📄 Summary of Office Memorandum
Letter No.: 56-1/2026-27/CGHS/MSD Date: 01 September 2026Subject:Decentralisation of approval procedure for selected STC-related cases under CGHS
Key Points:
The memorandum introduces a decentralised approval process for Standing Technical Committee (STC) cases under CGHS.
Categories covered:
- Transplant cases with notified CGHS package rates/guidelines.
- Listed procedures/devices/treatments (e.g., TAVI, DBS, IVL, cochlear implants, CPAP, BiPAP, oxygen concentrators, CSII pumps).
- STC-restricted medicines listed on the CGHS website.
- Unlisted procedures, investigations, implants, medicines, devices, and treatments.
- Robotic surgery for cancer cases.
General Guidelines:
- No separate referral needed for treatment at AIIMS, Institutions of National Importance, Tata Memorial Hospital, or other central/state government institutions.
- Approvals for Categories 1–5 to be given by the Additional Director, CGHS within delegated financial powers.
- Cases must be supported by recommendations from government specialists or two specialists from different CGHS-empanelled hospitals.
- Scrutiny by a three-member Local Technical Committee is mandatory.
- For STC-restricted medicines, CDSCO approval status must be verified.
Administrative Provisions (Annexure I):
- Cases exceeding delegated powers or not covered under categories must be referred to the Directorate.
- Local Technical Committee headed by Additional Director with two GDMOs will examine cases.
- Deficiencies in documents to be communicated within 3 working days; complete cases to be decided within 15 working days.
- Post-facto approval allowed in emergencies/unavoidable circumstances, subject to scrutiny.
- Monthly reporting, audit compliance, and review mechanisms mandated.
Effect:
- All previous instructions requiring STC examination are superseded by this memorandum.
Signed by: Arun Kumar Biswas, Deputy Secretary, MoHFW
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This is a very useful and informative update, especially for CGHS beneficiaries and employees dealing with STC-related cases. The clear explanation of the decentralised approval procedure and the responsibilities of the concerned authorities makes the memorandum much easier to understand. I regularly follow practical information and technology updates under the Manojsagar name, and posts like this are a good example of why clear public-information content is valuable. The specified timelines and documentation requirements are particularly helpful for avoiding unnecessary delays.
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