Lok Sabha Question No. 4684 (UNSTARRED), answered on 2025-03-28
Subject: Empanelled Hospitals under AB-PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. Mohammad Jawed

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4684 TO BE ANSWERED ON 28 TH MARCH, 2025

## EMPANELLED HOSPITALS UNDER AB-PMJAY

## 4684. DR. MOHAMMAD JAWED:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) the details of public and private hospitals empanelled under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), State-wise and year-wise;

(b) the details of public and private hospitals de-empanelled under (AB-PMJAY), year-wise and State-wise;

(c) whether the Government is aware of instances where private hospitals are refusing treatment under AB-PMJAY due to delays in fund disbursement and if so, the details thereof;

(d) the mechanism in place or the measures implemented to monitor and address complaints related to empanelled hospitals under AB-PMJAY, particularly regarding refusal of services or denial of benefits to eligible beneficiaries; and

(e) the steps taken/proposed to be taken by the Government to increase the number of hospitals under AB-PMJAY?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a): State/UT-wise and year-wise details of number of public and private hospitals empanelled under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) are at Annexure-I.

(b): State/UT-wise and year-wise details of number of public and private hospitals deempanelled under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) are at Annexure-II .

(c) and (d): As per the terms and conditions of empanelment, hospitals cannot deny treatment to eligible beneficiaries of the scheme. In case of denial of treatment by the empaneled hospital, beneficiaries can lodge grievances. Under AB-PMJAY, a three-tier grievance redressal system at District, State and National level has been created to resolve the issues faced by beneficiaries in utilizing healthcare services. At each level, there is a dedicated nodal officer and Grievance Redressal Committees to address the grievances.

Beneficiaries can file their grievances using different mediums including web-based portal Centralized Grievance Redressal Management System (CGRMS), Central & State call centers (14555), email, letter to State Health Agencies (SHAs) etc. Based on the nature of grievance, necessary action including providing of support to the beneficiaries in availing treatment under the scheme, is taken.

(e): As public health is a State subject, the responsibility of empaneling hospitals under ABPMJAY lies with the respective State/UT. The Government of India encourages States/UTs to empanel more hospitals under the scheme to ensure access to quality healthcare to all eligible beneficiaries. In order to improve the participation of hospitals, following actions have been taken:

- i. NHA has released a revised Health Benefit Package (HBP) with increased number of procedures (1961).
- ii. Claim settlement is monitored at the highest level and it is ensured that claim is settled within defined turnaround time.
- iii. Paperless online application system has been created for empanelment viz Hospital Empanelment Module (HEM 2.0)
- iv. Virtual and physical capacity building of hospitals are undertaken.
- v. Ahospital-specific call center (14413) has been set-up to address their concern on a real-time basis.
- vi. District Implementation Units (DIUs) have been set-up to regularly visit empaneled hospitals to understand the issues faced by beneficiaries and hospitals.

## State/UT-wise and year-wise details of number of public and private hospitals empanelled under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

