Subject: Delegation of powers to Heads of Departments in various Ministries/Departments
for settling permission cases and post facto approval relating
to referral system and medical reimbursement under CGHS — Enhancement of ceiling rate from Rs. 2 Lakhs to Rs. 5 Lakhs without consultation of IFD of
concerned Ministry – Reg.
No. S.11011/20/2014-CGHS (P), dated 20.06.2014, wherein 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 rate list and guidelines.
to settle medical claims/medical advance cases involving financial implications upto Rs. 5 Lakhs without referring the case to Internal Finance Division
been decided with the approval of the competent authority to enhance the existing limit of Rs. 2 Lakhs to Rs. 5 Lakhs to settle all cases where there is no
relaxation of rules and the entitlement was worked out with reference to the rate list prescribed.
Departments/Ministries may settle such cases in consultation with their respective Internal Finance Division. Only in those cases where the settled
scheme/rules are required to be relaxed, should the case be referred to the Ministry of Health and Family Welfare.