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statehealthagencykerala@gmail.com
AROGYAKIRANAM Scheme, a state-run health benefit program, caters to the healthcare needs of children aged 1 to 18 years across government hospitals in Kerala. All disease conditions, except the 30 diseases covered under the Rashtriya Bal Swasthya Karyakram(RBSK), are included under the Arogyakiranam Scheme. Beneficiaries are entitled to both OPD and IPD treatments from government healthcare institutions, ranging from primary to tertiary care facilities.
Children below the age of one year will continue to receive healthcare benefits under the Janani Sishu Suraksha Karyakram(JSSK), which is implemented in the State under the National Health Mission (NHM).
Initially implemented by the National Health Mission (NHM), the scheme came under the administrative control of the State Health Agency (SHA) pursuant to G.O.(Rt) No.2619/2022/H&FWD dated 01.11.2022. The SHA has been responsible for its implementation with effect from 1 November 2022.
The scheme guarantees cashless access to medicines, diagnostic tests and treatment for all beneficiaries at government hospitals, irrespective of their APL/BPL status. ervices that are unavailable at government hospitals may also be accessed free of cost through institutions empanelled with these hospitals.
Children from the specified age group, excluding those from families of Central/State Government employees and income tax payees, are eligible to receive benefits under the scheme. However, if a family is eligible under the AB PM-JAY/KASP scheme, priority will be given to availing benefits under the KASP scheme.
Treatment costs exceeding ₹2 lakh are classified as high-cost treatments. Such cases require prior approval from a government-constituted Technical Committee before hospitals can undertake them. Vide G.O.(Rt)No.3356/2023/H&FWD dated 20-12-2023, Technical Committees are established in every district, in addition to the State-Level Technical Committee (SLTC), to conduct the initial review of these applications. The committees are responsible for the scrutiny of the applications received under the scheme and provide necessary guidance for the scheme implementation. The technical committees at two tiers are composed of the following members.
I. District Level Technical Committee (DLTC)
| Sl.No. | Role | Official |
| 1 | Chairperson | District Medical Officer (H) |
| 2 | Co-Chairperson | HOD (Paediatrics)/HOD of concerned speciality from the Govt. Medical college of the district or region. |
| 3 | Convener | District Program Manager (NHM) |
| 4 | Member | District Project Coordinator (SHA) |
| 5 | Member | Invited Technical Expert |
II. State Level Technical Committee (SLTC)
| Sl.No. | Role | Official |
| 1 | Chairperson | District Medical Officer (H) |
| 2 | Convener | Joint Director Operations, SHA Kerala |
| 3 | Member | Superintendent, Government Medical College Hospital, Kottayam |
| 4 | Member | State Nodal Officer, Child Health, National Health Mission, Kerala |
| 5 | Member | Dr. Noble Gracious, Government Medical College Hospital, Thiruvananthapura |
| 6 | Member | Dr. Ravi, Government Medical College Hospital, Thrissur |
| 7 | Member | Dr. Srikanth, General Hospital, Thiruvananthapuram |
| 8 | Member | Special invitee- Subject experts as suggested by the Chair |
Beneficiaries seeking approval for high-cost treatments may submit their applications to any of the following district-level officials:
• District Medical Officer (Health)
• District Programme Manager (NHM)
• District Project Coordinator (SHA)
The submitted applications will be scrutinized by the respective Technical Committee and the decision/feedback will be communicated to the applicant upon completion of the verification process.