CGHS OM on Reimbursement of OPD - Indent only Medicines in view of HMIS

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F. No. 44/103/MCTC/CGHS/2025
(Comp No. 8324219)

भारत सरकार
स्वास्थ्य एवं परिवार कल्याण मंत्रालय
केंद्रीय सरकार स्वास्थ्य योजना महानिदेशालय
क. स. स्वा.यो. भवन, नई दिल्ली
दिनांक – 09-05-2025

Subject: Reimbursement of OPD (Indent only) Medicines – Special Sanction in view of Migration of HMIS from NIC to C-DAC

In continuation of the efforts to enhance digital infrastructure and service delivery under the Central Government Health Scheme (CGHS), the Hospital Management Information System (HMIS) has been migrated from the NIC platform to the C-DAC platform with effect from 28th April 2025. The new platform is presently undergoing functional optimization to manage the outpatient workload across CGHS Wellness Centres.
It has been observed that certain operational challenges have arisen during the transition period, resulting in difficulties being faced by CGHS beneficiaries in availing “Indent” medicines from the Wellness Centres.
With a view to mitigating the inconvenience caused to the beneficiaries, and as a one-time special measure, it has been decided that:
- CGHS beneficiaries shall be permitted to procure medicines for a period of one month only from the open market based on a valid prescription, irrespective of the issuance of a Non-Availability Certificate (NAC), and for the quantity specified in the prescription.
- A valid prescription shall be deemed to be one where the treatment duration prescribed by the Government Hospital/CGHS Medical Officer/Specialist/CGHS Empanelled Hospital has not expired as on the date of procurement of the medicine.
The reimbursement of such medicines shall be admissible upon submission of claims as per the applicable procedure outlined below:

Category of Beneficiary	Authority for Claim Submission
CGHS Pensioner Card holders (including Ex-MPs)	Additional Director, CGHS of the concerned city/zone, after due forwarding by the CMO I/c of the Wellness Centre.
Serving Government Employees	Administrative Department where the employee is currently posted
Hon’ble Members of Parliament	Rajya Sabha Secretariat / Lok Sabha Secretariat, as the case may be
Beneficiaries of Autonomous Bodies / Air India	Respective Autonomous Body / Air India Office

Notwithstanding the above provision, CGHS Wellness Centres shall remain functional, and beneficiaries may continue to obtain prescribed medicines from the Centres.
This special dispensation shall be applicable from 28.04.2025 to 31.05.2025, both dates inclusive.
This issue is with the approval of competent authority.

(Dr. Satheesh Y.H)
Director CGHS

To:

All Ministries and Departments of the Government of India through the CGHS website
Addl. Director, CGHS(HQ)/ Addl. DDG(CGHS)/ Addl. Directors, CGHS of Cities / Zone.
All CGHS Wellness Centres through concerned AD, CGHS
MCTC, CGHS with the request to upload the document on www.cghs.gov.in
All HCOs empanelled under CGHS through CGHS website
LACs/ ZACs through Addl. Directors, CGHS

Copy for Information to:

Bharat Pensioners Samaj