EMPLOYEES’ HEALTH CARE SCHEME – Operational Guidelines


Guidelines – Issued.

G.O.MS.No. 64 Dated: 18-04-2016

Read the following:
1. G.O.Ms.No.134, Health and Medical (L1) Department dated.29.10.2014.
2. G.O.Ms.No.331. Finance (TFR) Department, dated.11.12.2013.
3. G.O.Ms.No.64, Finance (TFR) Department, dated.18.03.2014.
4. G.O.Ms.No.210, Finance (TFR) Department, dated.15.11.2014.
5. G.O.Ms.No.5. Finance (TFR) Department, dated.21.01.2015.
6. G.O. Rt .No.83 Health Medical & Family Welfare (L1) Department, dated 25.02.2016

1.            In the GO sixth read above, guidelines were issued for effective implementation
of Employees Health Scheme (EHS). Further, it was suggested that the Finance
Department would issue necessary instructions relating to the operation of funds
required for the scheme and establish a system for prompt payment to the hospitals
providing services. Accordingly, the following guidelines are issued for streamlined
management for EHS financial operations.

a. The Drawing and Disbursing Officers (DDOs) of all departments are hereby
ordered to deduct the monthly contribution due to the Employees’ Health
Scheme (EHS) from the salary of the employees and forward the schedule of
deduction along with the Pay Bills to the concerned treasury every month, viz.,
DTO / STO/ PAO / Assist PAO, etc.

b. The Drawing and Disbursing officers are required to furnish a certificate along
with the Pay Bills that EHS contribution has been deducted from the salary of all
employees for whom salary is claimed.

c. The Treasury Officer in charge shall carefully scrutinise the pay bills and ensure
that necessary EHS deductions are made in accordance with the provisions of this

d. Similarly, the District Treasury Officers shall deduct the contribution from the
Pensions and prepare a schedule of deductions from the pensions disbursed for
the month and enclose a certificate that deductions have been made in respect of
all pensioners.

e. The Director of Treasuries and Accounts is hereby designated as the Nodal
Officer for the overall management of all finances relating to EHS, that include
inter alia, monthly deductions of the employee and pensioner contribution,
depositing the contributions in the PD account under Head of Account 8342 -00-
120-00-11-003-000, for which the Director of Treasuries and Accounts shall be the
administrator, accounting, release of funds to the EHS executing agency, the
NTR Vaidya Seva Trust, reconciliation, reporting and monitoring.

f. The Pay and Accounts Officer and Director of Works Accounts are required to
transfer the contribution of employees towards the EHS to the Director of
Treasuries and Accounts every month.

g. The Finance Department will issue Comprehensive Budget Release Order
(CBRO) in the month of April every year, authorising the release of
Government’s contribution to the Employees Health Scheme under Head of
Account 2210 - 01 M.H. 001- S.H. (10) Government Contribution for Employees.

h. The Director of Treasuries and Accounts will draw an amount equivalent to the
employees and pensioners’ monthly contribution to the EHS from the account
mentioned above at (g) and transfer the same to the EHS – PD Account. In case
of employees on deputation / working on Foreign Service like Andhra Pradesh
Vaidya Vidhana Parishad (APVVP), the procedure followed for the Contributory
Pension Scheme (CPS) shall be followed in case of Employees Health Scheme.

i. The Government hereby authorize the Director of Treasuries and Accounts to
transfer Rupees Fifty Crores (Rs 50 crores) to the PD Account of the NTR Vaidya
Sevaas one time advance to establish ‘EHS Revolving Fund’ to be operated
exclusively for the purpose of EHS. This amount shall be a permanent advance to
the NTR Vaidya Seva for the purpose of EHS and shall be replenished every
month or earlier based on the submission of certified statement of expenditure
(SOE) by the Chief Executive Officer,Dr. NTR Vaidya Seva Trust. At any given
time, the Trust would have funds adequate to finance two months of EHS
payments in its PD account.

j. The Chief Executive Officer of Dr. NTR Vaidya Seva Trust shall settle the claims
of the Hospitals relating to EHS within fifteen days of the claim being preferred
by the hospital and there shall be no lapse in this regard. Further, the Vaidya Seva
Trust shall not mix EHS implementation with other programmes being
implemented by the agency.

k. The Director of Treasuries and Accounts and the CEO of Dr NTR Vaidya Seva
Trust shall reconcile accounts relating to EHS every month before the fifteenth
day of the following month and furnish reports to the government.

l. The Principal Secretary of Medical and Health Department and the Finance
Secretary (Expenditure) will jointly review the implementation of EHS every
quarter and take immediate remedial action as required to ensure smooth and
streamlined implementation of the EHS.

2. The Steering Committee of the EHS that includes all stakeholders will review the
implementation of the scheme periodically and make necessary recommendations for
effective implementation of the scheme. This procedure for operation of EHS guidelines
shall become operational with immediate effect.



1. The Principal Secretary, Health, Medical and Family Welfare Department
2. All Special Chief Secretaries / Principal Secretaries / Secretaries to Government
3. The Chief Executive Officer, Dr NTR Vaidya Seva Trust, Hyderabad
4. The Director of Treasuries and Accounts, A.P.,Hyderabad
5. The Pay and Accounts Officer, A.P.,Hyderabad
6. The Director of Works and Accounts,A.P.,Hyderabad
7. All Head of the Departments
8. All District Collectors of Andhra Pradesh
9. All District Judges of Andhra Pradesh
10. The Registrar – General of Hon’ble High Court of Andhra Pradesh and Telangana
11. Heads of all Public Sector Undertakings

Copy to:

1. The President and General Secretary of all Employee Associations and
Pensioners Associations
2. PS / OSD of all Hon’ble Ministers
3. PS / OSD to the Chief Secretary / Principal Secretary / Secretary to the Chief
4. PS to the Hon’ble Chief Minister
5. Finance (FMU. HM&FW) Department
6. General Administration (SW) Department
7. Private Secretary to the Principal Finance Secretary to Government / All Finance
Secretaries and all Officers and Sections of the Finance Department


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