The Chief Minister was explained about the functioning of the scheme and the steps taken to make it absolutely transparent, people-friendly, accountable, responsive and responsible by the Minister for Aarogyasri, Pithani Satyanarayana,   Chief Secretary, Mr. S.V.Prasad and CEO of the Trust, Mr. Babu. A  and other top officials. Dr Rosaiah asked the Trust to introduce stringent measures in order to ensure the best quality medical care to the beneficiaries and to avoid unethical practices by Network Hospitals.

The Chief Minister, in this context, has recalled the most valuable and memorable services rendered by the then Chief Minister Dr.Y.S.Rajasekhara Reddy to the poor people of the State particularly through Arogyasri, '108' and '104' services.

The officials explained to the Chief Minister that for standardisation of empanelment of network hospitals, a post of Chief Medical Auditor is created to continuously monitor the quality of medical care being provided to the beneficiaries. The Trust constituted Empanelment & Disciplinary Committee (EDC) under the Chairmanship of Chief Medical Auditor of the Trust. The Committee will ensure that the hospital has the adequate infrastructure, manpower, equipment etc. as per the standards for empanelment under the scheme. The process of empanelment is made online to bring in absolute transparency in the procedure.

The Hospital will submit online application. If infrastructure is lacking as per basic requirement like bed strength being less than 50, the application will be rejected at the scrutiny level itself. On finding that the basic infrastructure is adequate but other information like facilities and photographs are not uploaded, the application will be kept pending giving reasons and advising hospital to upload the same. Once all the required documents and necessary photographs are uploaded the application will be registered and then the Trust will organise inspection of the hospital by senior officials and specialists of the Trust and Insurance Company.  Inspection team will submit its report to the Empanelment and Disciplinary Committee and the EDC will scrutinise the inspection report, photographic and video graphic evidence along with online documents.

On confirmation of adequacy of infrastructure and services available, EDC will recommend for Empanelment of the Hospital. In case of major deficiencies and inadequacies as confirmed by inspection team, the hospital's application will be rejected and in case of minor deficiencies and inadequacies as confirmed by inspection team, the hospital will be advised to upgrade or improve the infrastructure and notify the Trust for Re-inspection. The Insurance Company will appoint and allocate Aarogyamithras and kiosk for the Hospital, the Trust will organise a workshop for the MD, RAMCO (Rajiv Aarogyasri Medical Coordinator), AMCO (Aarogyasri Medical Camp Coordinator), Billing Executive of Empanelled hospitals to apprise them about the scheme, online procedures, guidelines of the scheme, packages, responsibilities etc. The networked Hospital will be given an access code, Manual and other material to enable them to participate in the scheme. Thereafter the Network Hospital can start registering the patients under the Aarogyasri Scheme.

The Empanelment and Disciplinary Committee (EDC) under the chairmanship of Chief Medical Auditor of the Trust will also look into all the complaints against the hospitals received from various sources viz., Complaints from patients, complaints from 24 hour call centre, field staff, reports of surprise inspections to the hospitals by the Trust/Insurance Officials, Press Clippings and other sources and recommend follow-up actions against network hospitals based on the severity of the complaints after due verification. Show Cause Notice with Warning and order to withhold payments, Suspension, Suspension with order to withhold payments, De-Empanelment and Delisting etc. will be initiated as found necessary.

On approval of the recommendation of EDC by the CEO, the necessary steps are being initiated by the Trust. All these are done in a transparent manner through the online workflow. In case of hospitals suspended from the scheme, their explanation will be considered case-by-case based on merit. In case of delisted hospitals, the request made for re-empanelment will be considered only after a minimum period of 6 months. In case of new hospitals, which are applying for empanelment under Aarogyasri scheme, if the application is rejected for the first time, their request will be considered only after a period of six months and if the hospital is rejected during the second time for empanelment, their request will be considered only after a minimum period of one year from the date of second rejection.

The Social Audit Mechanism includes a letter from Chief Minister which will be dispatched directly to the address of the beneficiary soon after their discharge enquiring about their health after the treatment. It provides details of the claim such as disease suffered, surgery/therapy done, package amount approved etc. Enquiries about the satisfactory services rendered and a self-addressed postage paid inland letter is attached to this letter to get specific feedback from the beneficiary about the quality of services, behaviour of Aarogyamithra and hospital staff and his opinion about the scheme etc.