CoH

Mukhyamantri Amrutum (MA)

State Nodal Cell
Commissionerate of Health, FW, MS & ME,
Block No.-5, Dr. Jivraj Mehta Bhavan,
Gandhinagar.

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 Mukhyamantri Amrutum
(MA) CoH
• “Mukhyamantri Amritam” announced for the state of
Gujarat Covering treatment of BPL households for
tertiary care.
• Free-of-Cost treatment up to Rs.2 Lakhs per BPL Family
• Up to 5 Members of the BPL family can be covered
under MA Yojana.
• New born will be covered from day one as 6th Member.
• Approximately 38 Lakhs eligible BPL Families will be
covered.

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 Coverage Areas CoH
• Predefined medical procedures and packages would be
provided on a complete cashless basis.

• Procedures covered under the Scheme.

– 1 Burns (a total 12 Benefit Packages)
– 2 Cardiovascular Surgeries (a total 153 Benefit Packages)
– 3 Renal (a total 21 Benefit Packages)
– 4 Neurosurgeries (a total 49 Benefit Packages)
– 5 Poly Trauma (Not covered by Motor Vehicle Insurance) (a total
8 Benefit Packages)
– 6 Neo-natal diseases (a total 23 Benefit Packages)
– 7 Cancer (Surgical Oncology, Chemotherapy & Radiation
Oncology) (a total 210 Benefit Packages)

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 Coverage CoH
• In addition, there will be no pre-existing condition
exclusions. Pre-existing diseases are also covered from day
one which means that any illnesses existing prior to the
inception of the Scheme shall also be covered.
• Provision for transport allowance of Rs.300 per visit
subject to an annual ceiling of Rs.3000 shall be a part of the
total coverage of Rs 2,00,000/- per family.

ELIGIBLE HEALTH SERVICES PROVIDERS:

• All Private hospitals who qualify in two stage Bid process

• All Government/Grant in Aid hospitals as decided by the
State Government shall be empanelled.

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 Enrollment CoH
• For new enrollment and updation of old card taluka kiosk will
be established
• BPL beneficiary can visit the kiosk for
– Modifying the name on card if erroneous
– Add/Delete member to be enrolled under MA Yojana
– Migration details
– New Enrolment – for left outs during enrolment drive
– Split Card application
– Card Hot-listing for lost/damaged Card
• Provisioning of Mobile Kiosks for updation/enrolment @ Village
Levels
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 Scheme Launching- Planning CoH
• Mega Health Camp and Screening Camp Plan;

• Diagnosis and Primary treatment during the camp

• Screening of beneficiaries of beneficieries
• Referal of beneficieries
• IEC of the scheme
• MA Card distriution.
• Venue and dates is to be finalised.

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 Roles of District Authorities CoH

 Distribution of Cards to the beneficiaries through District Health

Authorities.
 Designating Govt. Health Officer for beneficiaries verification
during the enrolments at village level and at the taluka kiosk.
 Functionalising the Grievance Redressal Committee.
 District Advisory & Grievance Redressal Committee (DAGRC):
 District magistrate- Chairman
 District Development Officer- Co- Chairman
 Regional Deputy Director –Member
 Chief District Medical Officer- Convener
 Chief District Health Officer- Co- Convener
 Representative of ISA
 Parties with grievances (Beneficiary/hospital/ISA/District)
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 Roles of District Authorities CoH

Organising Mega Health Camps at the

Regional/District/M. Corporation level.
To prepare District IEC plan and to ensure its
implementation.
Monitoring hospital empanelment, claims, monthly
health camps, timely grievance redressal in
coordination with ISA.
 Supervising and reviewing the functions of District
Kiosk/Taluka kiosk.
Organising District and Taluka Workshops
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 Role of Arogyamitras CoH
Arogyamitra acts as a facilitators for beneficiaries.

Following are list of various activities of Arogyamitra:

 Counseling the patients at their work location.
 Participate in Health Camps.
 Follow up of patients for treatment.
 Spot Verification of patients.
 To assure Cashless transaction & coordinate with ISA for approval.
 Arrange transportation amount for the patient.
 Facilitating Hospital in sending CD along with claim documents
containing photo of beneficiary (counseling) with scar image of
surgery at the time of discharge.
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 Role of Network Hospitals (NwH) CoH
 To provide super specialty services for
identified catastrophic illness.
 Sign MOU with the ISA.
 Set up of ‘MA’ help desk at Hospital Campus.
 Designates 2 Hospital Arogya Mitra (HAM) at
the hospital.
 Sending request for preauthorization ISA.
 To conduct Health Camps as per the schedule
designed by the District Authority/ISA/SNC.
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 State Workshop/ District Workshops to
be conducted CoH
State Workshop:
Workshops on scheme details, roles of the
stakeholders and implementation methodology with
– Representatives of various other departments,
– Implementing districts,
– ISA and service providers (Smart Card agency,
Hospitals, NGOs, etc.)
Organization of District Workshops:
– Workshop for field officers, Health workers,ASHA
– Workshop with the Public and Private Hospitals
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 MAA Card CoH

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 Hospital Help Desk CoH

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 CoH

THANKS
mayojanagujarat@gmail.com

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