Ayushman Bharat: Odisha Introduces SOP for Seamless Healthcare Transition

The Odisha government has taken a significant step towards improving healthcare access under the Ayushman Bharat scheme. With the launch of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) and Ayushman Vay Vandana Yojana (AVVY), the state has issued a Standard Operating Procedure (SOP) to ensure smooth implementation and uninterrupted patient care during the migration to a new IT platform.

To enhance efficiency, the Health and Family Welfare Department has redeveloped its IT portal, enabling empanelled hospitals to process claims seamlessly. The new portal went live at midnight, allowing hospitals to submit claims faster and more effectively. However, recognizing potential technical challenges, the state government has issued clear guidelines to ensure no patient faces inconvenience.

Eligibility Verification: Hospitals must verify beneficiaries using health card IDs, Aadhaar numbers, ration cards, or old health card numbers. If eligible patients are identified in the old system, treatment can begin immediately.

Coordination with SHAS: In case of technical issues, hospitals are required to communicate with the State Health Assurance Society (SHAS) via email or through designated helplines.

email: shas@odisha.gov.in, Helplines: 155369 or 0674-2620500

Uninterrupted Patient Care: No existing beneficiary should be denied treatment due to technical challenges. Hospitals are encouraged to admit eligible patients and resolve claim submissions once technical issues are resolved.

These measures aim to ensure that beneficiaries continue receiving cashless treatment without disruptions.

 

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The Ayushman Bharat scheme is poised to transform healthcare in Odisha by offering free treatment up to ₹5 lakh per family annually. With approximately 3.5 crore beneficiaries expected in Odisha alone, this initiative underscores the government’s commitment to providing equitable healthcare access.

 

The rollout of Ayushman Bharat in Odisha, coupled with robust SOPs and IT infrastructure, marks a milestone in achieving universal health coverage. By addressing potential challenges proactively, the state ensures that healthcare remains accessible and efficient for all its citizens.