STLS: DBT

Direct Benefit Transfer (DBT) is a major initiative of Government of India (GoI) whereby any government subsidy or benefit is to be transferred directly into the beneficiary's bank accounts. Intermediary government agencies only manage the process of payments, without handling actutal money.

NTEP is one of the first health programmes in India to use a fully adopt DBT. It uses an end to end electronic system, to digitise beneficiary information and transfer monetary benefits. In NTEP to process benefits, two electronic systems are used, Ni-kshay (operated by NTEP) and PFMS (Public Finance Management System, operated by the Ministry of Finance). Ni-kshay enables Direct Benefit Transfer by digitizing the beneficiaries(bank account details of patients, treatment supporters and providers) and calculates of incentives/ benefits (eligible payment) and processes them for payment through PFMS under various schemes. The various schemes operational under NTEP are:

• Nikshay Poshan Yojana(NPY)
• Tribal Support Scheme
• Treatment supporter’s Honorarium
• Incentive for Notification and Outcome

• Beneficiary: These are the individuals who get benefits from payments under a particular scheme. E.g., all notified TB patients are beneficiaries under the Ni-kshay Poshan Yojana. An individual may be eligible for multiple payments under one scheme or may be eligible for multiple schemes. Only individuals with bank accounts will receive these benefits. Also, beneficiaries and their bank accounts need to be approved by a district-level authority to receive any of the benefits from Ni-kshay.
• Processing authorities: The DBT maker and checker are designated personnel in the health system for in processing benefits. They are responsible for the two levels of verification in Ni-kshay; confirming and approving each benefit under their jurisdiction. Both maker and checker are roles that are assigned to any personnel  in NTEP as decided by the District TB Officer. They perform their role through a special staff login in Ni-kshay with the designation “DBT Maker” or “DBT Checker,” created under the staff management module of Ni-kshay.
  1. DBT Maker: Maker acts at the TU level. All benefits created are assigned to the maker, who has to reconfirm the eligibility manually, update necessary details if required and send the benefit to the checker for approval.DBT maker is created by the District Tuberculosis Officer (DTO) upon request from the Medical Officer Tuberculosis Center (MOTC).
  2. DBT Checker: DBT checker acts at the district level. Checker is responsible for approving all beneficiaries under the district once it has been created by the DBT makers at TU levels. DBT checker role in Ni-kshay app is created by the State TB Officer (STO).

 

Resources

• Introduction to DBT, Ni-kshay Knowledge Base.
• https://tbcindia.gov.in/WriteReadData/NTEPTrainingModules5to9.pdf
• Direct Bene­t Transfer Manual for National Tuberculosis Elimination Programme; MoHFW, Government of India, 2020. 

 

Assessment

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
An individual is only eligible for a benefit under NTEP at one point in time.	True	False			2	An individual may be eligible for multiple payments under one scheme or may be eligible for multiple schemes.

 

 

There may be other Central or State government schemes and programmes that beneficiaries related to the TB program are eligible for, over and above the 4 schemes provided by the central government through NTEP. Some examples are:

• State Illness Relief Fund (can serve seriously ill TB patients)
• Chief Minister’s Farmers Security Scheme
• Nutritional Support to DR-TB Patients
• Sanjay Gandhi Niradhar Yojana
• Surakhaya Yojana
• Pridhar Parasar Yojana
• Scheme for treatment of critical disease for schedule caste/schedule Tribe and people below poverty line (BPL).
• Rastriya Swasthiya Bhima Yogana (RSBY) reimbursement for those TB patients who required hospitalisation
• Sudurvarti Sahayaks from CM's Sudurvarti Gram Yojana involved TB services

These schemes are paid through their respective payment processing channels and not through Ni-kshay.