| Financial year              | 2018-2019   | 2018-2019   | 2019-2020   | 2019-2020   | 2020-2021   | 2020-2021   | 2021-2022   | 2021-2022   | 2022-2023   | 2022-2023   | 2023-2024   | 2023-2024   | 2024-2025   | 2024-2025   |
|-----------------------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|
| State/UT                    | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     |
| Andaman And Nicobar Islands | -           | 3           | -           | -           | -           | -           | -           | -           | -           | 4           | -           | -           | -           | -           |
| Andhra Pradesh              | 84          | 45          | 570         | 671         | 60          | 1           | 99          | 590         | 88          | 44          | 87          | 33          | 91          | 30          |
| Arunachal Pradesh           | -           | 2           | -           | 2           | 1           | 14          | -           | 17          | -           | 9           | 1           | 2           | 3           | -           |
| Assam                       | 85          | 35          | 2           | 119         | 11          | 5           | 11          | -           | 28          | 2           | 26          | 16          | 7           | 5           |
| Bihar                       | 61          | 558         | 103         | 22          | 32          | 1           | 35          | 2           | 71          | 1           | 87          | 1           | 139         | 2           |
| Chandigarh                  | 6           | 6           | 6           | 1           | 3           | -           | 4           | -           | 1           | -           | 2           | -           | 2           | -           |
| Chhattisgarh                | -           | 2           | -           | 591         | 295         | 361         | 93          | 28          | 120         | 28          | 19          | 22          | 93          | 9           |
| DNH &DD                     | -           | 7           | -           | -           | -           | -           | -           | -           | -           | -           | 5           | 8           | -           | -           |
| Delhi                       | 10          | 7           | 6           | 3           | 9           | -           | 7           | 1           | 2           | -           | 16          | -           | 12          | -           |
| Goa                         | -           | 9           | 2           | 2           | -           | 1           | -           | 2           | -           | -           | -           | -           | -           | 9           |
| Gujarat                     | 305         | 1,4 50      | 52          | 25          | 30          | 69          | 134         | 13          | 154         | 97          | 130         | 80          | 109         | 73          |
| Haryana                     | 208         | 144         | 110         | 11          | 37          | 6           | 57          | 2           | 127         | -           | 121         | 338         | 98          | 1           |
| Himachal Pradesh            | 34          | 133         | 9           | 2           | 12          | -           | 24          | -           | 24          | 2           | 31          | 1           | 15          | -           |
| Jammu And Kashmir           | 17          | 111         | 14          | 1           | 3           | -           | 32          | 1           | 30          | 2           | 37          | 3           | 1           | 4           |
| Jharkhand                   | 166         | 220         | 31          | 13          | 34          | -           | 33          | 4           | 23          | 1           | 22          | 1           | 8           | 1           |
| Karnataka                   | 206         | 395         | 84          | 2,4 20      | 47          | 26          | 24          | 16          | 87          | 49          | 103         | 58          | 37          | 8           |
| Kerala                      | 80          | 147         | 63          | 39          | 109         | 4           | 71          | 7           | 43          | 1           | 1           | 3           | 19          | 1           |
| Ladakh                      | -           | 9           | -           | -           | -           | -           | -           | -           | -           | -           | -           | -           | -           | 1           |
| Lakshadweep                 | -           | 1           | -           | -           | -           | 4           | -           | -           | -           | -           | -           | -           | -           | -           |
| Madhya Pradesh              | 55          | 146         | 35          | 259         | 129         | 30          | 115         | 25          | 91          | 21          | 88          | 9           | 74          | 7           |
| Maharashtra                 | 310         | 82          | 38          | 92          | 209         | 20          | 63          | 5           | 86          | 3           | 96          | 5           | 327         | 301         |
| Manipur                     | 6           | 9           | 2           | 9           | 1           | 7           | 3           | 9           | 11          | -           | 8           | -           | 4           | -           |
| Meghalaya                   | 2           | 145         | 11          | 1           | 4           | 2           | -           | 1           | -           | -           | -           | 4           | 2           | 2           |
| Mizoram                     | 2           | 77          | 3           | -           | 2           | 1           | -           | -           | -           | 1           | 1           | -           | -           | 1           |
| Nagaland                    | 4           | 39          | 6           | 4           | 3           | 1           | -           | 3           | 2           | -           | 11          | 1           | 1           | 2           |
| Odisha                      | -           | 1           | -           | 9           | -           | -           | -           | -           | 1           | -           | -           | 1           | -           | -           |
| Puducherry                  | -           | 2           | 8           | 10          | 2           | -           | 6           | -           | 2           | -           | -           | -           | -           | 1           |
| Punjab                      | -           | 2           | 262         | 204         | 103         | 1           | 63          | 1           | 25          | 3           | 65          | 2           | 36          | 5           |
| Rajasthan                   | 9           | 13          | -           | 27          | 271         | 749         | 421         | 50          | 209         | 60          | 64          | 31          | -           | -           |
| Sikkim                      | 1           | 5           | -           | -           | -           | -           | -           | 6           | 1           | -           | 1           | 1           | 2           | 2           |
| Tamil Nadu                  | 790         | 327         | 84          | 27          | 81          | 12 2        | 146         | 524         | 51          | 22          | 40          | 86          | 33 54       | 22          |
| Telangana                   | 1           | 38          | -           | 4           | 1           | 36          | 246         | 142         | 52          | 826         | 56          | 2           |             | 1           |
| Tripura                     | 2           | 88          | -           | 1           | -           |             | -           | 2           | 1           | 2           | 2           | 3           | -           | 1           |
| Uttar Pradesh               | 911         | 427         | 234         | 632         | 79          | 3           | 265         | 3           | 576         | 12          | 578         | 1,8 10      | 284         | 62          |
| Uttarakhand West            | 48          | 97          | 2           | 6           | 15          | -           | 20          | -           | 26          | -           | 46          | 1           | 28          | 2 -         |
| Bengal                      | -           | 5           | -           | 20          | 3           | -           | -           | -           | -           | 2           | 5           | -           | 8           |             |

