Parliament Question: Suspension of Hospitals under AB-PMJAY

GOVERNMENTOFINDIA MINISTRYOFHEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 4656 TOBE ANSWERED ON20TH MARCH, 2026 SUSPENSIONOFHOSPITALS UNDERAB-PMJAY 4656. SMT.RACHNABANERJEE: Will the Minister of HEALTHAND FAMILYWELFAREbe pleased tostate: (a) the number of hospitals that have suspended the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)scheme inthe countryciting pendingbills, State-wise;and (b) the amount (in Rs.) of pendingbills under(AB-PMJAY) in the country asof March 2026, State/UT-wise? ANSWER THE MINISTER OFSTATEIN THE MINISTRYOFHEALTHAND FAMILYWELFARE (SHRIPRATAPRAOJADHAV) (a) & (b): Under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), hospitalempanelmentisacontinuousprocessandisundertakenbytheimplementingState/UT basedontherequirementsandavailabilityofhealthcareprovidersmeetingthecriteriawithina givenState/UTasperempanelmentguidelinesofNationalHealthAuthority.Theempanelment ofprivatehospitalsundertheschemeisentirelyvoluntary. The empanelment of hospitals under the scheme has increased from 6,917 hospitals in FY 2018–19, comprising 3,013 public and 3,904 private hospitals to 36,229 hospitals as on 28.02.2026,comprising19,483publicand16,746privatehospitals. Under the scheme, settlement of claims is a regular and uninterrupted process and claims are settled by respective State Health Agencies as per claim adjudication guidelines issued by National Health Authority. As per these guidelines, the permissible turnaround time for settlement of claims to hospitals is within 15 days of claims submission for the intra-state hospitals (hospitals located within State) and within 30 days in case of portability claims (hospitalslocatedoutsideState). Under AB-PMJAY, claims submitted by empanelled hospitals are scrutinized based on the clinicaldocuments, investigationreports, andothersupportingrecords, inaccordancewiththe prescribedstandardtreatmentguidelines. *****