1. All TB patients notified on or continues treatment after 1st April 2018 including all existing TB patients under treatment are eligible to receive incentives.
2. For availing DBT scheme benefits under NTEP Programme, TB patients have to provide their bank details to the nearest NTEP Health facility.
3. The patient must be registered\notified on the NIKSHAY portal.
4. Each beneficiary can be linked to unique savings bank account belonging to him/her. Beneficiaries without bank accounts need to be facilitated to open bank accounts in any bank as convenient.
5. If a Beneficiary does not have a bank account and is unable to open a new bank account, his/her relative’s bank account may be used(immediate family member such as parents, spouse, siblings).
6. If a relative’s bank account is used, written consent should be taken from beneficiary.
7. If a bank account has already been used for another beneficiary, it cannot be re-used for another beneficiary. If a new Bank account needs to be opened, it’s easy to open a zero-balance account with Indian Post Payments Bank.

 

Benefi­ciaries for any scheme need to be ­first informed about the scheme details, its benefi­ts and the process of receiving the benefi­ts.

Beneficiary registration is the first step in the processing of Direct Benefit Transfer (DBT) schemes in Ni-kshay. Patients after diagnosed and notified as “Pending Treatment” or “On Treatment” who haven’t updated the Beneficiary status has to enter their bank details to register.

Ni-kshay maintains a Bank Master and only banks available in Public Financial Management System (PFMS) can be used to make payments. Users need to enter their IFSC Code and Ni-kshay auto-populates the details of the bank. Then the user is expected to enter their account number and click “Save”.

If a bene­ficiary does not have a bank account/ is a paediatric patient, they may be linked to an account of one of their family members with written consent/ authorisation from the beneficiary. But the bank account needs to be unique to be registered in Ni-kshay.

Then the request is sent to PFMS to validate the active bank account details. Once validated by PFMS, the beneficiary status will change to “Validated” and will be sent to DBT Checker (at District Tuberculosis Officer (DTO) Office) for approval.

The DBT checker will approve the bank account details and the beneficiary status will be reflected in Ni-kshay as entered.

On successful validation of the Bank details of the benefi­ciary, the benefi­ts of the bene­ficiary can be processed.

 

Figure: Process of beneficiary registration in Ni-kshay

 

Valid documents (passbook/ bank statement/ cancelled cheque) from the benefi­ciary should be collected and maintained at the Peripheral Health Institution (PHI) and produced at the time of veri­fication.

 

Resource 

 

• Direct Benet Transfer Manual for National Tuberculosis Elimination Programme; MoHFW, Government of India, 2020. 

 

Assessment

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
Only patients with a bank account can be registered as a beneficiary in Ni-kshay.	True	False			2	If a beneficiary does not have a bank account/ is a paediatric patient, they may be linked to an account of one of their family members with written consent/ authorisation.

 

 

 

Ni-kshay automatically generates benefi­ts as per the scheme guidelines. All bene­fits are linked to the patient's episode irrespective of the benefi­ciary. These bene­fits need to undergo two levels of approvals in Ni-kshay before being sent to Public Financial Management System (PFMS) for payment to the benefi­ciary. Action can be taken only for bene­fits for which the corresponding benefi­ciary has been registered (validated) with PFMS.

Direct Benefit Transfer (DBT) maker and DBT checker are responsible for the 2-level benefit approval in Ni-kshay. First Tuberculosis Unit (TU) user (DBT maker) has to approve the benefits, which then will be displayed under the ‘Pending’ section of the DBT module from the District Tuberculosis Officer's (DTO’s) login (DBT checker).

The benefi­t transaction remains in the ‘Processing’ tab of the maker till it is under process with DTO (for approval) or PFMS (for payment). Only the status of the transaction changes. The status of the transaction will either be “waiting for has not yet approved it when it is under the DBT Checker or will be “Sent to PFMS for Payment" when DBT Checker has approved and the benefi­t is pending PFMS for payment.

 

Figure: Benefit processing in Ni-kshay

 

The approved benefi­ts by the DBT checker in Ni-kshay are sent to PFMS regularly (every night). Once the benefit is processed and money is credited, PFMS will inform Ni-kshay and the status of such benefi­ts is updated/ displayed in Ni-kshay as “Paid”.

 

 

Resource

• Direct Benefi­t Transfer Manual for National Tuberculosis Elimination Programme, MoHFW, Government of India, 2020.

