What is Aarogyasri and which hospitals in AP + Telangana must comply in 2026?

Aarogyasri began in 2007 in undivided Andhra Pradesh as the Rajiv Aarogyasri Community Health Insurance Scheme. After the 2014 bifurcation, both successor states continued separate trusts: Dr. YSR Aarogyasri Health Care Trust (Andhra Pradesh, headquartered at Mangalagiri, Guntur district) and the Aarogyasri Health Care Trust / Rajiv Aarogyasri (Telangana). Andhra Pradesh's YSR Aarogyasri 2.0 (launched 2023) covers free treatment up to ₹25 lakh per family per year across 3,257 procedures via ~2,500 empanelled network hospitals, including out-of-state tie-ups in Hyderabad, Bengaluru and Chennai. Telangana's Aarogyasri raised cover to ₹10 lakh per family per year in December 2023 with 1,835 procedures (1,672 + 163 newly added) and is delivered through 470+ empanelled hospitals. Both states require parallel ABDM M1/M2/M3 hospital software certification, HFR + HPR registration and Safe-to-Host audit because Aarogyasri runs in convergence with national AB-PMJAY.

What is the Telangana Aarogyasri ₹1,300 crore dues crisis and why does it matter?

In September 2025, the Telangana Aarogyasri Network Hospitals Association (TANHA) announced an indefinite suspension of Aarogyasri services across 330+ affiliated private hospitals from September 16, 2025, citing unpaid dues of ₹1,300-1,500 crore from the state government. This was the second strike of 2025, after a 10-day boycott earlier in the year. The crisis exposed how dependent mid-size private hospitals are on Aarogyasri cashflow — many small/medium facilities had completely withdrawn services for cardholders during the strike. Operational lesson for hospital owners: Aarogyasri revenue is high-volume but cashflow-fragile. A modern ABDM-integrated HMS with real-time claim status, ageing-bucket dashboards and preauth workflow is no longer optional — it is the only way to track ₹50L-₹5Cr/year stuck in the system and chase payments without breaking your front office.

Aarogyasri Trust portals vs national NHA — are these separate compliance tracks?

Yes. You have dual compliance running in parallel. Aarogyasri Trust (state): hospital empanelment, eligibility verification, preauthorisation, electronic claim submission via state portals — ysraarogyasri.ap.gov.in + drntrvaidyaseva.ap.gov.in for AP, aarogyasri.telangana.gov.in + rajivaarogyasri.telangana.gov.in for Telangana. All claims are processed electronically end-to-end through these portals, with 24x7x365 e-preauth workflow. National NHA (ABDM): hospital software certification (M1 = ABHA creation/linking, M2 = HIP record sharing on FHIR R4, M3 = HIU record pulling), HFR registration of the facility, HPR enrolment of every doctor, CERT-IN Safe-to-Host security audit. The same hospital empanels for both schemes because YSR Aarogyasri 2.0 and Telangana Aarogyasri both run in convergence with AB-PMJAY (₹5L national cover stacks under state cover). One ABDM-compliant HMS supports both — but the trust portal documentation is submitted separately to each state trust + NHA.

Andhra Pradesh hospital — what is the realistic Aarogyasri + ABDM compliance cost in 2026?

Three honest paths for AP hospitals. (1) ABDM-compliant SaaS HMS (Medixcel, MocDoc, Insta, eHospital tier): ₹3-15L/year subscription. Best for 30-80 bed hospitals not already on custom HMS. Aarogyasri preauth + claim modules usually need additional state-specific configuration: ₹50K-₹2L. (2) ABDM bolt-on for existing custom HMS + YSR Aarogyasri customisation (preauth workflow, package mapping for 3,257 procedures, claim PDF generation, MIS dashboards): ₹7-16L total. Includes M1+M2+M3 + Safe-to-Host audit + portal documentation help. (3) Full custom HMS + ABDM native + YSR Aarogyasri integration from scratch: ₹15-40L. Add Telugu UI ₹15-50K, staff training ₹50K-₹2L. Hyderabad and Visakhapatnam tertiary hospitals with multi-speciality preauth volumes routinely sit in the ₹15-35L bracket; large pharma-tier corporate hospitals ₹40L-₹1.5Cr.

Telangana hospital — what's the cost, and how does it differ from AP?

