical attendance shall on production of a
certificate be reimbursed to him by the Central Govt.
Limits for reimbursement of consultation fees and cost of
medicines:-
• Reimbursement of consultation fees at the prescribed rates
should be restricted to the first four consultations/visits at
the rate of one consultation/visit a day. Cost of medicines
prescribed during these consultations only is reimbursable.
• The intention is that, first four consultations at the rate of
one consultation should be completed within a period of ten
days from the date of commencement of treatment in r/o
one single and continuous spell of illness in r/o a particular
disease.
13. • The limit of 10 days treatment may be increased to 20
days in case the treatment is had from an AMA in
Indian System of Medicines and in Homoeopathy. The
total number of consultation during 20 days would be
four.
• It has been provided that ‘medical attendance’
includes attendance at a hospital. Hence medical
attendance from the very beginning may also be
received at the OPD of a Govt. recognized hospital
without the prior approval of the AMA. ‘Prolonged
treatment’ should be received only at the OPD. The
MO at the OPD should be regarded as the AMA.
14. • All charges for such attendance at the OPD levied
should be reimbursed .
• ‘Medical Attendance’ is distinct from ‘medical
treatment’. For the purpose of ‘medical attendance’
there should be no repeated consultations which
include ‘repeat ‘prescriptions.
• NOTE: Govt. Have held that the fee paid for
consultation on the tenth day of the treatment is
admissible in case no further medication is
necessary i.e. no medicine is prescribed on that
consultation.
15. Travelling Allowance for Medical Attendance Journeys
• When the place at which a patient falls ill is more than five
miles by the shortest route from the consulting room of the
AMA
• (a) the patient shall be entitled to TA for the journey to and
from such consulting room
• (b) if the patient is too ill to travel, the AMA shall be entitled
to TA for the journey to and from the place where the
patient is.
• Application for T.A. Shall be accompanied by a certificate in
writing by the AMA stating that medical attendance was
necessary and the patient was too ill to travel.
16. Consultation with Specialist
• If the AMA is of opinion that the case of patient is of such a serious or
special nature as to require medical attendance by some person other
than himself he may-
• (a) send the patient to the nearest specialist or other Medical Officer by
whom in his opinion medical attendance is required for the patient; or
• (b) if the patient is too ill to travel, summon such specialist or other MO
to attend upon the patient.
• A civil Surgeon is not entitled to charge any fees for professional services
rendered to a Govt. servant on the advice of AMA.
• A patient should not be referred to a private specialist or clinic and
under any circumstances to a specialist -Govt. or private- outside the
state.
Specialist consultation outside the district:-
• Permission can be given subject to the condition that where the AMA is
not the DMO , the patient should be examined by the DMO before such
permission is accorded.
17. Medical Treatment
• A Govt. servant shall be entitled free of charge to treatment-
• (a) in such Govt. hospital at or near the place where he falls
ill; or
• (b) if there is no such hospital, to a hospital other than a
Govt. hospital at or near the place as can in the opinion of
AMA provide the necessary and suitable treatment.
• Where a Govt. servant is entitled free of charge to
treatment, any amount paid by him be reimbursed to him by
the central govt.
• Controlling officer has the right to reject any claim if he is
not satisfied with its genuineness . While doing so he shall
communicate to the claimant the reasons in brief for
rejecting the claim and the claimant may submit an appeal
within a period of forty five days.
18. • Cases of ‘medical treatment’ requiring hospitalization will
normally be referred to a Govt./recognized hospital by the
AMA for admission.
• If hospitalization is not required but treatment is expected
to be prolonged requiring more than four consultations,
patient should be referred to the OPD of Govt./recognized
hospital.
• If in spite of specific advice of the AMA or the MO, a patient
does not seek admission in the hospital, the AMA or MO
concerned should record a note to that effect while signing a
certificate necessary to be produced by the Govt. Servant for
the purpose of claiming refund from Govt. In such case no
refund would be admissible.