 

Assessment

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
A benefit undergoes 2-level of approval in Ni-kshay first by____ and then by___	Creator at Public Health CarePHC level and Checker at the district level	Maker at DTO level and Checker at State TB Officer's (STO) level	Maker at TU level and Checker at DTO level	None of the above	3	A benefit undergoes 2-level of approval in Ni-kshay first by maker at TU level and then by checker at DTO level.

 

Direct Benefit Transfer (DBT) Maker and Checker are responsible for the 2-level benefit approval in Ni-kshay, which must be repeated for every benefit.

The Ni-kshay “Pending” tab lists all benefits to be paid. The DBT maker and checker review benefit and beneficiary details, and only beneficiaries with bank details are validated are approved.

Actions taken by Maker and Checker at various stages of benefits processing are given in the table below.

Table: Actions taken by Maker and Checker

			After the action, benefi­t would be visible in the benefi­t processing tab of Ni-kshay named:
Action	Action by	Message	For Maker	For Checker
Do nothing	Maker/ Checker	It is a default option for any benefi­t and implies no change in the bene­fit status.	Pending	Pending (Only if the benefi­t has been processed by Maker and sent to Checker)
Send to checker	DBT Maker	DBT Maker can send a benefi­t to DBT Checker by approving the benefi­t as DBT Maker sends the benefi­t.	Processing	Pending
Approve	DBT Checker	DBT Checker can approve the benefi­ts. Once the benefi­t is approved by the DBT checker, benefi­ts are clubbed into batches in PFMS. These batches are either accepted or rejected by the PFMS approver. If the batch is accepted, PPA is generated, signed, and sent to the bank for processing. If rejected, the benefi­ts are sent back to Maker Pending.	Processing	Processing
Rejected	DBT Checker	This option is to be selected to resend the benefi­t to DBT Maker for his review and necessary action.	Pending
Paid external	DBT Maker/ Checker	If a benefi­t was paid directly via PFMS, for reconciliation purposes, it is important to update Ni-kshay. For such benefi­ts (which have been paid externally) can be marked as “Paid External”. It is now advisable (since September 11, 2019) to make all payments from within Ni-kshay. The reconciliation process is explained in the annexure to this document.	Paid	Paid
Paid in kind	DBT Maker/ Checker	It is at the discretion of the State to disburse bene­fits either in cash or in kind for schemes in National TB Elimination Programme (NTEP). Some states, such as Chhattisgarh, are adopting such practices of giving benefi­ts in kind through food baskets, etc.	Paid	Paid
Removed	DBT Maker/ Checker	Users may decide that the benefi­t is not to be paid to the bene­ficiary and have removed the benefi­ts. For example, if a patient refuses to take the bene­fits or is unwilling to share the bank details, the Tuberculosis Unit (TU)/District Tuberculosis Officer (DTO) User can remove it. If a transaction has been removed by mistake, it can be ‘unremoved’ and processed further.	Removed	Removed
Deferred	DBT Maker/ Checker	Users may decide to defer the bene­fits in case they decide to pay them later. However, the ­first benefi­ts cannot be deferred. If a Benefit is “deferred”, Ni-kshay will add the amount to the next benefi­t when it is due. Once a transaction is deferred, it can only be processed along with the next bene­fit as it becomes due.	Deferred	Deferred

 

 

Resource

• Direct Benefi­t Transfer Manual for National Tuberculosis Elimination Programme; CTD, MoHFW, Govt of India, 2020.

After the assigned Checker/ Approver Ni-kshay user clears benefits, Nikshay sends groups/ batches of benefits to PFMS as a "Payment Request" (DBTPayReq). PFMS processes these Payment Requests it receives from Ni-kshay before executing the request. Processing involves checking for any inconsistencies/ errors in the payment request at the batch level and at the benefit level. On processing:

• If there are no errors the Payment Request, payment can be initiated/executed. Payment initiation depends on availability of the Digital Signature of the assigned "Approver". If the Digital Signature is not present, the Payment Request is submitted to the Approver User (DA ID) in PFMS for physical signature through Print Payment Advice (PPA).
• If there are errors at either the batch level or at benefit level, the entire batch/ Payment Request would be rejected and sent back to Ni-kshay. Depending upon the type of error Nikshay either automatically corrects the errors/ re-batches them removing the erroneous benefits, or presents it back to the "Maker" user in Ni-kshay to address the error.

