40,000 Ayushman cards disabled, ₹24 crore claims rejected:MP leads anti-fraud drive, recovers ₹2.15 crore from hospitals after maximum action statewide under scheme nationwide

Large-scale fraud has been detected under the Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), prompting strict action by the Madhya Pradesh government. Hospitals were found filing claims worth crores by falsely showing patient admissions, billing treatments for people who never visited hospitals, and even raising claims while remaining shut. Under the state’s anti-fraud drive, around 40,000 Ayushman cards have been disabled, claims worth nearly Rs 24.84 crore rejected, and Rs 2.15 crore recovered from erring hospitals, making Madhya Pradesh the leading state in anti-fraud enforcement under the scheme. 104 hospitals actioned under ‘Daksh Ayushman’ framework The action has been taken under the ‘Daksh Ayushman’ Framework, implemented by the State Health Agency (SHA-MP). So far, 104 hospitals have faced action for fraud, misuse, or irregular billing. According to official data: MP ranked No. 1 in anti-fraud action nationally Under the Ayushman Bharat scheme, Madhya Pradesh has been awarded the top position in the Anti-Fraud Action category nationwide. The recognition is based on the effectiveness of the Daksh Ayushman Framework, which follows a zero-tolerance policy against fraud. The framework is built on three core pillars: Deputy CM: Transparency and good governance are the goal Deputy Chief Minister Rajendra Shukla said the achievement reflects improved transparency and good governance in the state’s health system. “Our objective is to ensure that the benefits of the scheme reach only eligible citizens. Protecting public money and patient rights is our priority,” he said. Objectives of ‘Daksh Ayushman’ The framework aims to ensure: AI and Digital tools used to detect fraud To crack down on fraud, SHA-MP combined technology with on-ground action, using: Major irregularities found during audits Audits revealed several serious lapses, including: Hospitals that faced action Hospitals against which action was taken include: The Madhya Pradesh government maintains that strict monitoring, technology-driven audits, and swift enforcement will continue to ensure that the Ayushman scheme benefits genuine patients while eliminating fraud from the system.