apima rules - dr. marri channa reddy human … · [g.o.ms.no. 123, health, ... •under emergency...
TRANSCRIPT
![Page 1: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/1.jpg)
APIMA rules
JVN Rajanikanth Senior Lecturer
Accounts training wing
![Page 2: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/2.jpg)
• Applicability
• Family
• Hospitals
• Rates
• Scrutiny
• Accident cases
February 26, 2015 2
![Page 3: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/3.jpg)
• Treatment
• Wards
• OP treatment
• Medical advance
• Claim-documents
February 26, 2015 3
![Page 4: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/4.jpg)
Applicability
• State Government employees and their family members
• Service and family Pensioners
• Employees of Local Bodies and their family members
• Government employees under suspension
February 26, 2015 4
![Page 5: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/5.jpg)
Applicability…
• MLAs and their family members
• AP State Higher Judicial Officers
• Students and Staff of Medical Colleges
• Village officers and servants
February 26, 2015 5
![Page 6: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/6.jpg)
Applicability….
• The disabled personnel from the Defence Services
• Sportsmen representing the State of Andhra Pradesh in Inter-State tournaments at Government expenses
• All Freedom Fighters who are drawing pension either from State /Central Government/Union Territory and their dependents
February 26, 2015 6
![Page 7: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/7.jpg)
Definitions
"Family"
For a male Government Servant, family means his parents, wife, legitimate children including an adopted son and step Children residing with and wholly dependent on him
The word 'wife' includes more than one wife.
February 26, 2015 7
![Page 8: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/8.jpg)
Family definition contd..
For a Female Government Servant, family means her parents, husband and children residing with and wholly dependent on her.
February 26, 2015 8
![Page 9: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/9.jpg)
Family definition contd..
A married daughter who is under the protection of her husband does not come within the definition of "family" for purposes of these rules.
[G.O.Ms.No. 123, Health, Dt. 25-11-76 & G.O.Ms.No.718, Health, Dt. 18-7-1975]
February 26, 2015 9
![Page 10: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/10.jpg)
Family definition contd..
The deserted, divorced, or widowed daughters who are residing with & entirely dependent on the Government Servants are eligible for Reimbursement
February 26, 2015 10
![Page 11: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/11.jpg)
Family definition contd..
Adoptive parents who are wholly dependent on the Government Servants but does not include the real parents, though they are wholly dependent on the Government Servants once the adoption is effected.
February 26, 2015 11
![Page 12: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/12.jpg)
Medical reimbursement not applicable to…
• Part time and Honorary workers
• Dependents of family pensioners
• Dismissed/removed employees and dependents
• Retired persons with 100% cut in pension
• Retired/re employed pensioners convicted in court of law
February 26, 2015 12
![Page 13: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/13.jpg)
Recognized hospitals
• SVIMS, NIMS
• Government Teaching hospitals(RIMS)
• Recognized private hospitals within and outside state
February 26, 2015 13
![Page 14: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/14.jpg)
Recognized Hospitals
The powers are delegated to Superintendents of Area Hospitals and the Superintendent of Dist. Head Quarter Hospital under APVVP to refer the patient to private recognized hospitals for special treatment.
February 26, 2015 14
![Page 15: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/15.jpg)
Rates
The rates prescribed in the Central Government Health Scheme package at Hyderabad are adopted in the state for the purpose of reimbursement of medical expenditure if treatment taken within the state.
February 26, 2015 15
![Page 16: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/16.jpg)
Rates
If medical reimbursement is taken outside the state, the rate of central government health scheme adopted to Delhi shall be applicable.
February 26, 2015 16
![Page 17: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/17.jpg)
Rates
If any rates which are not covered in the said procedure, the package rates of NIMS, Hyderabad or SVIMS, Tirupati shall be followed for scrutiny, certification of admissible amount and medical reimbursement purpose.
G.O.Ms.No.180 HMFW(K1) dt. 11.05.2006
February 26, 2015 17
![Page 18: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/18.jpg)
TREATMENT TAKEN IN FOREIGN COUNTRIES
• under emergency conditions be allowed
• only if they are on official visit
• The treating doctor of the concerned hospital has to issue certificate about the nature of the Emergency, Essentiality Certificate and detailed bill
• provided that they are not paid any amount towards the said treatment by any other authority including insurance company.
(G.O.Ms.No.74 HM&FW (K1) Dept dt.15-03-2005)
February 26, 2015 18
![Page 19: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/19.jpg)
Rates The maximum limit for reimbursement
For serving employees and pensioners: Rs.2,00,000 (Bypass Heart surgery, CABGS, Double valve replacement, Open Heart procedure, aortic valve replacement, Kidney Transplantation, Cancer and Neuro-Surgery to Brain) For serving employees : Rs.1,00,000 (other than above diseases) For pensioners : Rs.75,000 (other than above diseases)
The above ceiling is subject to limitation of CGHS rates.