On execution of the Payment Advice from PFMS, PFMS communicates with the corresponding source bank to make the bank transfer. If the bank transfer is successful the benefit amount gets credited to the bank account of the bene­ficiary and the bank informs PFMS, which in turn informs Ni-kshay and the status of such Benefi­ts is updated/displayed in Ni-kshay as “Paid”.

Resources

• Direct Bene­fit Transfer Manual for National Tuberculosis Elimination Programme, MoHFW, Government of India, 2020.

 

Assessment

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
PFMS return the entire batch of benefit if one error is found in a request.	True	False			1	If there are any errors in the batch, PFMS rejects the entire batch. Irrespective of the number of errors and the number of faulty benefits, PFMS may reject the entire batch.

 

Nikshay Poshan Yojana (NPY) is one of the four initiative-based support schemes which provides financial support to TB patients for their nutrition. A financial incentive of Rs. 500 per month will be provided to patients on anti-TB treatment till the completion of treatment.

• All TB patients who are registered/ notified (from both public/ private sectors) on the Nikshay Portal on or after 1^st April 2018 are beneficiaries of the scheme.
• The incentive is paid in cash and will be deposited to the Aadhaar enabled bank account of the patient. In the case of paediatric TB patients, money will be deposited in parents'/ guardians’ accounts.
• The first instalment of Rs. 1000 total for the first 2 months is expected to be disbursed immediately after starting treatment. To ensure treatment adherence, after the first instalment, the conditionality of follow-up examination is applicable.
• Each month of treatment extension, Rs. 500 will be transferred to the patient's DBT account, till the treatment is continued.
• In some states, where the incentive is transferred in-kind, they should provide food baskets with a total value not less than the corresponding eligible benefit.

Figure: Aims of Nikshay Poshan Yojana

The health volunteer/ Treatment supporter, Multi-purpose Health worker in-charge, or the Senior Treatment Supervisor (STS), are responsible to collect the bank details of the patient from the field level and enter it on the Ni-kshay.

 

Resources

Nutritional Support DBT Scheme Details, CTD.

Direct Benefi­t Transfer Manual for National Tuberculosis Elimination Programme, CTD, 2020.

Guidelines for Programmatic Management of Drug-resistant TB in India, 2021.

 

Assessment

Question​	Answer 1​	Answer 2​	Answer 3​	Answer 4​	Correct answer​	Correct explanation​
Only patients seeking treatment in public hospitals are eligible for Nikshay Poshan Yojana.	True	False			2	All patients who are receiving treatment from both public and private sectors and are notified on the Nikshay platform are eligible to receive the benefit.

 

Special provisions have been made in the tribal, hilly and difficult to reach areas of the country under the National TB Elimination Programme (NTEP) to expand diagnosis and treatment centres, improve access for TB patients and coverage of TB services.

To provide access to diagnosis and treatment centres for people in the tribal areas, NTEP has initiated transport support for TB patients in notified tribal areas from the year 2019.
 

Transport support is available for patients receiving treatment from both the private and public sectors.

This is a one-time benefit of Rs. 750, provided to a TB patient notified from a health facility registered under a TB Unit (TU) that is flagged as “Tribal TU” on Nikshay to be eligible for this transport support.

To receive the benefit, the patient should be identified as unique by the Nikshay system or approved by the District TB Officer (DTO).

 

Resources

Direct Benefi­t Transfer Manual for National Tuberculosis Elimination Programme, CTD, 2020.

Guidelines for Programmatic Management of Drug-resistant TB in India, 2021.

 

Assessment

Question​	Answer 1​	Answer 2​	Answer 3​	Answer 4​	Correct answer​	Correct explanation​
TB patients in tribal areas are eligible for transport support for every visit to the nearest health facility.	True	False			2	Transport support for TB patients is a one-time benefit for a notified TB patient registered under Tribal TU.

 

 

Treatment supporters are eligible for Honorarium at the end of TB patients treatment, only if the patient's treatment outcome has been declared either as "Cured “or "Treatment Complete".