Telangana cost paths mirror AP but with two material differences. First, Telangana's 1,835-procedure list is smaller and was rate-revised in 2024 (1,375 procedures repriced with ₹487.29 crore additional budget commitment), so package-rate mapping is lighter work than AP's 3,257-procedure list. Second, Hyderabad is the pharma + biotech + IT capital, so hospital owners expect enterprise-grade UX, mobile apps, WhatsApp patient comms, and integration with their group-pharmacy ERP — pricing skews 15-25% higher than tier-2 AP cities. Realistic Telangana ranges: SaaS HMS ₹3-15L/year, ABDM + Aarogyasri bolt-on ₹7-15L (8-12 weeks), full custom + ABDM + Aarogyasri ₹15-35L (16-22 weeks), Hyderabad pharma-tier corporate ₹40L-₹2Cr (24-40 weeks). Add the Telangana ₹1,300Cr dues reality: every Telangana hospital should also budget ₹50K-₹1.5L for a claims-ageing + dunning dashboard that proves dues to the trust line-by-line.

Which AP + Telangana cities have the most Aarogyasri + ABDM activity?

Hyderabad (Telangana) — 300+ empanelled Aarogyasri hospitals including NIMS, Care, Yashoda, Apollo, KIMS, Continental, AIG; biggest market, pharma + biotech corridor, highest ABDM enforcement attention. Health department has already issued enforcement notices to 224 unauthorised hospitals in Hyderabad, with 18 paying ₹50,000 first-level penalties — establishment is willing to act. Visakhapatnam (AP) — 200+ empanelled hospitals; coastal AP healthcare hub, KGH + Apollo + Seven Hills as anchors. Vijayawada (AP) — 180+ hospitals; Amaravati capital-region corridor, Manipal + Andhra + NRI Medical College. Tirupati (AP) — 120+ hospitals; SVIMS (Sri Venkateswara Institute of Medical Sciences) is the super-specialty anchor + pilgrim healthcare destination, frequently referenced for ABDM M3 HIU usage because of cross-state patient flow. Warangal, Karimnagar, Khammam (Telangana) and Guntur, Nellore, Rajahmundry, Kurnool, Anantapur (AP) are tier-2 cities with active empanelment + growing enforcement reach.

Should AP + Telangana hospitals support Telugu UI in their HMS?

Yes — non-negotiable for front-office staff usability and patient consent flows. Both states are Telugu-primary. Aarogyasri patient demographics skew BPL/working-class, with limited English literacy. Consent screens, ABHA opt-in prompts, discharge summaries (Aarogyasri requires print copies in many cases) and SMS/WhatsApp patient comms should all be Telugu-default with English toggle. Hyderabad's IT/biotech workforce uses English alongside Telugu, so HMS clinician-side can be English with Telugu patient-facing modules. Tier-2 AP/TG cities should be Telugu-first across the stack. Tirupati is the exception — pilgrim healthcare load includes Tamil, Hindi, Kannada, Malayalam-speaking patients, so multi-language patient modules (English + Hindi + Tamil + Telugu) pay off. Custom HMS Telugu localisation: ₹15-50K incremental. Most modern ABDM-ready SaaS HMS now ship with Telugu language packs.

What's the difference between AP Aarogyasri and Telangana Aarogyasri after bifurcation?

After the 2014 state bifurcation, both successor states kept Aarogyasri but evolved it separately. Andhra Pradesh: re-branded to Dr. YSR Aarogyasri in 2019 under YS Jagan Mohan Reddy's government; launched YSR Aarogyasri 2.0 with ₹25 lakh cover per family per year + 3,257 procedures + expanded out-of-state hospital tie-ups (Hyderabad/Bengaluru/Chennai); trust headquartered at Mangalagiri (Guntur). The interim Dr. NTR Vaidya Seva brand still appears on some portal screens. Telangana: continued as Aarogyasri Health Care Trust (the Rajiv Aarogyasri name is the historical/legacy label); raised cover from ₹5L to ₹10L per family per year in December 2023; expanded procedure list to 1,835 (1,672 + 163 added) with 1,375 procedure rates revised in 2024. Hospitals operating across the AP-TG border empanel separately with each trust; most facilities operate in one state only and only need single-state empanelment plus AB-PMJAY convergence.

How does the Aarogyasri preauth + claim workflow actually work, and what does an HMS need to do?

