R.1 .

       (1) These rules may be called The Madhya Pradesh Civil Services (Medical Attendance) Rules, 1958.
       (2) They shall apply to--
       (a) Government servants under the rule-making control of the State Government while they are on duty or on deputation or on leave or under suspension within Madhya Pradesh;
       (b) Government servants employed on contract basis;
       (c) Home Guards while under training or on duty;
       (d) Whole-time servants paid from contingencies;
       (e) Members of the work charged establishment employed continuously on monthly wages in all the Departments or in the project undertaken by the State.
       (3) These rules shall not

R.2 .

       In these rules, unless the context otherwise requires,--
       (1) "Authorised Medical Attendant" means the medical officer authorised by the Government as the authorised medical attendant for the medical attendance and treatment of the Government servants :
       Provided that if there is no medical officer authorised by the Government for the headquarter at which the Government servant falls ill, the authorised medical attendant shall be any medical officer stationed at the headquarters of such Government servant; and includes--
       (a) the Medical Officer-in-charge of a hospital maintained by a local authority or aided by Government in so far as medical attendance and treatment at such hospitals is concerned; and
       (b) all Medical Officers at the Medical College H

R.3 .

       (1) Subject to the provisions of sub-rule (3) a Government servant shall be entitled free of charge, to medical attendance by the authorised medical attendant,
       (2) If the authorised medical attendant is of opinion that the case of a Government servant is of such a serious or special nature as to require medical attendance by a Medical Officer other than himself he may move the Director of Health Services, Madhya Pradesh, to arrange for the deputation of such Medical Officer, for the purpose of consultation. In such cases, the deputed Medical Officer, whether he be of the rank of Civil Surgeon or a subordinate officer shall not be entitled to charge any fees for the professional services rendered to the Government servant.
       (3) In case of demand for medical attendance at the residence of the Government servant, the authorised medical atten

R.4 .

       (1) A Government servant shall be entitled to treatment in a hospital free of charge. If any amount is paid by a Government servant on account of such treatment, accommodation in hospital, diet or on any other account it shall be reimbursed to him in the manner and to the extent provided in these rules.
       (2) The Medical Officer-in-charge of the hospital may place the patients in any ward he considers appropriate.

R.5 .

       A Government servant suffering from a mental disease shall be entitled to medical attendance, treatment, accommodation and diet free of charge at a Government Mental Hospital in the State for a period not exceeding two years from the date of his admission to such hospital :
       Provided that in case of a Government servant whose salary exceeds one hundred rupees per mensem, half of the prescribed maintenance charges shall be borne by him.

R.6 .

A Government servant shall pay in the first instance bills, if any, preferred by the hospital authorities on account of medical attendance, treatment, room-rent or diet or on any other account and may, thereafter, prefer claim for reimbursement thereof in accordance with these rules.

R.7 .

       2[(1) Expenditure incurred on purchase of drugs prescribed by the authorised attendant in full :
       Provided that--
       (1) If a Government servant submits medical reimbursement bills in respect of treatment of himself or any member of his family as an out-door patient exceeding Rs. 250/- (Rupees two hundred fifty) per month for four times in a year or continuously for three months, the Controlling Authority shall seek second opinion of the Chief Medical and Health Officer and only on receipt of a favorable recommendation, shall pass the medical reimbursement bill. In case of treatment by any Indian system of Medicines or Homeopathy second opinion of the Divisional Officer Ayurveda or District Ayurveda Officer in-charge, as the case may be, shall be obtained instead of the Chief Medical and Health Officer.
      

R.8 .

       (1) Application for reimbursement shall be in Form I and shall be submitted to the controlling authority within six months from the date on which the expenditure is incurred :
       Provided that where the Government servant is himself the controlling authority, the limit of six months shall be calculated with reference to the date of presentation of the claim to the treasury officer.
       (2) Every application made under sub-rule (1) shall be accompanied by an essentiality certificate in Form II duly signed by the authorised medical attendant of the treatment, room rent and diet charges duly countersigned by him :
       Provided that where the drugs prescribed by the authorised medical attendant are outside the priced vocabulary of the Medical Stores Depot, the essentiality certificate in Form II shall in add

R.9 .