 

The eligible amount of honorarium is

• Rs. 1,000 for DSTB Patients and for
• Rs. 5,000 for DRTB patients. 

 

These benefit amount are processed through Nikshay and below are the prerequisite conditions that needs to be met in Nikshay, for generating incentive

• Treatment supporter should be registered and enabled for receiving honorarium from Nikshay.
• Bank details of Treatment supporter should be submitted to the nearest NTEP health facility staff.
• In Nikshay, this is the only scheme where benefits are generated manually by TU users - STS
• Nikshay will allow NTEP TU users to generate benefits, only if
  • ​Treatment Outcome has been declared as "Cured “or "Treatment Complete"
  • Patient duplication status should be Unique i.e. Nikshay marks the patient duplicate based on Gender and Mobile Number
• For DSTB patient, one benefit of maximum amount of Rs. 1,000 can be created if outcome is updated as “Cured” or “Treatment Completed
• For DR TB patients two benefits can be generated in Nikshay:
  • First benefit of maximum amount Rs. 2,000 can be created at end IP - Intensive Phase (i.e. Initiation Date + 6 months)
  • Second benefit of maximum amount Rs. 3,000 can be created if Outcome is updated as “Cured” or “Treatment Completed”

Private health providers are an inevitable part of the TB treatment and support in the country. These private providers include:

• Practitioner / Clinic etc. (Single)
• Hospital/ Clinic/ Nursing Home etc. (Multi)
• Laboratories
• Chemists

 

To improve complete reporting and ensure support care for patients in the private sector, the facilities will receive an incentive of:

• Rs 500 as Informant or Notification Incentive
• Rs. 500 for Outcome declaration

For patients seeking healthcare from a facility in a different district, Nikshay enables the feature of linking a health facility (HF) in addition to the current HF. This enables the private facilities to enter treatment outcomes and become eligible for the incentive.

Private health providers are also eligible for treatment supporter incentives of Rs. 1000 for DS-TB patients and Rs 5000 for each DR-TB patient for ensuring support for the entire course of treatment.

Resources

Guidelines for Programmatic Management of Drug-resistant TB in India, 2021.

 

Assessment

Question​	Answer 1​	Answer 2​	Answer 3​	Answer 4​	Correct answer​	Correct explanation​
What incentive does a private sector facility receive for every TB patient notified?	Rs. 1000	Rs. 700	Rs.500	Rs. 250	3	A private facility will receive an incentive of Rs. 500 for every TB patient notified.

 

 

In the National TB Elimination Programme (NTEP), the beneficiaries and different staff members have different roles and responsibilities for Direct Benefit Transfer (DBT) processing.

 

Beneficiaries

• Provide their bank details of an active savings account to health staff for registration on Ni-kshay. This includes the account holder's name, Bank account number and IFSC code. 
  
  • If the beneficiary does not have a bank account, open one via Jan Dhan Yojana or India Post Payments Bank.
• Provide a copy of the passbook or cancelled cheque or any other supporting documents for the bank account.
• Provide a written declaration to forego the benefits or to credit the payments to a relative’s bank account.
• Check the payment transfers as and when made and troubleshoot if not receiving the payment.

 

Health Staff

This includes Multipurpose Workers (MPWs), Female Health Workers (FHWs), Senior Treatment Supervisor (STS), Senior TB Lab Supervisors (STLS), TB Health Volunteers (TB-HV), Data Entry Operator (DEO), Medical Officer TB Centre (MO-TC).

• Enrol patients on Ni-kshay with correct and complete details.
• Update treatment information.
• Facilitate opening a bank account, if required.
• Collect and maintain bank details of beneficiaries and give assurance that these details will be used for authentication and benefit payment.
• Spread awareness on scheme benefits and prerequisites to avail them.
• Update contact and treatment details of a transferred patient to ensure continued treatment.
• If the health staff is also the DBT Maker, then they need to ensure timely processing benefits. 
• Ensure that the beneficiary has received the DBT once it is processed by the Public Financial Management System (PFMS). 

