Invitation of Applications for Fresh Empanelment of Private Hospitals under CGHS: O.M dated 22.12.2025
F.No.5-34/CGHS/HEC(HQ)/2025
(Comp No. – 8375449)
भारत सरकार
स्वास्थ्य एवं परिवार कल्याण मंत्रालय
केन्द्रीय सरकार योजना महानिदेशालय
क.स.स्वा.यो. भवन, दिल्ली
दिनांक –22.12.2025
कार्यालय ज्ञापन/OFFICE MEMORANDUM
Subject: Fresh Empanelment of Private Hospitals under CGHS
In reference to the subject cited above and the notified applicable package rates vide Office Memorandum (OM) F.No. 5-16/CGHS(HQ)/HEC/2024 (Part-I) dated 03.10.2025, applications are hereby invited from Health Care Organisations (HCOs) from both existing empanelled HCOs and new applicants for empanelment under CGHS for treatment of CGHS Beneficiaries as per the terms and conditions stipulated below:
- Invitation for Applications: HCOs that satisfy the prescribed eligibility criteria, expressly agree to the terms and conditions stipulated in the Memorandum of Agreement (MoA) (Annexure–A), and unconditionally accept the notified CGHS package rates shall be considered for empanelment. The offer for empanelment is open to HCOs located in cities already covered under CGHS, as well as those situated within the municipal limits of district headquarters across India.
- Mandatory Compliance for Existing HCOs (Partial Modification to OM dated 03.10.2025):
- In partial modification of para 4(c) of the Office Memorandum F.No. 5-16/CGHS(HQ)/HEC/2024 (Part–I) dated 03.10.2025, the deadline for execution of the MoA for existing hospitals shall be on or before 31st March 2026.
- All currently empanelled Health Care Organisations (HCOs) are hereby informed that they are required to submit fresh applications, along with the prescribed application fee. Upon being found eligible and approved by the HEC Committee, they shall execute the Memorandum of Agreement (MoA) in accordance with the revised terms and conditions.
- Failure to comply with this requirement of fresh application will result in the de-empanelment of the concerned HCOs, effective from 1st April 2026.
- CGHS Rates and Application Submission:
a. The CGHS rates applicable to various procedures and treatments are for download https://cghs.mohfw.gov.in/.
b. Applications from eligible hospitals (Annexure – B) must be submitted through the dedicated portal: https://hem.nha.gov.in/. Applicants should follow the steps detailed in Annexure C for submission.
- Structure of Differential Rates: Differential CGHS Rates are based on accreditation status, hospital type, city classification, and Ward entitlement of CGHS Beneficiary:
a. Accreditation Status: For Non-NABH / Non-NABL HCOs, package rates shall be 15% lower than those applicable to NABH/NABLaccredited HCOs. (NABL stands for National Accreditation Board for Testing and Calibration of Laboratories).
b. Super Speciality Hospitals: Rates for Super Speciality Hospitals shall be 15% higher than those applicable to NABH-accredited hospitals for the corresponding super specialities within the same city category.
c. City Classification: Differential rates apply based on city tiers: i. HCOs in Y (Tier-II) cities shall receive rates that are 10% lower than X (Tier-I) city rates. ii. HCOs in Z (Tier-III) cities shall receive rates that are 20% lower than X (Tier-I) city rates. iii. Y-Tier rates shall also be applicable to HCOs located in the North-East Region, the Union Territory of Jammu & Kashmir, and Ladakh.
d. Ward Entitlement Adjustment: subject to the provisions contained in point (4.e.) below, revised package rates are notified for the semi-private ward. i. For the General ward, a 5% decrease in the applicable rates will apply. ii. For the Private ward, a 5% increase on the admissible claim amount will apply.
e. Uniform Rates: Rates for consultations, radiotherapy, investigations, day-care procedures, and minor non-admission procedures shall remain uniform across all wards, regardless of entitlement.
f. Cancer Treatment: Existing CGHS rules and rates for cancer surgeries shall continue to apply. Revised rates will, however, apply to chemotherapy, investigations, and radiotherapy.
- A fresh Performance Security, in the form of a Bank Guarantee issued by any Scheduled Commercial Bank (as per the format at Annexure–D), shall be submitted prior to empanelment. The Bank Guarantee shall have a validity of 42 months and shall be furnished for the amount applicable to the respective HCO and city category. In case the Empanelled HCO is re-applying for empanelment, the Existing Performance Security shall be released only upon submission of the fresh Bank Guarantee. It is further clarified that top-up or enhancement of an existing Performance Bank Guarantee will not be permitted.
- The duly signed Memorandum of Agreement (MoA) and the Hospital Policy for CGHS beneficiaries shall be submitted to the concerned Additional Director of the City along with the Performance Security to complete the empanelment process. (As defined in Table 4 of Clause 13.2 of Annexure A)
- This issues with the approval of the competent authority.
-sd-
(Dr. Satheesh Y.H.)
Director CGHS
COMMENTS