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Enhancement in delegation of powers to HoDs in various Ministries/ Departments medical reimbursement under CS(MA) Rules, 1944

File No.S.14025/24/2023-EHS Government of Indiay Ministry of Health & Family Welfare (EHS Section) Nirman Bhawan, New Delhi Dated 15th Janurary, 2024 OFFICE MEMORANDUM

Subject: Enhancement in delegation of powers to HoDs in various Ministries/ Departments for settling permission cases and post facto approval relating to referral system and medical reimbursement under CS(MA) Rules, 1944.

The undersigned is directed to refer to this Ministrys OM No. S.14025/01/2014-MS dated 05.06.2014, vide which financial powers were delegated to the Heads of Departments/ Ministries to settle all such cases where there is no relaxation of rules involved and admissibility of claim was worked out with reference to the CGHS approved rates and CS(MA) guidelines.

2. This matter regarding enhancement of delegation of financial powers to the Heads of Departments/ Ministries was under consideration in this Ministry. Now, it has been decided with the approval of competent authority to enhance the existing limit of delegation from Rs. 2 Lakhs to Rs. 5 Lakhs, to settle all cases, in line with O.M. no. S.11011/20/2014-CGHS(PVEHSS dated 23.11.2016, where there is no relaxation of rules and the entitlement was worked with reference to prescribed rate list.

3. In respect of cases involving payment exceeding Rs. 5 Lakhs but as per the prescribed rate list, the Departments/Ministries concerned may settle such cases in consultation with their respective Internal Finance Division. Only in those cases, where the settled rules/ schemes are required to be relaxed, should the case be referred to the Ministry of Health & Family Welfare.

This has the concurrence of IFD vide CD No. 2961 dated 03.01.2024.

Signed by

Hemlata Singh

Date: 15.01.2024

Under Secretary to the Government of India

Tel No. 011-23061778


1. All Ministries/Departments, Government of India

2.DDG(M), Dte.G S/CMO(SRA), Dte.GHS, Dte.GHS, MoHFW

3. Director, CGHS, Nirman Bhawan, New Delhi

4. Addl.DDG(HQ ‘CGHS, MoHEFW, Nirman Bhawan, New Delhi

5. AD(HQ), GGHS, R.K. Puram, Sector-12, New. Delhi

7. Additional Director (SZ) \(G Seer) ees (MSD), MCTC Gans. New Delhi

8. JD(HQ), JD (Grievance) JD (R&H), CGHS,Delhi

9. Rajya Sabha/Lok San Sedretarat New Delhi

10. Registrar, Supreme Court of India, New Delhi

11. U.P.S.C. Dholpur House, New Delhi

12. Office of the Comptroller & Auditor General of India, Bahadur Shah Zafar

13. PPS to Secretary (H&FW)/Secretary (AYUSH)/Secretary (DHR), Ministry. of Health & Family Welfare


15. Estt.I/Estt.II/Estt.III/Estt.IV Section, MOHFW, Nirman Bhwan, New Delhi

16. SAS-III Section, Dte.GHS, Nirman Bhawan, New Delhi

17. Secretary and Leader, Staff Side, National Council.

18. Secretary and Leader, Staff Side, Departmental Council, MoHFW.

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