19. • Regarding tests/investigations/Procedures at pvt.
Hospitals empanelled under CGHS/CS(MA) Rules:-
• Beneficiaries availing tests/investigations at
empanelled pvt. Hospitals on the recommendation
of AMA, the medical prescription issued by AMA
shall be treated for a single use within a period of
30 days from the date of prescription. The medical
prescription would require revalidation after expiry
of validity period. Prescription/advice issued by
AMA for any procedure is valid for three months.
20. In –patient treatment in hospital without consulting AMA
permissible:-
A Govt. servant may be allowed to receive treatment as an
in-patient without consulting his AMA in a hospital where he
is ordinarily entitled to receive treatment under the rules.
Hospitalization not allowed in Nursing Home/Clinics of
AMAs even in emergent cases.
Payment/Reimbursement of medical exp. from two sources
viz. from the Insurance Co. and the CGHS:-
1. Reimbursement allowed from both the sources subject to
the condition that the reimbursement should not exceed the
total exp.
2. First claim from Insurance Co. and second from CGHS as
per approved package rates. Original vouchers will be
submitted to Insurance Co. And photocopies of vouchers
duly certified by Insurance Co. will be submitted to CGHS.
21. • Entitlement of ward in case of hospitalization:-
• Basic pay Ward Entitlement
• Upto Rs.47600/- General ward
• Rs. 47601 to 63100 Semi Pvt. Ward
• Rs. 63101 & above Pvt. Ward
• Higher category of accommodation is not permissible.
However in case of emergency & non availability of entitled
accommodation, immediate Higher category of
accommodation is permissible .
• Stay in hospital:- The average stay in hospital as in-patient
should be reckoned as two weeks. Any stay beyond three
week should be considered as prolonged stay.
22. • Introduction of Annual Medical Examination
for the Group ‘A’ Officers of Central Civil
Services of age 40 year and above:-
• (i) For Men Officers – Rs. 2,000/-
• (ii) For Women Officers – Rs. 2200/-
• Examination includes specific tests/investigations.
23. Treatment outside India
A Govt. servant shall be eligible to obtain medical treatment outside India
for any treatment for life threatening diseases specified below & whose
treatment in not available within India.
1. Complex Cardio Vascular Surgery.
2. Bone Marrow Transplant.
3. Complex Oncological Disorders.
4. Complex Micro Vascular and Neuro Surgery.
5. Other complex ailments which is the opinion of the Standing Committee
can be treated abroad.
• Treatment abroad should be permitted for life threatening
ailments.
• An attendant can be permitted to accompany the patient.
• Standing committee consists of:-
• D.G. of Min. of Health, D.G.of Armed Forces Medical services, D.G. of
ICMR,
• Joint Secy. Of Min. of H & FW.
24. • Guidelines for medical treatment abroad:-
• Treatment abroad are entertained in r/o those cases only for
which treatment is not available in India.
• Standing Committee may recommend one attendant.
• Treatment abroad should be permitted in cases where the
life of the patient is threatened.
• Where the Standing Committee consider that adequate
facility for treatment of the ailment is available in any
medical institution within India, it can authorise treatment
in such medical Institution.
25. Time –limit for medical claims
• Final claims for reimbursement of medical expenses in r/o a
particular spell of illness should be preferred within six
months from the date of discharge from hospital or
completion of treatment as shown in the last Essentiality
Certificate issued by AMA.
• Normally Controlling Officers should reject any claim
presented after six months unless they are satisfied with the
reasons for delay.
• Heads of Departments have been delegated powers to
condone delay in submission of claims. However it will be
open for them to lay down monetary limits and the period
up to which delay can be condoned.
• Each case should be considered on merit in order to prevent
malpractices.
26. Grant of Advances
Terms & Conditions:-
(i) The advance would be admissible when treatment taken as an in-
patient or as an out patient.
(ii) The application of an advance should be supported by a
certificate the patient is being treated as an in-patient or out-
patient at a hospital indicating the duration of treatment and the
anticipated cost thereof.
