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Monday, 18 April 2016

GO MS 64 Dt.18.4.16. EMPLOYS HEALTH SCHEME OPERATIONAL GUIDELINES

HEALTH   CARE   –   EMPLOYEES’   HEALTH   CARE   SCHEME   –   Operational
Guidelines – Issued.

FINANCE (HR-VI) DEPARTMENT
G.O.MS.No. 64                                                                                     Dated: 18-04-2016
Read the following:


1.  G.O.Ms.No.134, Health and Medical (L1) Department dated.29.10.2014.
2.  G.O.Ms.No.331. Finance (TFR) Department, dated.11.12.2013.
3.  G.O.Ms.No.64, Finance (TFR) Department, dated.18.03.2014.
4.  G.O.Ms.No.210, Finance (TFR) Department, dated.15.11.2014.
5.  G.O.Ms.No.5. Finance (TFR) Department, dated.21.01.2015.
6.  G.O. Rt .No.83 Health Medical & Family Welfare (L1) Department, dated 25.02.2016

ORDER:


1.        In the GO sixth read above, guidelines were issued for effective implementation of  Employees  Health  Scheme  (EHS).  Further,  it  was  suggested  that  the  Finance Department  would  issue  necessary  instructions  relating  to  the  operation  of  funds required  for the scheme  and establish  a system  for prompt  payment  to the hospitals providing services. Accordingly, the following guidelines are issued for streamlined management for EHS financial operations.


a.    The  Drawing  and  Disbursing  Officers  (DDOs)  of  all  departments  are  hereby ordered  to  deduct  the  monthly  contribution  due  to  the  Employees’  Health Scheme  (EHS)  from the salary  of the employees  and forward  the schedule  of deduction along with the Pay Bills to the concerned treasury every month, viz., DTO / STO/ PAO / Assist PAO, etc.

b.    The Drawing and Disbursing officers are required to furnish a certificate along with the Pay Bills that EHS contribution has been deducted from the salary of all employees for whom salary is claimed.

c.     The Treasury Officer in charge shall carefully scrutinise the pay bills and ensure that necessary EHS deductions are made in accordance with the provisions of this scheme.


d.    Similarly,  the District Treasury  Officers shall deduct the contribution  from the Pensions and prepare a schedule of deductions  from the pensions disbursed for the month and enclose a certificate that deductions have been made in respect of all pensioners.


e.     The  Director  of  Treasuries  and  Accounts  is  hereby  designated  as  the  Nodal Officer for the overall management of all finances relating to EHS, that include inter alia, monthly deductions of the employee and pensioner contribution, depositing the contributions in the PD account under Head of Account 8342 -00-
120-00-11-003-000, for which the Director of Treasuries and Accounts shall be the administrator,  accounting,  release  of  funds  to  the  EHS  executing  agency,  the NTR Vaidya Seva Trust, reconciliation, reporting and monitoring.


f.     The Pay and Accounts Officer and Director of Works Accounts are required to transfer  the  contribution  of  employees  towards  the  EHS  to  the  Director  of Treasuries and Accounts every month.


g.    The  Finance   Department   will  issue  Comprehensive   Budget  Release   Order (CBRO)   in   the   month   of   April   every   year,   authorising   the   release   of Government’s contribution to the Employees Health Scheme under Head of Account 2210 - 01 M.H. 001- S.H. (10) Government Contribution for Employees.


h.    The Director of Treasuries and Accounts will draw an amount equivalent to the employees  and pensioners’  monthly contribution  to the EHS from the account mentioned above at (g) and transfer the same to the EHS – PD Account.  In case of employees on deputation / working on Foreign Service like Andhra Pradesh Vaidya Vidhana Parishad (APVVP), the procedure followed for the Contributory Pension Scheme (CPS) shall be followed in case of Employees Health Scheme.


i.     The Government  hereby authorize  the Director of Treasuries  and Accounts  to transfer Rupees Fifty Crores (Rs 50 crores) to the PD Account of the NTR Vaidya Sevaas one time advance to establish ‘EHS Revolving Fund’ to be operated exclusively for the purpose of EHS. This amount shall be a permanent advance to the NTR Vaidya  Seva for the purpose  of EHS and shall be replenished  every month or earlier based on the submission  of certified statement  of expenditure (SOE) by the Chief Executive Officer,Dr. NTR Vaidya Seva Trust. At any given time,  the  Trust  would  have  funds  adequate  to  finance  two  months  of  EHS payments in its PD account.

j.     The Chief Executive Officer of Dr. NTR Vaidya Seva Trust shall settle the claims of the Hospitals relating to EHS within fifteen days of the claim being preferred by the hospital and there shall be no lapse in this regard. Further, the Vaidya Seva Trust   shall   not   mix   EHS   implementation   with   other   programmes   being implemented by the agency.


k.    The Director of Treasuries and Accounts and the CEO of Dr NTR Vaidya Seva Trust shall reconcile accounts relating to EHS every month before the fifteenth day of the following month and furnish reports to the government.


l.     The  Principal  Secretary  of  Medical  and  Health  Department  and  the  Finance Secretary  (Expenditure)  will  jointly  review  the  implementation  of  EHS  every quarter and take immediate  remedial  action as required to ensure smooth and streamlined implementation of the EHS.


2.          The Steering Committee of the EHS that includes all stakeholders will review the implementation  of the scheme periodically  and make necessary  recommendations  for effective implementation of the scheme. This procedure for operation of EHS guidelines shall become operational with immediate effect.

GO MS 64 Dt.18.4.16. EMPLOYS HEALTH SCHEME OPERATIONAL GUIDELINES

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