Policy & Guidelines

1. PM-JAY Brand Guidelines
   • Download (PDF 11.1 MB)
2. Model Agreements for both Insurance & Assurance Model EHCP
   • Assurance Model Download (PDF 910 KB)
   • Insurance Model Download (PDF 493 KB)
3. Process for Registering a device RD Services
   • Download (PDF 131 KB)
4. Hardware Specification for Hospitals
   • Download (PDF 185 KB)
5. Model Agreement
   • Model agreement between Empanelled Healthcare Provider, SHA and insurer or ISA (PDF 390 KB)
6. Model Tender Document
   • Model Tender Document for Selection of Insurance Company for the implementation of Ayushman Bharat - Vol I (PDF 1.32 MB)
   • Model Tender Document for Selection of Insurance Company for the implementation of Ayushman Bharat - Vol II (PDF 2.27 MB)
   • Model Tender Document for Selection of Insurance Company for the implementation of Ayushman Bharat - Vol III (PDF 6.05 MB)
7. Model Tender Document for the Selection of Implementation Support Agency (ISA) for providing support services for the implementation of Ayushman Bharat - National Health Protection Mission (AB-NHPM)
   • Advisory on MTD for the Selection of Implementation Support Agency (ISA) Volume I (PDF 119 KB)
   • Model Tender Document for ISA Volume I (PDF 1.26 MB)
   • Model Tender Document for ISA Volume II (PDF 5.46 MB)
   • Model Tender Document for ISA Volume III version 2.0 (PDF 2.40 MB)
8. Health benefit packages & Empanelment criteria for AB-NHPM
   • Download this Document (PDF 2.57 MB)
9. Fields designated for hospital empanelment software
   • Download this Document (PDF 88.9 KB)
10. Draft Structure and Role of Trust for AB-NHPM (Comments may be forwarded at pm-nhpmission@gov.in)
    • Download this Document (PDF 383 KB)
11. Checklist for Additional Data Collection Drive in Urban Area
    • Checklist for State Secretaries (PDF 456 KB)
    • Checklist for District Collectors/Coordinators (PDF 455 KB)
    • Checklist for ULB/Ward Nodal Officers (PDF 348 KB)
12. Urban Additional Data Collection Drive
    • Background note (PDF 517 KB)
    • Presentation (PDF 2.74 KB)
    • Guidelines for Additional Collection Drive in Urban Area (PDF 283 KB)
    • Posters for Urban Additional Data Collection Drive (PDF 489 KB)
13. PM-JAY Process flow at Empanelled Hospital
    • PM-JAY Process Flow at Empanelled Hospitals (PDF 344 KB)
    • Annexure I Pre-Authorization Form (PDF 204 KB)
    • Annexure II - Discharge Summary (PDF 440 KB)
14. PM-JAY Operational Guidelines
    • Guidelines on Release of Premium and Escrow account (PDF 609 KB)
    • Guidelines for Ayushman Mitra (PDF 412 KB)
    • Guidelines for Portability of Services (PDF 483 KB)
    • Guidelines on Claim Settlement (PDF 507 KB)
    • Guidelines on Process of Beneficiary Identification (PDF 3.39 MB)
    • Guidelines on Process of Empanelment for Hospital (PDF 607 KB)
    • Guidelines on Process for Hospital Transaction (PDF 760 KB)
    • Guidelines on Formation of State Health Agency and District Implementation Unit (PDF 284 KB)
    • Guidelines for Grievance Redressal (PDF 756 KB)
    • Guidelines for Claim Amount Utilisation by Public Hospitals (PDF 335 KB)
    • Capacity Building Guideline (PDF 3.40 MB)
    • BIS - Guidelines on disabling BIS e-Card (PDF 285 KB)
15. Guidelines for Partnership with Resource Organisations for Augmenting Capacity for the National Health Protection Mission (Samvardhan)
    • Download (PDF 1.22 MB)
16. Guidelines for Recruitment of Volunteers
    • NHA Volunteer Guidelines (PDF 788 KB)
    • Volunteer Application Form (PDF 336 KB)
17. Guidelines for Young Professional Program
    • Guidelines for Young Professional Program(PDF 557 KB)
18. Escrow Bank Account Guidelines
    • Escrow Bank Account Guidelines(PDF 273 KB)
19. Release of Grant in Aid-Trust Mode
    • Release of Grant in Aid-Trust Mode(PDF 270 KB)
20. Anti Fraud Guidelines
    • Anti Fraud Guidelines(PDF 1.14 MB)
21. NHA Data Privacy Policy Version 1.0
    • NHA Data Privacy Policy Version 1.0(PDF 502 KB)
22. Guidelines for usage of Software in Poor Connectivity Scenarios
    • Guidelines for usage of Software in Poor Connectivity Scenarios(PDF 296 KB)
23. Guidelines on Security & Privacy
    • Guidelines on Security & Privacy(PDF 918 KB)
24. Guidelines for National Institutes of Excellence
    • Download(PDF 1.27 MB)
25. Fraud Investigation and Medical Audit Manual
    • Download(PDF 2.05 MB)
26. Whistle Blower Policy
    • Download(PDF 298 KB)
27. Claims Adjudication Manual
    • Download(PDF 2.65 MB)
28. Guidebook for Streamlining Systems & Processes at Hospitals
    • Download(PDF 1.76 MB)
29. Beneficiary Empowerment Guidebook
    • Download(PDF 807 KB)
30. Constitution of Specialist Committees under AB-PMJAY
    • Download(PDF 3.45 MB)
31. COVID-19 Package under AB-PMJAY (Dated: 08/06/2020)
    • Download(PDF 513 KB)
32. COVID-19 Information under AB-PMJAY
    • NHA OM on Covid - 1 (PDF 294 KB)
    • OM Dt. 1 Dec - 2 (PDF 254 KB)
    • 2nd OM COVID-19 - 3 (PDF 310 KB)
    • 3rd OM on Covid-19, mandating tests -4 (PDF 747 KB)
    • 5th OM COVID-19 - 5(PDF 798 KB)
    • NHA OM - 6(PDF 341 KB)
33. Constitution of Review Committee under AB-PMJAY
    • Download (PDF 677 KB)

  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).