 

District TB Offi­cer (DTO)

• Ensure that healthcare staff collects required details from beneficiaries and updates Ni-kshay.
• Review the data entered into Ni-kshay.
• Duplicate the notifications and approve the benefits payments.
• Monitor delays in payment and address the issues.
• Ensure DBT Maker and Checker are assigned for patient management in Ni-kshay.
• Plan, review and ensure budget/ funds for fi­nancial support to TB patients, treatment supporters and private providers.
• Coordinate with banks, district authorities et al to ensure that the required processes and interventions are smoothly implemented.
• Procure Digital Signature Certificates (DSCs) to deploy payments faster by reducing the time required for Print Payment Advice (PPA) printing, signing and delivery to the bank.

 

State TB Offi­cer (STO)/ State Programme Officer (SPO)/ Offi­cer-in-Charge

• Guide the district and health staff on DBT.
• Coordinate with departments to get support in the opening of bank accounts for beneficiaries.
• Plan, review and ensure budget/ funds for fi­nancial support to TB patients, treatment supporters and private providers.
• Monitor progress of transaction of ­financial incentives/ honorarium through DBT.
• Verify transactions using supervision, evaluations, comparing trends, identifying outliers, etc.
• Ensure that relevant nodal persons at district levels are provided with the Checker ID.
• Uptake the usage of DSCs for processing payments by supporting the procurement of DSCs for designated signatories.

 

Resources

• Direct Bene­fit Transfer Manual for National Tuberculosis Elimination Programme, MoHFW, Government of India, 2020.

 

Assessment

 

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
Who is responsible for updating the details of the patient on Ni-kshay?	Patient	District TB Officer	State TB Officer	Health staff	4	The health staff is responsible for updating the information of the patient on Ni-kshay.

 

The Ni-kshay reports and registers contain beneficiary level information and only authorised users can download these reports from Ni-kshay. Confidential credentials are provided to access these reports.

The following summary reports can be obtained from Ni-kshay:

 

1. DBT Summary: This report provides the summary status of the eligibility and paid details of bene­fits and amount. The DBT summary will provide details based on date of notification
2. DBT Benefi­ciary Status: This report provides a summary status of the eligibility and paid status of benefi­ciaries. The period used to fi­lter this report is based on the diagnosis date.
3. DBT Benefit Status: This report provides a summary status of the eligibility and paid benefits. The period used to filter this report is based on the diagnosis date.
4. Notifi­ed Outcome with Empty Bank Details: This report provides information on the patients to whom the outcomes have been assigned. However, the bank details are empty for the action of the concerned users. The period used to fi­lter this report is based on the diagnosis date.
5. DBT Ni-kshay Poshan Yojana (NPY): This report provides a complete overview of the DBT NPY Scheme. The period used to ­filter this report is based on the diagnosis date.
6. DBT Transaction Summary: This report provides benefit payout details to align with expenditure summaries. The period used to filter this report is based on the date of the transaction.

Patient Registers Available in Ni-kshay

 

1. DBT Benefit Register: This register provides a line list of all benefits with their status as per the current health facilities.
2. DBT Benefi­ciary Register: This register provides a line list of all bene­ficiaries with their status as per the current health facilities. The period used to ­filter this report is based on the diagnosis date.

Resources

• Direct Bene­fit Transfer Manual for National Tuberculosis Elimination Programme, MoHFW, Government of India, 2020.
• Ni-kshay Documents Reports, Ni-kshay Training Materials.

 

Assessment

Question	Answer 1	Answer 2	Answer 3	Answer 4	Correct Answer	Correct Explanation
Which reports in Ni-kshay provide a line list of all benefits with their status as per the current health facilities?	DBT Beneficiary Status	DBT Benefit Status	DBT Summary	DBT Benefit Register	4	DBT Benefit Register provides a line list of all benefits with their status as per the current health facilities.

 

DBT Maker needs to identify the common errors that can occur at multiple levels of Direct Benefit Transfer (DBT) processing and take action to resolve that.

