What major changes are being made to Maharashtra's MJPJAY health scheme?

The scheme is empanelling 2,767 Primary Health Centres (PHCs) and Urban Primary Health Centres (UPHCs), establishing a corpus fund for high-cost transplants, and increasing coverage to ₹5 lakh.

How will high-cost procedures be covered under the new health scheme changes?

A dedicated corpus fund has been created to finance expensive treatments like heart, liver, and bone marrow transplants, with 20% of claims retained as reserve funds.

When will the new Transaction Management System (TMS) be fully implemented for MJPJAY?

Trials for the TMS portal have commenced, and over 2,500 hospitals are expected to be on the platform starting February 9.

Home / Health / Maharashtra Health Scheme: PHCs to Cover Transplants

Maharashtra Health Scheme: PHCs to Cover Transplants

9 Feb

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Summary

2,767 primary health centers will be added to the health scheme.
A special fund is established for costly procedures like transplants.
The health scheme coverage has been increased to ₹5 lakh.

Maharashtra Health Scheme: PHCs to Cover Transplants

The Maharashtra government is significantly expanding the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) by empanelling 2,767 Primary Health Centres (PHCs) and Urban Primary Health Centres (UPHCs). This initiative, expected to be completed within two weeks, will bring the total number of empanelled facilities to 5,248, allowing beneficiaries to receive treatment nearer to their residences.

A key enhancement is the operationalisation of a special corpus fund designed to cover high-cost medical procedures. This fund will support treatments such as heart, liver, and bone marrow transplants. Previously, the state government revamped MJPJAY in 2023, extending coverage to ₹5 lakh per family and increasing the number of covered procedures to 2,399.

To improve transparency and efficiency, the entire scheme is transitioning to an advanced Transaction Management System (TMS) portal. Trials have begun, with over 2,500 hospitals expected to join the platform by February 9. The corpus fund mechanism involves retaining 20% of claims as reserve funds, with the remaining 80% paid to hospitals upon approval by a special committee.