1. AYUSHMAN MITRA (Selection, Placement and Training) Ayushman Bharat – Pradhan Mantri Jan Swasthya Yojana

2. Ayushman Mitra – Criteria and Selection
Completed 12th from a recognized Board of Education
Completed the Ayushman Mitra Training Course and passed the respective course exam/ certification
Possessing fluent communication skills in English/Hindi and Local language
Having adequate functional computer literacy which shall include understanding of Microsoft Office Suite and navigating through Internet Portals.
Qualified Female Candidates and ASHAs to be given preference
Recruitment:
Public hospitals:
Depute/ designate or hire through a third party agency or hire through any other means
Private hospitals:
Hire directly

3. Placement
Numbers of AMs shall be dependent on the average case-load per day; suggested numbers are:
0-10 Cases – 1 AM
10-20 Cases – 2 AMs
20-30 Cases – 3 AMs
30-40 Cases – 4 AMs
State can revise the number of AMs based on local conditions
AMs shall be reshuffled every 6 months within the same city /town as far as feasible
reshuffling of AMs shall be done by the district nodal officer

4. Roles and Responsibilities
The Ayushman Mitra is the primary contact for the beneficiaries at every EHCP
The AM shall be responsible for focusing on three broad areas:
Operating the Beneficiary Identification System to identify and verify the beneficiaries entitled under AB-PMJSY
Undertaking Transaction Management such as submitting requests for Pre-Authorization and Claims
Guiding the Beneficiary about the overall benefits under AB-PMJSY and providing information about receiving prompt treatment at EHCP

5. Key Roles: BIS for new beneficiaries
Collects the Aadhaar Card, Family ID Card or any other Government ID Card from the beneficiary
Searches name, verifies names based on Govt ID card, authenticate beneficiary, take a photo and establishes beneficiary relation with the family
AM receives family and individual match scores; record is saved as ‘silver record’ and a provisional card generated
Records submitted to verifying authority; once approved, record is saved as ‘golden record’
AM will then print the AB-PMJSY e-Card as “golden record” and give it to the beneficiary

6. Key Roles: at EHCP for care seeking
provide all the necessary assistance and details about the scheme; help locate facilities and guide a patient
collect, scan and upload all the necessary documents for pre-authorization
liaison with the EHCP for timely admission and availability of bed to patient
liaison and coordinate with the Medical officer for collecting, scanning and uploading all the necessary documents required for submitting claim request
verify discharge summary and follow-up details to the discharged beneficiaries
bring all grievances to the notice of Grievance Cell
track and report refund of any investigation amount collected in contravention to the Guidelines
report any irregularities or inadequacy noticed
to the beneficiaries e.g. explain to the beneficiary that the AB-PMJSY card does not cover the OPD treatment

7. Ayushman Mitra Training Plan
The training to Ayushman Mitras can be delivered in both F2F and online means to meet the timelines of PMJSY and be more comprehensive:
Face-to-Face (F2F) Training
The F2F training will roll-out first as it is easier to develop relative to the online training
Online Training
The online training will be aimed at ensuring standardization and certification of relevant staff

8. Ayushman Mitra Training Plan – F2F (first phase to 9 States)
Partnership with Ministry of Skill Development and Entrepreneurship
Health Sector Skill Council to provide technical support
Pradhan Mantri Kaushal Kendra platform in 400+ districts to be used
PMKK to assess the knowledge level of trainer Ayushman Mitra
Identification of AM (pub and Pvt)
NHA and SHA
Training of trainers (PMKK and HSSC)
NHA and HSSC
Training of AM
PMKK
August 05, 2018
(for public hospital to start with
August 9-11, 2018
August 12, 2018

9. Steps to be taken by states
For the districts 9 selected states where public/pvt hospitals have been identified:
Share details of Ayushman Mitra – August 5, 2018 (template in next slide)
Identify nearest PKKK for each district where AMs have been identified (list of PMKKs will be shared)
Mobilize Ayushman Mitra for training on August 13-14, 2018
Report to NHA on number of Ayushman Mitra trained by August 16, 2018
For remining states and remaining AMs in 9 states: share the details of AM by August 30, 2018, details of training would be shared
9 States: Chhattisgarh, Jharkhand, Madhya Pradesh, Assam, Manipur, Arunachal Pradesh, Nagaland, Chandigarh and Dadra and Nagar Haveli

10. Details of Ayushman Mitra
Sn.
Name of Ayushman Mitra
Base Hospital
Type of Hospital (Pub./ Pvt.)
District
Mobile No.

11. Ayushman Mitra Training Plan – Online (long term)
An agency will be hired to develop:
Online training content
Learning Management Solution (web-portal)
Dashboard for monitoring of training
PMKKs will be used to rollout supervised online training in every district of the country
Key features (tentative):
Course content and LMS hosted on govt servers
AMs register and take-up the course
Online test linked to course is taken-up by AMs
After successful completion, a certificate is generated ( /print)

12. Thank You