'" \'1 .. S.No~ 3/Hea1tb12006 GOVERNMENTOF INDIA MINISTRYOF RAilWAYS (RAilWAY BOARD) New Delhi,dated:~o.10.2006 No.2OO5JHl6-t1Policy The Gel\eral Manager, All Indian Railway., Including Production Units. Sub: Medical Advance Attendance and Treatment: Payments. Sanction of ..... 6t In terms of note below Para 651,.1ndianRailway Medical Manual (Vol. I, 3rdEditio~ 2000, General Managers have been. empowered to sanction advance payment upto the reimbursement part of' the anticipated cost of the treatment or upto. RS.1,OO,OOO/., whicheveris less, on recommendationsof the CMDand the cor-currence of FA&CAO . . ~owardsthe treatment of railway beneficiary in Government HospitallRecognised Hospital where they are officiallyreferred to by the Authorised Medical Officer. 2. Ministryof Railways after careful consideration of the issue, in partial modificationto their earlier orders, have decided that the powers of General Managers to sanction advance payment be enhanced to Rs. 6,00,000/. in case of referral to Govemment Hospital only. 3. There shall be no change in the powers of General Manager relatingto sanction~ advance payment in case of referralto recognizedhospital. 4. Allother conditionsshall remainthe same. 5. General Managers may in consultation with their FA&CAO redelagate from within their powers to DivisionalRailway Managers of the Divisions under their control. 6. The above has the sanction of the President and this issues with the concurrence of Finance Directorate of Ministryof Railways ., 7. Please acknowledgereceipt. ~ 0/ ' I . (Dr. Pankaj Kapoor) Exe~ Director Health(Plg.) Railway Board -9'- No.2OOIIHI8-4lPoltcy Copy forwarded to:~ New Delhi,dated: 1 FA&CAO,All IndianRailways. . 2 TheChiefMedical Director,All IndianRailways. a O. 10.2008 ~~ (Dr. pankeJ Kapoor) Ex.. Director Health(Plg.) . ~ RailwayBoard No.200tIH/8-tlPolicy New Delhi,dated: &0. Copy forwarded to 1 ~ Principal Director of Audit! All Indian Railways . 2. 10.2008 [)y. Comptroller& AuditorGeneralof India(Rly$.),RoomNo.224,Rail 'Shawan, NewDelhi. . . . .. Copy to F(E) Spl. .Branch. .. . ~. ForFinancialc-.;;ti:"'.., Railw8ys. .. .." ---51- , .~ 1 851. be reed as under..Payment of charges: Pmymentto GovemmentIrecogniaed hoIpitals on account of hOspit8I charges should, in the first i1stanCe, be made by .tJ1eR8iIw8y ~. COt108IT18d tg the hoapitaCauUloritiesend the refundther80f cI8im8dflam RIIIway later. administr8tion No88: 1. The State Government, where agrveable. should debit the RIIiIway adminIatr8tIon concerned by pleferring blttl for 1ho8e items for which reimbunI8m8nt 18 permi88lblo. To facillt8te paym8'rt'to such of the Govemment,whIchpreu for ad¥8nc8 In c:h8rge d depoIIt ~ moneyfor the tJeab.*1t fAcues AIferr8dto them, the CMSIMS may be allowedan Imprest. The holder of the impr88t'.Ihould the divl8ion COt108IT18d submit. reportforthe amountspent.' Further,the G8n8r81 may aanotIon advance payment up to the ntlrnbur8abI8.portion of the anIIclp4bd C08t 01 the hab.MIt or up to Rs..5 lakh. whIGh8V8r. Is on recom""-"Gft8 of the CMD ' and.. concut'I'8nC8 oftheFMCAo,towanlaj" tnN~n.nt011 RaIlway " In Gowmmentho8pllals wI8'ethey... ." , bythe Auehor18.d ..dIoaI 0fII08r. However efforts should be m8de for P8YfMI1I8tHough biBay8IIm or agreeable to 1he ooncemed ~ authorities thra.91 negotiation. In order to meet aomeurgentrequJrements to 88v8 the fifeof the ~' DRM8 ~ the ~ C8n8180sanctIOn such adv8nce payment It.mjectto Hrnit8a0r8ItipuI.d above with the concurrence of the DivI8ionaIfinance and. on ~mmencl8tlOn8 of .. CMSIMS of the divi80naI hospital. However,' post 'faQ) approval rille GM In such~ C8888must be obtained to regularise the same. In ~ ' 2. In C888 rI refarraIby AuthorisedMedicalotficerto recognized hoapitaIa,ceilingfor unction of advance payment by GeMraI M8n8gersshall be RI. One Lakh only. AU othert8rms81d ~ for sanction , remainthe same. (~ Board'al8tter No.2OO8IHf8.4IPoUodat8cI: - 51..My. Doc. Scpt.06I16 ) ~-«. 03/'fC11~2006 m«f 't1'(q)I'( ~ ~~"('1q (~ Gt1i) o:rimm-, ftr-:ftq)~o.10.06 -«. 2005~/6-4~ "'61~ci~, ~~~~ . -'- ~: fT.lrCt>~1 ~ ~t1 3fR~: ~~f(1. rT.lrCp~1 f+iq~I~M),~-I, <furo~~\u~2000 c$~ 651 c$~~~ fuu:Jufrc$~, ~\c.t1I.(')J~I..qc1I>t11{1 fT.lPc.t1~I(>'I~I.q~~c$~tI~ f..j~~Ic.t1c$~ ~ ~ ~ m m ~MI~c.t1I\ cm;f ~ c$ ~ 1RR coB ctT~t.~ ri:.lrc.t1~1 ~ 1j&i"ffim~ co1~ ~~ ~ >t("t.lI~I(1 ~ ffi(g ~ (fcfjctT~, \tiT~ m-, c$~ ctt ~ ~ t{T~ ~am*m~. . 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