In response to the recent news report of KNS Kashmir, some private hospitals in some private hospitals, highlighting concerns about the alleged refusal of services under the Ayushman Bharat Yojana, have issued a clarification to assure the beneficiaries of their rights and support for them.
According to an official communication issued today in this regard, SHA has established a strong and transparent grievance redressal mechanism to ensure that no qualified beneficiaries are denied treatment under Ayushman Bharat PM-Jai and AB PM-Jai Sehat schemes.
If anyone refuses to provide treatment under a private or public hospital scheme, the beneficiaries are advised to report the issue immediately. Complaints can be registered by calling toll-free helpline 104 for direct assistance and quick action. Additionally, complaints can be presented online through centralized Public Grievance Redressal and Monitoring System (CPGRAMS), Central Grievance Redressal and Management System (CGRMS) or JK Samadhan portal. If any hospital is found guilty of denying treatment or violating the guidelines of the scheme, strict action is taken, including implementing penalty, temporary suspension, and even permanent de-mepanies from the scheme.
A dedicated complaint on Sha shale resolves complaints on a cell monitor and priority basis. Additionally, the state conducts regular follow-up calls with the anti-fraud unit (SAFU) patients to verify whether they had received cashless treatment.
It is important to note that all the treatment packages under the Ayushman Bharat Scheme are scientifically designed and standardized by expert committees under the National Health Authority (NHA). These packages define clear medical protocols, costs and duration and apply equally to all empire hospitals in the country. Hospitals are not allowed to change or overcharge for these packages, ensuring transparency and equal quality of care.
As per the scheme guidelines, no Emponal Hospital is allowed to denounce treatment or demand for services included under the scheme. Any such task, whether as a service refusal or asking for money, constitutes a serious violation. The guilty hospitals are responsible for facing strict action, including the scheme penalty, suspension or permanent de-mepellen.
SHA has urged all the beneficiaries to register their complaints/complaints through the channels available. For any help or complaint, beneficiaries can call 104.