Guidelines and ceiling limit for Liver Transplant Surgery in respect of beneficiaries of Railway Medical Attendant RuIes/RELHS
GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
No. 2010 /H/6-1/Policy (Liver Transplant).
New Delhi, Dated:-25/05/2015
Sub:- Guidelines and ceiling limit for Liver Transplant Surgery in respect of beneficiaries of Railway Medical Attendant RuIes/RELHS.
Ref:– i)This Office letter of even No. dated 28.06.2014.
ii) Board’s letter No. 2O11/H/6-4/Policy-I dated 24.09.2AL3.
In order to bring clarity to the Zones While processing the sanction in Liver Transplantation Surgery cases in terms of RB’s letter dated 28.06.2013 and in terms of delegation of powers issued vide RB’s letter 24.09.2013, the existing para 7 & para 8 of letter dated 28.06.2013 have been consolidated and stands substituted as under:-
“7. CMD of the Zone shall nominate Medical Board comprising of CMS/MD as Chairman and two specialists each from Speciality of Gastroenterolory/Internal Medicine and GI Surgery/General Surgery as Members, which will recommend for Liver Transplant. The proposal for financial sanclion would be considered rn’itle concurrence of Finance of the Zone and approval of GM. If the patient is to be referred to Government/Autonomous Body Hospital., GMs wiil have fu1l powers to sanction medical advance (as delegated under Board’s letter No. 2O11/H/6-4/Policy-I, dated 24.09.2013) subject to the ceiling limit/package rate for Liver Transplant Surgery as mentioned in Para 5 of Board’s letter dated 28.06.2013 or Hospital tariff, whichever is lower. In case, the patient is undergoing Liver Transplantation Surgery in the recognized private hospital, the settiement has to be done as per bill system of payment within the ceiling/package prescribed in Board’s letter dated 28.06.2013.However;lf the patient is proposed to be referred to a non-recognized private hospitai for Liver Transplantation Surgery, the proposal with due justification would require approval of Railway Board in terms of RB’s letter dated 24.09.2013, which will be processed subject to the ceiling lirnit/package rate as stipulated under Para-5 of Board’s letter dated 28.06.2013″.
Other provisions of Board’s letter dated 28.06,2013 will remain unchanged.
Source: Railway Board