The authorised medical attendant shall in respect of each Government servant maintain in the form of a diary or memorandum the details, including place and the date of treatment or examination conducted by him which shall form the basis for the certificate to be given by him in Form II.

R.10 .

       (1) The claims of Government servants for reimbursement of medical expenses under these rules shall be disposed of by the drawing and disbursing officer concerned.
       (2) All bills for medical expenses shall be countersigned by the controlling authorities who are empowered to countersign travelling allowance bills of the Government servant concerned. It shall be the duty of the controlling officer to scrutinize carefully before signing or countersigning a claim in respect of medical expenses, that the claim is genuine and is covered by the rules and that charges claimed are supported by the necessary cash memos, receipts, certificates, etc. The controlling authority may reject such claims as do not satisfy these conditions.
       3[(3) The amount due on account of reimbursement of medical expenses incurred shall be drawn on the Form M.P.T.C. 24A

R.11 .

       (1) Rules 3 to 10 shall, in so far as they relate to medical attendance and treatment at hospital apply to the members of the family of a Government servant in the same manner and to the same extent as they apply to Government servant :
       Provided that where another child is born to a Government servant where there are three or more children living, the additional child so born shall not be entitled to the concession admissible under these rules.
       (2) A Government servant shall also be entitled for reimbursement of the charges incurred by him for the treatment of his wife during the confinement (including pre-natal and post-natal treatment and treatment for abortion) :
       Provided that no reimbursement shall be made if three or more children are living on the date of such confinement.

R.12 .

       (1) A Government servant shall also be entitled to reimbursement of expenditure incurred by him on medical attendance and treatment of himself and the members of his family under the Ayurvedic, Unani, Homeopathic or Biochemic systems of medicines in the same manner and to the same extent as laid down in the foregoing rules :
       Provided that the expenditure incurred on purchase of such medicines shall be reimbursable in respect of medicines mentioned in Annexure annexed to these rules on the signature of the authorised medical attendant and the medicines out of the Annexure shall be reimbursable on the countersignature of the Principal/Divisional Officer Ayurveda/ Superintendent of the dispensary.
       (2) For the purposes of reimbursement under this rule, a Vaidya, a Hakim or a Homeopathic or a Biochemic Doctor-in-charge of a hospital shall be

R.13 .

       On the coming into force of these rules the Madhya Pradesh Civil Services (Medical Attendance) Rules, 1955, the Madhya Bharat Government Servants (Medical Attendance) Rules, 1951, and the Central Services (Medical Attendance) Rules, 1944 shall stand repealed :
       Provided that such repeal shall not affect the previous operation of the rules so repealed or anything done or any action taken thereunder :
       Provided further that all claims for medical reimbursement relating to the period prior to the coming into force of these rules shall be governed by the provisions of the rules, applicable to the Government servant concerned immediately before the coming into force of these rules.

APPENDIX.A APPENDIX 'A'

       STATEMENT SHOWING THE ITEMS ON WHICH AND THE RATES AT WHICH FEES ARE TO BE CHARGED.
       Items Rate
       Operation Fees
       1. Operations on brain 200
       2. Abdominal Sections cancer of bowel, stone in the Kidney, Excision of the Kidney and excision of upper jaw. 200
       3. Amputations at or excisions of the shoulder or hip joints, removal of breast and auxiliary glands etc. for cancer. 200
       4. Trephining mastoid antrum, radical mastoid operations and operations of equal gravity. 150
       5. Cataract, amputations of arms, forearms or leg, thigh, radical cure of hydrocele, operations for hemorrhoids and such other operations Endeleation to t