## State/UT-wise and year-wise details of number of public and private hospitals de-empanelled under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

| Financial year              | 2018-2019   | 2018-2019   | 2019-2020   | 2019-2020   | 2020-2021   | 2020-2021   | 2021-2022   | 2021-2022   | 2022-2023   | 2022-2023   | 2023-2024   | 2023-2024   | 2024-2025   | 2024-2025   |
|-----------------------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|
| State/UT                    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    | Pub lic     | Priv ate    |
| Andaman And Nicobar Islands | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Andhra Pradesh              | 0           | 0           | 0           | 9           | 0           | 0           | 0           | 148         | 0           | 88          | 0           | 1           | 0           | 0           |
| Arunachal Pradesh           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Assam                       | 0           | 0           | 0           | 1           | 0           | 0           | 0           | 2           | 0           | 5           | 0           | 0           | 0           | 0           |
| Bihar                       | 0           | 17          | 0           | 34          | 0           | 5           | 0           | 1           | 0           | 1           | 0           | 0           | 0           | 0           |
| Chandigarh                  | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           | 1           | 0           | 0           | 0           |
| Chhattisgarh                | 0           | 0           | 0           | 2           | 0           | 0           | 0           | 1           | 0           | 0           | 0           | 0           | 0           | 9           |
| DNH &DD                     | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Goa                         | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 3           | 0           | 0           | 0           |
| Gujarat                     | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           | 0           | 1           | 0           | 1           |
| Haryana                     | 0           | 0           | 0           | 0           | 0           | 4           | 0           | 1           | 0           | 10          | 4           | 9           | 1           | 6           |
| Himachal Pradesh            | 0           | 0           | 11          | 0           | 1           | 4           | 1           | 4           | 0           | 3           | 3           | 3           | 0           | 0           |
| Jammu And Kashmir           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           | 0           | 0           | 0           | 1           |
| Jharkhand                   | 0           | 20          | 0           | 3           | 0           | 16          | 0           | 0           | 0           | 40          | 0           | 81          | 0           | 24          |
| Karnataka                   | 0           | 0           | 0           | 1           | 0           | 8           | 0           | 11          | 0           | 129         | 0           | 27          | 0           | 0           |
| Kerala                      | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 5           | 0           | 1           | 0           | 1           | 0           | 1           |
| Ladakh                      | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Lakshadweep                 | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Madhya Pradesh              | 0           | 0           | 0           | 0           | 0           | 3           | 0           | 10          | 0           | 87          | 0           | 53          | 0           | 286         |
| Maharashtra                 | 0           | 70          | 0           | 43          | 0           | 12          | 0           | 109         | 71          | 122         | 21          | 31          | 0           | 0           |
| Manipur                     | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           |
| Meghalaya                   | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           | 7           | 1           | 1           | 0           |
| Mizoram                     | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Nagaland                    | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 22          | 0           |
| Puducherry                  | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 2           |
| Punjab                      | 0           | 0           | 0           | 0           | 0           | 15          | 0           | 4           | 0           | 3           | 0           | 0           | 0           | 0           |
| Rajasthan                   | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           | 0           | 8           | 0           | 2           | 0           | 0           |
| Sikkim                      | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 1           |
| Tamil Nadu                  | 0           | 0           | 0           | 0           | 0           | 3           | 0           | 2           | 0           | 0           | 0           | 9           | 0           | 1           |
| Telangana                   | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 6           | 0           | 2           | 0           | 0           | 0           | 1           |
| Tripura                     | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           | 0           |
| Uttar Pradesh               | 0           | 3           | 0           | 3           | 1           | 74          | 0           | 45          | 0           | 40          | 2           | 204         | 0           | 47          |
| Uttarakhand                 | 0           | 0           | 0           | 19          | 0           | 1           | 0           | 32          | 0           | 32          | 0           | 1           | 0           | 0           |

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