 

During Beneficiary Rejection

Rejection Code	Rejection Reason	Remark
CBE0056	Bene­ficiary bank account not allowed in this bank	The user needs to raise an NSD ticket to highlight the problem

 

During Benefit/ Payment Rejection

Rejection Code	Narration	Action
9	Miscellaneous - Others	Retrigger benefi­ts
11	Invalid IFSC/ MICR Code	Renter bank account details once more
R05	R05	Retrigger

 

Bene­ficiary Approval where Bank Accounts are duplicate

The principle of ‘One Benefi­ciary One Bank account’ has been recently implemented in Ni-kshay. All existing patients/bene­ficiaries where the bank account is duplicated will need to be updated.

DBT Checker will be able to approve only one benefi­ciary with the said Bank account. All other bene­ficiary records where the same Bank account was seeded will be converted to “Empty” status and will need to be seeded with a new and unique bank account.

 

Deduplication at the time of enrollment

An alert message will be provided by the system for potential duplicate records. Once reviewed by the user and decided that it is a unique case, they can click on “Proceed Anyway” to enrol the patient.

 

Resources

• Direct Bene­fit Transfer Manual for National Tuberculosis Elimination Programme, MoHFW, Government of India, 2020.

 

Assessment

 

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
No duplicates in patient records are accepted by Ni-kshay.	True	False			2	Potential duplicates identified by the system should be reviewed by the user and decided that it is a unique case, they can click on “Proceed Anyway” to enrol the patient.

 

Incentives of INR 500 for notification and outcome declaration will be provided to private providers (Health Facilities).

Presently, Ni-kshay enables users to pay ‘Private Health Facilities’ for Notification of TB patients, referring cases (informing) to public sector laboratories for diagnosis and outcome reporting.

Payment for other individual informants and TB patents for self-notification will be added later within the same scheme.

Outcome incentives will be generated when a patient’s treatment outcome is declared from a private practitioner/ clinic (single) and hospital/ clinic/ nursing home (multi).

The following steps need to be followed for Direct Benefit Transfer (DBT) payment processing in Ni-kshay for the private providers (Figure 1):

 

Figure 1: Steps for DBT Payment Processing in Ni-kshay for the Private Providers

 

Private providers should register on Ni-kshay and have a valid Health Facility ID to notify patients on Ni-kshay (Figure 2).

Private providers can either self-register themselves in Ni-kshay or register by calling Ni-kshay Sampark. A District TB Officer (DTO)/ TB Unit (TU) user can also register the providers using the Admin User Management module.

 

Following details needs to be entered in Ni-kshay during registration

• Facility Name
• Government Registration Number
• Contact person details (Name, Designation and Address)
• Mobile Number
• Email ID

The mobile number needs to be unique and is used to send One-time Password (OTP) during registration.

 

 

Figure 2: Registration Window of Private Providers in Ni-kshay

 

After this, the bank details of the provider need to be added (Figure 3).

 

 

Figure 3: Bank details update window for private providers in Ni-kshay

 

The next step is to get the updated details approved by DBT Checker. It is available on the ‘Private sector’ page in the ‘Beneficiary Approval’.

Benefits are auto-generated in Ni-kshay.

The pre-requisites for auto-generation of benefits for a private facility in Ni-kshay are:

• Active status
• Not opting for foregoing incentive
• “Validated” bank account status 
• ‘System identified unique’ or ‘unique marked by users’ episodes to generate benefits

Once benefits are auto-generated, DBT Maker and Checker will need to approve before being processed by PFMS.

 

 

Resources

• Direct Benefit Transfer Manual for National Tuberculosis Elimination Programme, MoHFW, Government of India, 2020.
• Module 7: Private Provider Scheme, DBT, Ni-kshay Knowledge Base.

 

Assessment

Question	Answer 1	Answer 2	Answer3	Answer 4	Correct Answer	Correct explanation
What details need to be entered on Ni-kshay while registering as a private provider?	Facility Name Government Registration Number Contact person details (Name, Designation and Address) Mobile Number Email ID	Facility Name Contact person details (Name, Designation and Address) Mobile Number Email ID	Facility Name Contact person details (Name, Designation and Address) Government Registration Number	Facility Name Mobile Number Email ID	1	The following details need to be entered by private providers: Facility Name Government Registration Number Contact person details (Name, Designation and Address) Mobile Number Email ID