(iii) The advance should not be allowed in a case where treatment is
being obtained at the residence of the Govt. servant or at the
consulting room of the AMA.
Limit of medical advance:-
(i) For outdoor treatment 90% of the total estimated expenditure
subject to the condition that the total cost is more than Rs.
10,000/-
(ii) 90% of the package deal where ever it exists or according to
the estimate.
27. • The advance will be paid direct to the hospital
concerned.
• For settlement of advance, the employees may be
required to submit the adjustment bills within a
period of one month from the date of his discharge
from the hospital.
• All Central Govt. servants irrespective of their pay
are eligible for grant of medical advance.
• Advance may be given to wife/legal heir when
Govt. servant unable to apply due to serious illness.
• Advance for purchase/replacement of artificial
appliances may be given on the recommendation of
specialist.
28. Concessions for Families
Definition of Family:-
The term ‘family’ shall mean a Govt. Servant’s wife or
husband, parents, sisters, widowed sisters, widowed
daughters, minor brothers, children, step children,
divorced/separated daughters and stepmother wholly
dependent upon the Govt. servant.
A member of the family is treated as dependent only it
his/her income from all sources including pension and family
pension is less than Rs. 9,000/- plus DA thereon.
• The term ‘children’ will include children adopted legally.
• The term ‘wife’ includes more than one wife.
• Parents may reside either with the Govt. servant or with
the family members at another station.
29. Age –limits of dependants:-
1. Son Till he starts earning or attains the
age of 25 years or gets married
whichever is earlier
2. Daughters Till she starts earning or gets
married irrespective of age limit,
whichever is earlier
3 Son, Brother suffering
from any permanent
disability
Irrespective of age limit
4. Dependent
divorced/widowed
daughters
Irrespective of age limit
32. • When spouse employed in State Govt. etc.:-
Can choose either the facilities under the CS(MA) Rules or the
medical facilities provided by organization of spouse.
• When both are Govt. servants:-
Can choose according to their status. They should furnish a
declaration that who will prefer the claim. If no declaration is
given, medical concessions shall be availed according to the status
of husband.
• Extension to Parents-in-law of female Govt. servants:-
A female Govt. servant can chooses either her parents or her
parents-in-law. She can change her option only once during the
entire period of service.
• Extension of benefit to adoptive parents:-
A family of adoptive child will include adoptive parents. However
in that case the benefit can not be extended to real parents.
33. Reimbursement of medical exp. in emergency
conditions.
• Reimbursement of medical expenses incurred by a employee for
treatment taken in non-empanelled private hospitals in
emergency would be allowed as per the prevailing CGHS rates of
CGHS covered city or nearest CGHS city in case non-CGHS covered
places.
• Reimbursement of medical expenses would be allowed as per
prevailing CGHS rates.
• For the medical treatment where package rates are prescribed
under CGHS, package rates or actual, whichever is less, will be
applicable.
• Reimbursement in excess of the approved rates will be admissible
as per recommendations of Technical Standing Committee which
can recommend the relaxations of rules for permitting full
reimbursement of exp. Incurred by the beneficiary.
34. • Entitlement for Indoor treatment:-
Basic Pay Ward Entitlement
(i) Upto Rs. 47600 General
(ii) Rs. 47601 to 63100 Semi Pvt. Ward
(iii) Rs. 63101 & above Private Ward
Package rates as per CGHS are for semi pvt. Ward. If
entitlement is for general ward then package rate would be
less by 10% & in case of entitlement for Pvt. Ward, package
rate will increase by 15%.
35. • When spouse governed by different medical rules,
stationed /residing at different stations & not in
receipt of fixed medical allowance.
He/She can avail medical facility on production of a
certificate from the employer that he/she is not
claiming medical facilities from the employer.
Govt. Employees can claim medical reimbursement
for family members except spouse who is in receipt
of fixed medical allowance.
