CSMA FAQs

 1. Who is excluded from the purview of CS (Medical Attendance) Rule, 1944?

Ans:- Railway employees.(Ref:- Note 1 below Rule 1(2).

2. CS (Medical Attendance) Rules is not applicable to:-

Ans:- a) Defence Service Personnel b) Government Servants governed  by CGHS c) All India Service Officers (Ref:- Note 2 below Rule 1)

3. Extension of medical facilities under CS(Medical Attendance) Rules, 1944 to Industrial Staff working in establishments run by various Ministries is given effect from?

Ans:- W.e.f 12-09-2016.
(Ref:-G.I.M.H & F.W O.M. F.No. S 14025/41/2014 MS/EHSS dated the 12th Sept 2016 below Rule 1.)

4. When can a Medical Officer send a Government servant and his family to a private clinic/lab. for bacteriological or pathological examination?

Ans:- When it is essential owing to the non-availability of such a facility at a Government Hospital with the consent of the Director of Health Services.(Ref:- Note 7 below Rule 2(e)(B)

5. What is the amount refunded for massage treatment per visit of the masseur?
Ans:- Rs 10 per visit (Ref:- Note 1 below Rule 2 (h))

6. To a Government servant who is entitled to free accommodation in a Government Hospital in Delhi, what are the items that are not refundable?

Ans:- Cottage Booking fee, Admission fee, Dhobi Charges.(Ref:- Note 3 below Rule 2(h)(iv).

7. To determine the status of re-employed pensioners for the purpose of medical attendance and treatment, which of the following will be taken into consideration?

Ans:- Pension and Pay.(Ref:- Note 3 below Rule 2(B).

8. Who appoints a private medical practitioner as AMA?

Ans:- Head of the Department.(Ref:- OM No. F 29 3/71 M.A dated the 14th May 1971 O.M. No. F 29/18/71 M.A dated 1/01/1972 O.M. No. S 14012/5/74 MC dated the 11th June 1974, O.M. No. S 14023/1/74 MS

9. From which date is Fixed Medical Allowance paid to Government employees working in interior/remote areas governed under CS(MA) Rules stopped?

Ans:- 03-06-2015 (Ref:- O.M. No. S 14025/09/2013 MS Dated 3rd June 2015 below Rule 2)

10. What is the rate of first consultation fees paid to Medical Postgraduate/ Specialists appointed as AMA?

Ans:- Rs. 100 (Ref:- Rule G.I.M.H O.M No S 14025/10/2010 MS dated the 17th March 2011 below Rule-2.)

11. What is the rate of first consultation fees paid to Medical Licentiates and Medical Graduates (MBBS or equivalent) appointed as AMA?

Ans:- Rs. 70 (Rule G.I. M.H. O.M. No. S-14025/10/2010 MS Dated the 17th March 2011 below Rule 2)

12. Who of the following has the power to recognize any private hospitals for the treatment of beneficiaries and their family members under CS(MA) Rules, 1944?

Ans:- Ministry of Health and Family Welfare.(G.I.M.H. O.M. No. S-14021/18/2005 MS dated the 5th Nov 2007 below Rule 2).

13. The rate of Intravenous Injection Fees prescribed for AMAs in their consulting room is.....
Ans:-Rs. 40 (G.I. M..H. O.M No. S-14025/10/2010 MS dated 17/03/2011 below Rule 2)

14. What is the period of stay in a hospital termed as the average stay for in-patient treatment under CS(MA) Rules, 1944?

Ans:- Two Weeks ( Ref:- G.I. M.H. O.M. No. S-14025/03/79 MS dated 29/09/1979  below Rule 2

15. Any hospital stay beyond ............... weeks should be considered as prolonged stay under CS(MA) Rules, 1944.

Ans:- Three Weeks. (G.I. M.H. O.M. No. S14025/3/79 MS dated 29/12/1979 below Rule 2)

16. Define the circumstances under which special nursing charges are reimbursed?

Ans:- When special nursing becomes essential for the recovery of the Disease. + For prevention of serious deterioration in the condition of the patient.