February 26, 2015 19
![Page 20: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/20.jpg)
No cut shall be imposed on the claims when the treatment was obtained under emergency conditions in private hospitals recognized by the Government
(G.O.Ms.68 HM &FW(K1) Dept dt.28-03-2011)
February 26, 2015 20
![Page 21: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/21.jpg)
Scrutiny
All Dist. Level officers of all the departments :Rs50,000/-
subject to scrutiny done by the Dist. Medical board / Dist. Hospital Superintendent/ Teaching Hospital Superintendent
February 26, 2015 21
![Page 22: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/22.jpg)
Scrutiny
If the claim exceeds Rs.50,000/-, the HOD is sanctioning authority after scrutiny of the claim by the DME.
February 26, 2015 22
![Page 23: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/23.jpg)
Scrutiny
The claims of Raj bhavan establishment below Rs.50000 shall be sent for scrutiny to the Civil Surgeon Specialist, Civil Dispensary, A.P. Secretariat
(G.O.Ms.346 HM&FW dt.17.12.2011)
February 26, 2015 23
![Page 24: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/24.jpg)
Scrutiny
For MLAs/Ex.MLAs and their family members, DME is the scrutiny authority.
G.O. Ms. No. 180, H.M. & F.W. (Kl) Dept.11.05.2006
February 26, 2015 24
![Page 25: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/25.jpg)
Scrutiny • The claims of MLAs/Ex. MLAs(incl. Council) below
Rs.50000 shall be sent for scrutiny to the Medical Officer of the Dispensaries of MLA Quarters, Hyderabad
(G.O.Ms.346 HM&FW dt.17.12.2011) February 26, 2015 25
![Page 26: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/26.jpg)
Accident cases
• Patients may be admitted in nearby un-recognized private hospitals
February 26, 2015 26
![Page 27: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/27.jpg)
accidental cases….
Reimbursement of medical expenses up to a limit of Rs.25,000/- may be sanctioned by the HOD/collector
Such sanction shall be given after the scrutiny of claims by DME or any such authority.
February 26, 2015 27
![Page 28: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/28.jpg)
accident cases…..
Claims above Rs.25,000 shall be referred by the€ HoDs/ District Collectors for scrutiny of the bills etc., to the concerned administrative Department in Secretariat for obtaining relaxation of rules and duly consulting Finance Department.
February 26, 2015 28
![Page 29: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/29.jpg)
treatment
Diagnostic tests(pathology, radiology, bacteriology)
Surgery
Prescribed Medicines and vaccines including sales tax
Pre and post pregnancy care
Hysterectomy/tubectomy (2 living children)
February 26, 2015 29
![Page 30: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/30.jpg)
treatment
• Blood Transfusion
• Artificial limbs
• Hearing aids
• corrective glasses
February 26, 2015 30
![Page 31: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/31.jpg)
treatment
• artificial teeth
• 0invalid chairs
• Essential nursing
• Ambulance charges
(G.O.Ms.No. 175, H.M. & F.W., Dt. 7-3-1990)
February 26, 2015 31
![Page 32: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/32.jpg)
Dental Treatment
• Max. of Rs. 10,000 with three times ceiling for
each patient.
• can go for treatment in recognized hospitals only on referral letter from Government hospital.
• Cosmetic dental surgery not permitted except in case of accidents.
February 26, 2015 32
![Page 33: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/33.jpg)
treatment Master health check-up
• To all Govt. employees above the age of 40 years
• Allowed before retirement from service
• Allowed only three times with an interval on one year between each check-up
• Ceiling limit: Rs.3000/-
February 26, 2015 33
![Page 34: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/34.jpg)
Wards
EMPLOYEES
PENSIONERS
WARDS
Gazetted Officers Gross pension is Rs.15000/- p.m.
and above
Private
NGOs Gross pension is more than
Rs.7500/-p.m. but less than
Rs.15000/- p.m.
Semi private
Last grade employees
Gross pension is less than
Rs.7500/- p.m.
General
February 26, 2015 34
![Page 35: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/35.jpg)
OP treatment(G.O.74)
All types of out-patient are allowed for reimbursement in SVIMS/NIMS/Govt. Hospitals In recognized private hospitals OP treatment admissible for • Chemotherapy • Radiotherapy, • Regular dialysis for kidney • outpatient treatment for cardiac diseases • Severe neurological problems • AIDS
February 26, 2015 35
![Page 36: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/36.jpg)
OP treatment
The length of Out-patient treatment period shall be recommended by the Specialist doctor concerned and shall be scrutinized by the scrutinizing authority.
February 26, 2015 36
![Page 37: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/37.jpg)
OP treatment
In respect of Lifelong follow up treatment to certain diseases,
The concerned patient has to get revalidation of prescription once in six months from the Specialist Government doctor.
Reimbursement be allowed on submission of scrutiny report of scrutinizing authority.
February 26, 2015 37
![Page 38: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/38.jpg)
Treatment does not include….
Inadmissible medicines as per the Government instructions from time to time
Primary foods
Toilet preparations
Tonics
Packing and postage charges
February 26, 2015 38
![Page 39: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/39.jpg)
Limitation on same ailment
For major ailments i.e., CABG(coronary artery bypass graft), Kidney transplantations, cancer, Neuro- surgery, PCTA + STENT be restricted to three spells for each of these diseases. Three spell means three surgeries for the same ailments. For Orthopedic and plastic surgeries, where more number of operations are warranted for the treatment of the same cause is exempted from three spells clause.
