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    Policy & Guidelines

    NOTE: “The guidelines may be amended by the competent Authority in view of State specific modifications or other contingencies”
    Disclaimer: It may be noted that Ayushman Bharat-National Health Protection Mission (AB-NHPM) and Pradhan Mantri Rashtriya Swasthya Suraksha Mission (PMRSSM) shall now be read as Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PM-JAY).

    Sl No. Name PDF File Link
    1 PM-JAY Operational Guidelines
    2 PM-JAY Process flow at Empanelled Hospital
    3 Health benefit packages & Empanelment criteria for AB-PMJAY
    4 Anti Fraud Guidelines
    5 Claims Adjudication Manual
    6 Fraud Investigation and Medical Audit Manual
    7 PM-JAY Brand Guidelines
    8 Model Agreements for both Insurance & Assurance Model EHCP
    9 Process for Registering a device RD Services
    10 Hardware Specification for Hospitals
    11 Model Agreement
    12 Model Tender Document
    13 Model Tender Document for the Selection of Implementation Support Agency (ISA) for providing support services for the implementation of Ayushman Bharat Pradhanmantri Jan Arogya Yojana (AB-PMJAY)
    14 Health benefit packages & Empanelment criteria for AB-NHPM
    15 Fields designated for hospital empanelment software
    16 Draft Structure and Role of Trust for AB-NHPM (Comments may be forwarded at pm-nhpmission@gov.in)
    17 Checklist for Additional Data Collection Drive in Urban Area
    18 Urban Additional Data Collection Drive
    19 PM-JAY Process flow at Empanelled Hospital
    20 Guidelines for Partnership with Resource Organisations for Augmenting Capacity for the National Health Protection Mission (Samvardhan)
    21 Guidelines for Recruitment of Volunteers
    22 Guidelines for Young Professional Program
    23 Escrow Bank Account Guidelines
    24 Release of Grant in Aid-Trust Mode
    25 Anti Fraud Guidelines
    26 NHA Data Privacy Policy Version 1.0
    27 Guidelines for usage of Software in Poor Connectivity Scenarios
    28 Guidelines on Security & Privacy
    29 Guidelines for National Institutes of Excellence
    30 Fraud Investigation and Medical Audit Manual
    31 Whistle Blower Policy
    32 Claims Adjudication Manual
    33 Guidebook for Streamlining Systems & Processes at Hospitals
    34 Beneficiary Empowerment Guidebook
    35 Constitution of Specialist Committees under AB-PMJAY
    36 COVID-19 Package under AB-PMJAY (Dated: 08/06/2020)
    37 COVID-19 Information under AB-PMJAY
    38 Constitution of Review Committee under AB-PMJAY
    39 Hospital-Empanelment-Guidelines July 2022
    40 Hospital-Letter-Model Code Of Conduct
    41 State wise nodal persons - SSB
    42 SAFU - Anti Fraud Framework
    43 TMS Claims Adjudication FAQs
    44 OM-on-TAT-14th-July-2021_TMS
    45 OM Aadhar auth by parents_TMS
    46 HBP-2-0-User-Guidelines_TMS
    47 Advisory for TMS claim processing
    48 70+, Sr. Citizen Scheme GoI Information
    49 Guidelines on expansion of AB PM-JAY to Senior Citizens of 70+ years
    50 TA DA Form
    51 Gyani Ram Jind - SAFU (7Feb25) Public Letter
    52 VIJAY HOSPITAL - Mahendragarh - SAFU (11Feb25) Public Letter
    53 JD Jindal - Hisar, SAFU-CFMS1135_25 (7/May/25) Public Letter
    54 SHA HES Branch Advisory for all EHCP's_24June2025
    55 SHA TMS Branch Advisory for all EHCP's_21July2025
    56 State wise nodal officers of CISF