(Ref:-G.I. M.H. O.M. No. F 8(1) 1/54 H II dated 12/09/1955 as modified by O.M. No. F 8(X) 72/55 H II dated 22/06/1956 and O.M. No. 14025/74/86 MS)

17. What is the ceiling limit for reimbursement of Attendant /Ayah charges per shift of 12 hours?

Ans:- 75 (Ref:- G.I. M.H. O.M. No. S 14025/8/2010 MS dated the 18th January 2011 below Rule 2)

18. What is the age criteria for women undergoing IVF treatment to be eligible for reimbursement under CS(MA) Rules?

Ans:- Between the age of 21 and 39 years. (Ref:- G.I. M.H. O.M. No. Z-15025/5/2011 CGHS III/CGHS(P) dated the 22nd Nov 2011 below Rule 2)

19. Reimbursement of expenditure incurred on IVF treatment will be allowed for how many cycles?

Ans:- 3 (Three) (Ref:- G.I. M.H. O.M. No. Z-15025/5/2011 CGHS III/CGHS(P) dated the 22nd Nov 2011 below Rule 2).

20. From which date is reimbursement cases of IVF (In Vitro Fertilization) treatment allowed under CS(MA) Rules?

Ans:- 22-11-2011(Ref:- G.I. M.H. O.M. No. Z 15025/5/2011 CGHS III/CGHS(P) dated the 22/11/2011 below Rule 2)

21. When a claim for reimbursement is rejected by a Controlling Officer, what is the period within which an appeal is to be made?

Ans:- Forty Five Days (Provision to Rule 3(2).)

22. What are the maximum number of consultations that are allowed in the AMA's consulting room for the outpatient treatment of a Government Servant?

Ans:- 4(four)(Ref G.I.M.H O.M No. F28 12/61 H dated 6/03/1962 / O.M. No. F29/ 2/67 M.A dated 17/04/1967 and D.G P & T Letter No. 30/26/67 PAP) Dated. 24/06/1968 Rule 3)

23. There should ........? between the closing of the first spell of illness from one disease and recurrence of the same disease for a second time to justify a fresh claim in respect of Medical Attendance?

Ans:- A reasonable gap (Ref:- G.I. M.H. O.M. No. F 28 12/61 H II dated the 6/03/1962, G.I. M.H. O.M. No. F 29 2/67 M.A dated the 17/04/1967, and D.G. P & T  Letter No. 30/26/67 PAP)

24. What is the maximum number of days allowed for the treatment at the consulting room of the AMA in case the treatment is in Indian System of Medicines and in Homeopathy?

Ans:- 40 Days(Ref:- G.I. M.H & F.W. O.M. No.  S 14025/6/2003 MS dated 13/02/2003 under chapter 7).

25. What is the maximum number of injections administered in cases of treatment of non-prolonged nature of treatment at the consulting room of the AMA?

Ans:- 15 Injections (Ref:- G.I. M.H. O.M. No. F 28 12/61 H II dated the 6/03/1962, G.I. M.H. O.M. No. F 29 2/67 M.A dated the 17/04/1967, and D.G. P & T  Letter No. 30/26/67 PAP).

26. To become eligible for TA what is the distance prescribed between a place where a patient falls ill and the consulting room?

Ans:- More than five miles by the shortest route. (Ref:- Rule 4(1).

27. When can an AMA claim TA for treating a patient?

Ans:- When the patient is too ill to travel and treatment is given by the AMA at the patient place.

Ref:- Rule 4(1)(b).

28.Who is competent to refer a patient to consult a specialist / medical officer?

Ans:- AMA of the Patient. (Ref:- Rule 5)

29. What is the frequency at which a Government Servant may have his eye sight tested?

Ans:- Once in every three years. (Ref:- Rule G.I.M.H. No. F 17(VIII)35/57 H.I. Dated the 18th June 1957 below Rule 5

30. When can cases of prolonged treatment, not requiring hospitalization be referred to the OPD (Out Patient Department) of a Government hospital?

Ans:- When more than four consultations are required within 10 days/When more than four visits are required within 10 days/When more than a course of 15 injections are required to be administered. (Ref:- G.I.M.H. O.M. No. F 28 12/61 H, II Dated the 6th March 1982 and G.I. M.H. O.M. No. F 29/ 2/67 MA dated 17/04/1967 below Rule 6).

to be continued..............