The department could enroll only 54.54 per cent of Below Poverty Line (BPL) families in the State under the scheme as on 31 March 2017. No empanelled hospital was available in 10 out of 33 districts in the State. Only four districts in the State had empanelled hospitals for all clusters, which forced the beneficiaries to move to other districts for availing treatment mainly for cancer, cardiac and paediatric. Seventy eight per cent of beneficiaries preferred to get treatment at private hospitals due to lack of adequate infrastructure and non-availability of specialist doctors in Government hospitals. The department had not followed the enrolment procedure and opted for bulk printing of MA cards for BPLs already registered under Rashtriya Swasthya Bima Yojana (RSBY) scheme. These cards lacked vital information such as photographs, fingerprints, age, relationship, etc. which posed difficulties to the beneficiaries in getting immediate medical treatment. Enrolment process at kiosks was also found deficient. Instances of nonmonitoring of the work of Taluka Kiosk Executive (TKE) and authentication of the enrolment by Taluka Verification Authority (TVA) without verification of the records were also noticed. System to identify duplication in enrolment was not implemented which resulted in getting more than one active card by the beneficiaries. Non-revision of financial limit available under scheme despite increase in package rates twice led to lesser benefits being available to beneficiaries. Instances of charging money by the empanelled hospitals were noticed which defeated very purpose of providing cashless treatment to the beneficiaries.