|
Medical Cell has been constituted under Finance Department (Group-P2),Government of West Bengal for the administration
of the West Bengal Heath Scheme.
The Medical Cell performs the following functions-
1. Medical Cell in consultation with the Health and Family Welfare Department, wherever
necessary, issues operational guidelines, clarifications etc. for implementation
of the West Bengal Health Scheme.
2. The West Bengal Health Scheme Authority (WBHSA), apex policy making body of the
Medical Cell, accords necessary permission for performing-
(i) More than 2 procedures where total cost exceeds Rs. 50,000/-.
(ii) Implantation of More than 2 (Two) Drug Eluting Stent.
(iii) Implantation of AICD.
(iv) Implantation of CRT with AICD.
(v) Implantation of Deep Brain Stimulator.
(vi) Implantation of Intra-Thecal Pumps.
(vii) Implantation of Cochlear.
(viii) Implantation of
Spinal Cord Stimulator.
(ix) Chemotherapy / Immunotherapy where medicine cost exceeds Rs. 50,000/- per cycle (Once for entire chemo schedules).
(x) Non-package treatment whenever treatment cost exceeds Rs. 5,00,000/- for Tata Medical Center, Rajarhat and Rs. 3,50,000/- for other private empanelled hospitals.
(xi) Successive permission after every 10 (ten) days against a permitted non-packaged treatment whenever Treatment Cost exceeds Rs. 5,00,000/- for Tata Medical Center, Rajarhat and Rs. 3,50,000/- for other private empanelled hospitals.
3. It is compulsory for any Department to consult The West Bengal Health Scheme
Authority (WBHSA), apex policy making body of the Medical Cell before according
permission for treatment in Speciality Hospital outside the State subject to certain exceptions.
4. Medical Cell fixes the approved rate for various surgical procedures
and investigations from time to time.
5. It is empowered to empanel Private Hospitals, Nursing Homes, Institutions, Clinics,
Laboratories, and Diagnostic Centres within the state and classify them into Class-1 and
Class-2 service provider on the basis of facilities available there.
6. In case of cashless treatment, the HCOs submit the whole bill to the Medical
Cell. Medical Cell checks and fixes the admissibility of the claim submitted by
the HCOs and makes payment of HCO’s claim upto ₹ 2,00,000.00. It also issues CARC for
the reimbursement of the claim of the Employee/ Pensioner over and above HCO’s claim
of ₹ 2,00,000.00.
7. Medical cell acts as an advisory body in respect of any other Health Scheme implemented
by the Govt. of West Bengal.
|