Principles and policies. 7.1.1 All services under the AB PM-▇▇▇ CMHIS shall be provided only by the health care providers empanelled for providing services under the AB PM-▇▇▇ CMHIS. 7.1.2 All public hospitals with inpatient facilities (including Primary Health Centres, Community Health Centre and above) in Nagaland shall be deemed to be empanelled under the AB PM-▇▇▇ CMHIS. Public hospitals shall include all hospitals that are either fully owned and operated by the State Government or managed by the State Government through public private partnership. 7.1.3 Private healthcare providers (both for profit and not for profit) which provide hospitalization and/or day care services (as applicable) would be eligible for empanelment under the Scheme, subject to their meeting the minimum empanelment in the areas of infrastructure, manpower, equipment (IT, help desk etc.) and services as specified in the Empanelment guidelines issued by the NHA/SHA from time to time. 7.1.4 At the time of empanelment, those hospitals that have the capacity and which fulfil the minimum criteria for offering tertiary treatment services, as set by the SHA/NHA from time to time, would be specifically designated for providing such tertiary care packages. 7.1.5 Empanelment of providers for CMHIS (GEN) beneficiaries: a. All hospitals that are already empanelled by the SHA for offering benefits under the AB PM-▇▇▇ and whose empanelment continue to remain valid and active, shall be deemed empanelled for benefits under the CMHIS(GEN) cover, and no additional registration or empanelment shall be required. b. For empanelment of hospitals not already under the network, the Empanelment Guidelines as set by the SHA/NHA from time to time, shall be applicable. 7.1.6 Empanelment of providers for CMHIS (EP) beneficiaries: a. All hospitals empanelled or to be empanelled for services for CMHIS (GEN) shall be eligible for empanelment for CMHIS (EP) as well. b. Outside Nagaland, and anywhere in the country, all private hospitals that have NABH-entry level, NABH Full or JCI certified shall be eligible for empanelment under the CMHIS (EP). Applications from Hospitals that are not NABH-entry level, NABH Full or JCI certified , shall be vetted by GoN and approved after due diligence. c. All GOI hospitals empanelled under CGHS shall be eligible for empanelment under the CMHIS(EP)- this shall include, but not limited to , all AIIMS hospitals, NEIGRIHMS, RIMS, Imphal etc as may be notified by the GoI.
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Sources: Insurance Contract
Principles and policies. 7.1.1 All services under the AB PM-▇▇▇ CMHIS shall be provided only by the health care providers empanelled for providing services under the AB PM-▇▇▇ CMHIS.
7.1.2 All public hospitals with inpatient facilities (including Primary Health Centres, Community Health Centre and above) in Nagaland shall be deemed to be empanelled under the AB PM-▇▇▇ CMHIS. Public hospitals shall include all hospitals that are either fully owned and operated by the State Government or managed by the State Government through public private partnership.
7.1.3 Private healthcare providers (both for profit and not for profit) which provide hospitalization and/or day care services (as applicable) would be eligible for empanelment under the Scheme, subject to their meeting the minimum empanelment in the areas of infrastructure, manpower, equipment (IT, help desk etc.) and services as specified in the Empanelment guidelines issued by the NHA/SHA from time to time.
7.1.4 At the time of empanelment, those hospitals that have the capacity and which fulfil the minimum criteria for offering tertiary treatment services, as set by the SHA/NHA from time to time, would be specifically designated for providing such tertiary care packages.
7.1.5 Empanelment of providers for CMHIS (GEN) beneficiaries:
a. All hospitals that are already empanelled by the SHA for offering benefits under the AB PM-▇▇▇ and whose empanelment continue to remain valid and active, shall be deemed empanelled for benefits under the CMHIS(GEN) cover, and no additional registration or empanelment shall be required.
b. For empanelment of hospitals not already under the network, the Empanelment Guidelines as set by the SHA/NHA from time to time, shall be applicable.
7.1.6 Empanelment of providers for CMHIS (EP) beneficiaries:
a. All hospitals empanelled or to be empanelled for services for CMHIS (GEN) shall be eligible for empanelment for CMHIS (EP) as well.
b. Outside Nagaland, and anywhere in the country, all private hospitals that have NABH-NABH- entry level, NABH Full or JCI certified shall be eligible for empanelment under the CMHIS (EP). Applications from Hospitals that are not NABH-entry level, NABH Full or JCI certified , shall be vetted by GoN and approved after due diligence.
c. All GOI hospitals empanelled under CGHS shall be eligible for empanelment under the CMHIS(EP)- this shall include, but not limited to , all AIIMS hospitals, NEIGRIHMS, RIMS, Imphal etc as may be notified by the GoI.
Appears in 1 contract
Sources: Insurance Contract