PM-JAY Hospital Empanelment Overview

Empanelment of Hospitals under PM-JAY: Ensuring Quality Healthcare Access

It sounds like you are looking for information on the hospital empanelment process under the Pradhan Mantri Jan Arogya Yojana (PM-JAY) in India. Here’s a summary of the key points:

Overview of Hospital Empanelment in PM-JAY

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PM-JAY aims to provide accessible, cashless, and quality healthcare services to eligible families in India through a network of pre-selected hospitals. The empanelment process ensures that hospitals meet quality standards and are geographically distributed for optimal accessibility.

Empanelment Criteria

General Criteria: Applicable to hospitals providing non-specialized general medical and surgical care, with or without ICU and emergency services.
Special Criteria: Specific criteria for hospitals offering specialized clinical services. Hospitals must provide all specialties they offer to PM-JAY beneficiaries and have the necessary infrastructure and human resources in place.

Process of Hospital Empanelment

Two-Tier Approach: The empanelment process is managed by State and District Empanelment Committees (SEC and DEC, respectively). States oversee the process, ensuring transparency and efficiency.
Online Application: Hospitals apply online at no cost. The application can be tracked online.
Verification: Applications are scrutinized by the DEC, followed by physical verification of the hospitals.
Recommendation: The DEC makes a recommendation to the SEC, which makes the final decision on empanelment.

Requirements for Empanelled Hospitals

Help Desk: Each empanelled hospital must establish a help desk staffed by Pradhan Mantri Arogya Mitras (PMAMs) to assist beneficiaries.
Unique ID: Hospitals receive a unique ID upon empanelment.

Continuous Quality Improvement

PM-JAY incentivizes hospitals to achieve higher quality standards through:

Increased package rates for hospitals obtaining NABH accreditation (10% for entry-level and 15% for full accreditation).
Higher package rates (10%) for hospitals associated with teaching institutions and those located in aspirational districts.

National Health Care Providers (NHCP)

Certain eminent tertiary and specialized care hospitals are empanelled directly by the National Health Authority (NHA) through MoUs.
This includes NABH-accredited private hospitals in the National Capital Region (NCR) and government hospitals not managed by the Ministry of Health and Family Welfare.

Additional Information

For detailed criteria and updates on the empanelment process, you can visit www.pmjay.gov.in.