The Centre has decided to roll out the Ayushman CAPFs scheme from November 19 for cashless medical treatment of paramilitary personnel across networked hospitals.
The present system of reimbursement of medical bills will stop once it is rolled out and all payments will be made via the IT platform of National Health Authority (NHA). The scheme will be implemented fully by the end of this fiscal on March 31 next year.
The Ayushman CAPFs was proposed by the NHA in the meeting of the standing committee on Ayushman Bharat-PMJAY on CAPF/Assam Rifles on October 27. CAPF refers to Central Armed Police Force and includes paramilitary forces like the CRPF, BSF, ITBP, CISF, SSB and NSG.
“The Competent Authority has approved the timeline for pan-India roll out of
Ayushman CAPFs proposed by NHA and accordingly from 19.11.2021 at 00.00 Hrs onwards, all the payment against treatments taken by beneficiaries of Ayushman CAPFs will be processed only on NHA’s IT Platform,” reads a communication from the Police Division II of Union Home Ministry dated November 10 and marked to the paramilitary forces.
It said the prevailing mechanism of medical bill reimbursement has to be completely stopped by the CAPFs and Assam Rifles with effect from November 19.
“CAPFs, AR (Assam Rifles and NSG (National Security Guard are requested to note the timelines and the procedure for reimbursement of medical bills and to also disseminate the information to field formations and force personnel appropriately.
The rollout of the Ayushman CAPF that began on November 11 in CGHS hospitals in Assam and discontinuation of the old reimbursement of medical bills will stop on November 19.
Likewise, the scheme will be expanded to CGHS hospitals across the country from November 19
onwards and culminate in Ayushman CAPF in public hospitals (transaction capturing) and linked with PM-JAY (Pradhan Mantri Jan Arogya Yojana) on March 31 next year.
Paramilitary officials said once the Ayushman CAPF is fully networked with the related hospitals, the personnel of the Forces will have a hassle-free cashless treatment and will not have to submit bills or seek reference from in-house medical officers for reference to empaneled hospitals.
Nearly 10 lakh paramilitary personnel and their dependents are expected to benefit from the scheme.