36. Reimbursement in relaxation of Rules in Emergent Cases
• Treatment in private medical institutes in emergent cases:-
(1)Circumstances to justify treatment in pvt. Medical institute- In
emergent cases involving accidents, serious nature of disease,
patient may be taken to a pvt. Hospital in case no Govt. or
recognized hospital is available nearer than the pvt. Hospital. The
controlling authority will decide on the merits of the case whether
it was a case of real emergency.
(2) Subsequent transfer to Govt. /recognized hospital:- Transfer of
patient to Govt. /recognized hospital after emergency is over
depends on the advice of the concerned hospital authorities. He
should get discharged from the hospital when the hospital
authorities discharge him.
37. • Payment procedure:-
• (i) if likely exp. on emergent cases is beyond the capacity of
Govt. Servant, concerned Controlling Authority is authorized
to meet directly the exp. on admissible items of treatment.
A certificate regarding the exp. likely to be incurred shall be
obtained from the hospital and furnished to the deptt.
• (ii) Advance payment may also be made to hospital if
demanded.
• (iii) The charges on account of inadmissible items will be
paid by the Govt. Servant.
38. Relaxation of procedures in r/o reimbursement claims:-
1. No need for verification of bills and essentiality certificates by treating doctors.
In case of doubt, concerned authorities may get the verification done from
hospital. However in case of treatment from AMA on OPD basis, essentiality
certificates would be required.
2. Request for reimbursement of exp. over & above approved rates would be sent
to Technical Standing Committee. If committee recommends full
reimbursement, it would be allowed by Secy/H&FW in consultation with IFD.
Check list for full reimbursement includes:-
(1) Treatment was obtained in Pvt. Hospital not empanelled and patient was
brought in unconscious state or severely incapacitated.
(2) Was admitted for prolonged period for Head injury, Coma, Septicaemia, Multi
Organ failure etc.
(3) Treatment was obtained under emergency for advanced malignancy.
(4) Treatment was taken in higher type of accommodation due to non availability
of entitled accommodation or isolation reason.
(5) Treatment was obtained in pvt. Hospital under emergency while on tour or
there is strike in Govt. Hospital.
(6) Any other special circumstances.
39. • Instruction for Govt. Servants:-
1. Find out who is your AMA and consult him and
proceed according to his advice.
2. When you go to hospital as an in-patient, inform about
your being a Central Govt. and your pay to determine
your accommodation.
3. In emergent cases the patient can be admitted in a pvt.
hospital in case no Govt. Or recognised hospital is
available nearby.
4. At the time of leaving hospital after treatment, get all
the bills, receipts and vouchers from the hospital as
these are necessary to claim reimbursement from your
office.
40. 5. Prefer your claims for refund of medical exp. Incurred in the
relevant application form, giving full particulars called for
therein and also attaching all the certificates required to be
produced under the rules within time limit.
6. You can draw advance of money in order to enable you
initially to meet exp. on treatment.
7. If your are taking treatment as in-patient from recognized
empanelled pvt. hospital, prior permission of such
treatment from HOD is necessary.
41. Instructions for Doctors
• Investigations/tests should be carried out only at Govt.
Hospital/laboratory.
• A patient should not be referred to private specialist except where
specifically provided for in Govt. Orders.
• A patient should be admitted in Govt./recognized hospital.
• Utmost economy should be exercised while prescribing medicines.
• Medicines should not be prescribed for all 10 days at a stretch.
The daily dosage should be mentioned in prescription.
• While signing medical bills, never certify items of food, tonics
having more food value, toiletries, disinfectants & other similar
preparations.
• The designation and degree should be clearly indicated while
signing the reimbursement papers.
42. • Payment received from Govt. Servant as fee should be
indicated in Essential Certificate.
• Cases requiring prolonged treatment should be
referred/admitted to hospitals.
• Essentiality Certificates in r/o medicines prescribed should
be in prescribed form and should legibly show the names of
medicines.
