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Cashless Admissibility Reimbursement Certificate

Relaxation of proviso of Financial Power for Sanctioning Cost of Treatment for payment against Cashless Admissibility Reimbursement Certificate (CARC).

Published in Finance Tags:

Government of West Bengal
Finance Department
Medical Cell

No. 9-F(MED)WB Dated: 25/02/2019

Notification

Sub: Relaxation of proviso of the Notification No. 483-F(MED) dated; 26.5.2016 for payment against Cashless Admissibility Reimbursement Certificate (CARC)

As per existing norms, for treatment cost having more than Rupees 1 (one) lakh, in case of indoor treatment under “West Bengal Health for All Employees and Pensioners Cashless Medical Treatment scheme, 2014” in empanelled hospitals, employees or pensioners have to pay directly to the concerned hospital balance amount beyond Rupees 1 (one) lakh. After processing the entire bill and fixing admissibility, Medical Cell, Finance Department, pays the concerned hospital the admissible amount upto Rupees 1 (one) lakh. Simultaneously a Cashless Admissibility Reimbursement Certificate (CARC) is generated from Health Portal at the login of Drawing and Disbursing Officer for the balance admissible amount to be reimbursed to the Government employees or pensioners.

At present, the amount noted in the CARC requires fresh administrative sanction by the competent authority as per the Notification No. 483-F(MED) dated; 26.5.2016 of Medical Cell, Finance Department for payment. It takes time to get administrative sanction from the concerned Directorate/ Department, as the case may be, if the total amount mentioned in CARC along with admissible indoor related OPD treatment cost exceeds Rs. 50,000/- (fifty thousand).

For ensuring faster reimbursement, the Governor is pleased to relax the proviso of the Notification No. 483-F(MED) dated; 26.5.2016 in the following way-

1. If the admissible indoor related OPD treatment cost does not exceed Rupees 50,000/ (Fifty thousand), the Head of Office may sanction any amount mentioned in the CARC as “Admissible Amount to be reimbursed to Government Employee/ Pensioner” plus indoor related OPD treatment cost (below Rs. 50,000/-).

2. If the admissible indoor related OPD treatment cost exceeds Rupees 50,000/ (Fifty thousand), sanctioning power as delegated in Notification Number 483-F(MED) dated; 26.5.2016 relating to indoor treatment shall be applicable as usual. Appropriate sanctioning authority as per the said order will issue one sanction for the whole amount i.e. amount mentioned in the CARC as “Admissible Amount to be reimbursed to Government Employee/ Pensioner” plus indoor related OPD treatment cost.

It is clarified that, this order is also applicable for all CARC generated earlier but for which no reimbursement has been made from the Head of Office till date.

This order will take immediate effect.

Sd/- H. K. Dwivedi, IAS
Additional Chief Secretary to the
Government of West Bengal

No. 9-F dated 25.02.2019, Source