February 26, 2015 39
![Page 40: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/40.jpg)
Limitation on same ailment
A justification certificate issued by the concerned specialist doctor of the private hospital recognized by the Government / Government hospital should be submitted for the 2nd and 3rd spell claims.
No restriction is imposed for the treatments obtained in private recognized hospitals for different ailments/operations/treatments.
February 26, 2015 40
![Page 41: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/41.jpg)
Medical Advance
• Applicable to Non-Gazetted employees/their dependents
• Sanctioned like TA advance.
• For a temporary employee, advance is sanctioned on a security bond(Form-II, APFC).
February 26, 2015 41
![Page 42: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/42.jpg)
Medical Advance
• Advance shall be settled in full within 3 months.(irrespective of treatment period)
• If not adjusted, the total amount shall be recovered from the salary.
• Second advance shall be sanctioned only after the first one is settled
February 26, 2015 42
![Page 43: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/43.jpg)
Medical Advance
• Disallowed amount as per IMA rules, if any shall be recovered in four installments from the salary.
• Watch register shall be maintained for the recovery/adjustments of the advance sanctioned
February 26, 2015 43
![Page 44: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/44.jpg)
Claim
Should be within a period of six months from the date of discharge of the patients.
In case of Coma, Expiry cases and Accidental cases, the claim should be preferred within 8 months from the last date of discharge from the hospital/ expiry of concerned patient.
February 26, 2015 44
![Page 45: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/45.jpg)
documents required
• Discharge summary
• Emergency certificate
(except for dental & Eye ailments)
• Essentiality certificate
• Appendix – II form
February 26, 2015 45
![Page 46: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/46.jpg)
documents required…..
• Declaration of dependents
(To be attested by the Gazetted officer )
• Non – drawl certificate by the DDO Concerned.
• Original bills duly signed by the concerned employee, scrutinized by the AMA, pass order by the respective DDO on each bill.
• Copy of the letter issued by the Scrutinizing authority.
February 26, 2015 46
![Page 47: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/47.jpg)
documents required……
• Ink – signed copy of the sanction order issued by the competent authority.
• In respect of claims of Non-recognized private hospitals, Orders of the Finance department are required.
• In respect of 2nd and 3rd spell claims, a justification certificate issued by the concerned specialist doctor should be enclosed.
February 26, 2015 47
![Page 48: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/48.jpg)
documents required……
• All recognized hospitals should compulsory note the order number and the date in which it was recognized and the date up to which the recognition is valid on the essentiality certificate.
February 26, 2015 48
![Page 49: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/49.jpg)
Documents required….
• scrutiny certificate is not necessary where treatment is obtained in NIMS/ SVIMS.
• Where tests, medicines or surgical procedures are prescribed by the concerned specialist doctor in the Government hospital, the requirement of further essentiality certificate is not necessary.
February 26, 2015 49
![Page 50: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/50.jpg)
documents required……
Photo copies of the documents not accepted
February 26, 2015 50
![Page 51: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/51.jpg)
Insurance- Medical reimbursement
Even if the claimant has medical reimbursement from the Insurance Company, by paying premium on his own, reimbursement also be allowed from Govt. as per CGHS package rates.
February 26, 2015 51
![Page 52: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/52.jpg)
LOC
• For employees only & not for pensioners • All HODs/RJDs/Dist. Officers can issue LOC (Letter of credit)
to the recognized private hospitals (for CABG, Kidney transplants, PTCA+ Stunt, Pace Maker, Plastic
surgery done secondary to accident and burn cases) • LOC shall be based on the estimates of the concerned
recognized private hospital.
(Ceiling limit as per the CGHS package rates)
February 26, 2015 52
![Page 53: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/53.jpg)
Travelling Allowance
• Travelling allowance for journeys undertaken under Rule10 of APIMA,1972 shall be at the rates admissible to a Govt. servant when on tour.
• A member of the family of a Govt. Servant shall be entitled to travel by a class by which the Govt. servant himself is entitled to travel.
February 26, 2015 53
![Page 54: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/54.jpg)
Rule 10 and 11 of APIMA,1972
In cases referred for treatment for Kidney transplantation and Coronary By-pass Surgery in private hospitals within the State with prior permission of DME and patient requiring anti-rabic treatment sent to a specialist, TA is allowed
February 26, 2015 54
![Page 55: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/55.jpg)
G.Os
• APIMA rules 1972 • G.O Ms.No.74 dt 15.03.2005 of HMFW(K1)
• G.O Ms. No.105 dt 09.04.2007 of HMFW(K1) • G.O Ms. No. 68 dt.28.03.2011 of HMFW(K1)
February 26, 2015 55
![Page 56: APIMA rules - Dr. Marri Channa Reddy Human … · [G.O.Ms.No. 123, Health, ... •under emergency conditions be allowed ... Travelling Allowance](https://reader031.vdocuments.mx/reader031/viewer/2022020109/5b82f3f17f8b9a940b8c03bd/html5/thumbnails/56.jpg)
Thank you
February 26, 2015 56