Revised CGHS Rates for ECHS 2025: New Rules, MoA Renewal & Mandatory Undertaking Explained
The Central Organisation ECHS has issued an important notification regarding the implementation of newly revised CGHS rates for ECHS empanelled Health Care Organisations (HCOs). The directive, released vide letter B/49769/AG/ECHS dated 05 December 2025, brings significant changes that all empanelled hospitals and Regional Centres must comply with.
This article explains the key provisions of the new orders, mandatory actions for hospitals, and details of the undertaking required before the renewal of the Memorandum of Agreement (MoA).
1. Implementation Date of Revised Rates
As per the Ministry of Defence, Department of Ex-Servicemen Welfare (DoESW) letter:
- The Revised CGHS Rates for ECHS 2025 will come into effect from 15 December 2025.
- All Regional Centres must start implementing the revised rates and associated procedures immediately.
2. Key Directives for Regional Centres & Empanelled Hospitals
2.1 Expiry of Existing MoAs
All current Memoranda of Agreement (MoAs) with private empanelled hospitals will:
- Automatically cease to be valid at 12:00 AM on 15 December 2025.
- No hospital can continue under the old MoA once the revised rates take effect.
2.2 Mandatory Renewal Through Online Module
Every empanelled HCO must:
- Apply for renewal of empanelment through the Hospital Empanelment Module available on the ECHS website.
- Only hospitals completing this process will remain eligible under the new rates.
2.3 New MoA to Be Executed Within 90 Days
A fresh Memorandum of Agreement must be:
- Executed within 90 days from the date of implementation (i.e., by 14 March 2026).
- The revised rates and conditions will apply only after successful execution.
2.4 Submission of Undertaking Before 15 December 2025
To continue receiving empanelment benefits under the revised rates:
- Each HCO must submit a mandatory undertaking before 15 December 2025.
- The undertaking confirms acceptance of all clauses and obligations of the updated Government Schedule of Rates (GSL).
Failure to submit the undertaking before the deadline will lead to automatic de-empanelment.
2.5 De-Empanelment for Non-Compliance
If an HCO:
- Fails to submit the undertaking, or
- Fails to meet the empanelment criteria at any point,
… it will be deemed de-empanelled without further notice.
3. Purpose of the Undertaking
The undertaking serves as a binding declaration by the hospital that:
- All clauses of the GSL are mandatory and enforceable.
- The hospital has read, understood, and accepted all conditions.
- Any breach may lead to suspension, recovery of dues, or legal action.
- The signatory is duly authorized to bind the organization.
The undertaking must be:
- Printed on the hospital’s official letterhead,
- Signed by the CEO or Head of Hospital, and
- Submitted to the concerned Regional Centre in original hard copy.
4. Impact on Beneficiaries
The implementation of the Revised CGHS Rates for ECHS 2025 aims to:
- Standardize treatment rates across all empanelled HCOs.
- Improve transparency and uniformity in billing.
- Ensure better service delivery to veterans and their dependents.
Beneficiaries should soon see improved alignment between CGHS and ECHS policies and pricing.