• If a Govt. servant is not entitled to consult him, he should
direct the patient to proper AMA.
43. Instructions for Controlling Officers
• All claims for reimbursement of medical exp. are in prescribed
form.
• Govt. Servants or family members consulted authorised AMA.
• Fee paid to AMA or Specialist is at prescribed rates.
• Accommodation provided in hospital is according to his
entitlement.
• Except in emergency, treatment has been obtained in
Govt./recognized hospital.
• Claim has been submitted within prescribed time limit.
• If the claim is beyond Rs. 2,00,000/-, sanction/approval of Internal
Financial Division is required to be obtained.
• It should also be checked that medicines have been purchased
from registered chemists and bill submitted are original one.
44. • As per rule, every official who prefers claim is r/o parents is
required to submit a undertaking in the first month of every
calendar year that his/her parents are wholly dependant on
him/her and are residing with him/her. controlling officer
should check that such undertaking has been submitted by
the concerned official before entertaining his claim in r/o
parents.
• The maintenance of prescribed control register should be
ensured and it should also be checked that entry of cash
memos and other information have been made in
prescribed columns.
45. Travelling Allowance for Medical Attendance and/or Treatment
• Central Govt. Servants and members of their families will be
entitled for TA under the conditions specified below for journeys
undertaken by them to obtain appropriate medical attendance
and treatment to which they are entitled under the rules:-
• 1. Journey by rail/road/sea/air:- Patient and Attendant(if
recommended) will be entitled for TA/DA for the journey
undertaken by rail, road, sea and air.
• Airlifting in emergent cases permissible if time factor in saving life
is crucial as certified by MO/incharge of the hospital.
• Certificate required to claim T.A.-TA will be admissible only when
• (a) Journey undertaken is outside the limits of same city &
exceeds 8 km each way.
46. • (b) It is certified by AMA/Specialist that the journey was
unavoidably necessary to obtain appropriate medical attendance
& treatment.
• Conveyance charges:-
• When journey is undertaken within the same city and the distance
travelled is more than 8 km each way, Govt. Servant will be
eligible for conveyance charges at the following rates :-
• (a) For the Govt. Servants:- Actual conveyance charges limited to
mileage allowance at tour rates.(without DA)
• (b) For the members of family:- Actual conveyance charges limited
to half of mileage allowance at tour rates. (without DA)
• TA for attendant/escort:- An attendant/escort will be entitled for
TA both ways provided it is certified by Medical Authorities than
an attendant/escort is necessary to accompany to the place of
treatment.
47. Ambulance Charges
• Ambulance charges admissible subject to the following
conditions:-
• (1) If it is certified by medical authorities that use of any
other mean of transport will definitely endanger the life or
aggravate the health condition of patient.
• (2) Ambulance is used to convey the patient from one
hospital to another hospital for treatment or certain
medical examination.
• (3) Ambulance used belonged to Govt. or a social service
organization like Red Cross etc.
• (4) Ambulance is used within the same city.
48. • Treatment for Special Diseases
• Cancer:- Treatment can be availed in any recognized
cancer institutes on the recommendation of AMA.
• Post treatment check up suggested is also
admissible without recommendation of AMA.
• Diabetes:-Cost of medicines may be reimbursed
even for a period beyond three months on the
advice of AMA.
49. • Mental Diseases:- Treatment may be received from
any Govt. recognized Mental Hospital on the advice
of AMA subject to the following conditions:-
1. Duration of treatment maximum for three years.
2. Treatment should be allowed initially for six
months. Further extendable in blocks of six
months.
3. For outdoor treatment, there should be no time
limit. Depends on advise of Medical Authorities.
4. If advised, reimbursement charges for attendant
also admissible.
50. • Other following diseases also have specific rules for
treatment:-
1. Poliomyelitis, Cerebral Palsy and Spastics.
2. T.B.
3. Leprosy
4. Thalassaemia Major
5. Hepatitis ‘C’ & ‘D’