End-to-end electronic via state portals. Patient walks in with Aarogyasri/Ayushman card → front office verifies eligibility against trust portal → treating doctor raises preauth request with diagnosis, ICD code, proposed package, supporting investigations → trust portal e-preauth desk reviews 24x7x365 → preauth granted (acts as prima facie evidence for claim) → hospital delivers treatment → discharge summary + investigation reports + photographs uploaded → claim submitted electronically through portal → trust verifies claim amount is within preauthorised amount + case matches preauth + evidence of treatment exists → payment released to hospital bank account. Where most hospitals lose money: weak preauth follow-up (auto-expire after 24-72hr if not progressed), incomplete documentation on claim submission, no ageing tracking. An ABDM-ready HMS should auto-trigger preauth from OPD diagnosis, lock claim submission until mandatory docs uploaded, surface ageing buckets (0-30 / 31-60 / 61-90 / 90+ days) on the CFO dashboard, and integrate with the trust portal API where the trust offers one.

How long does Aarogyasri + ABDM compliance take for an AP or Telangana hospital?

Realistic timelines by starting point. Hospital with ABDM-certified SaaS HMS already running: 4-8 weeks for Aarogyasri preauth/claim configuration + portal documentation + staff training. Hospital with existing custom HMS but no ABDM: 8-14 weeks for M1+M2+M3 bolt-on + Safe-to-Host audit + NHA approval + Aarogyasri preauth/claim modules + Telugu UI. Hospital with basic SaaS (Practo, Bajaj Finserv Health etc.) but no ABDM: 4-7 months — either upgrade to ABDM tier or migrate to ABDM-native custom HMS, then Aarogyasri config. Hospital on paper/Excel: 6-10 months for full custom HMS + ABDM native + Aarogyasri + Telugu UI + staff training. Suspended/de-empanelled hospital (post-strike or post-audit): 3-6 months for remediation + re-application + relationship management with the trust.

Aarogyasri Compliance Hospital 2026: AP + Telangana ABDM Guide

Aarogyasri Compliance Hospital 2026: The AP + Telangana Definitive Guide

If you run a hospital in Andhra Pradesh or Telangana that's empanelled under Aarogyasri, 2024-2026 has rewritten the rules underneath you. Andhra Pradesh launched YSR Aarogyasri 2.0 with ₹25 lakh annual cover and 3,257 procedures across roughly 2,500 network hospitals. Telangana doubled cover from ₹5 lakh to ₹10 lakh per family per year in December 2023, added 163 procedures, and revised rates on 1,375 procedures with an additional ₹487.29 crore budget. And in September 2025, the Telangana Aarogyasri Network Hospitals Association (TANHA) suspended services across 330+ hospitals over ₹1,300-1,500 crore of unpaid dues — the second strike of the year.

On top of all that, national ABDM M1/M2/M3 hospital software certification + HFR + HPR + Safe-to-Host audit is now the de-facto licensing prerequisite for any hospital staying on Aarogyasri + AB-PMJAY convergence.

If your HMS is not ABDM-certified, your Telugu UI is half-baked, your preauth workflow runs through WhatsApp, and you cannot tell your CFO exactly how much the trust owes you bucket-by-bucket — you are leaking ₹30L-₹3Cr a year and you are one audit away from suspension.

I'm Ashish Sharma, founder of Codingclave. We're Lucknow-based but we support AP + Telangana hospitals with remote-first ABDM + Aarogyasri compliance plus scheduled on-ground visits to Hyderabad, Visakhapatnam and Vijayawada. This is the real playbook.

WhatsApp me directly → for a free 30-minute audit.

TL;DR — Aarogyasri + ABDM Compliance Path

Your Hospital Status	Compliance Path	Cost	Timeline
Aarogyasri empanelled, HMS ABDM-certified	Aarogyasri preauth/claim config + portal docs	₹50K-₹2L	4-8 weeks
Aarogyasri empanelled, custom HMS without ABDM	ABDM bolt-on + Aarogyasri modules + Telugu UI	₹7L-₹16L	8-14 weeks
Aarogyasri empanelled, basic SaaS without ABDM	Migrate to ABDM SaaS OR custom + Aarogyasri	₹3L-₹25L	4-7 months
Aarogyasri empanelled, paper/Excel	Full custom HMS + ABDM + Aarogyasri + Telugu	₹15L-₹40L	6-10 months
Hyderabad pharma-tier / corporate enterprise	Custom HMS + ABDM + Aarogyasri + group integrations	₹40L-₹2Cr	24-40 weeks
Suspended / strike-impacted hospital	Remediation + dues reconciliation + re-application	₹8L-₹20L	3-6 months

YSR Aarogyasri (Andhra Pradesh) vs Telangana Aarogyasri — The 2026 Snapshot

Both schemes share DNA from the original 2007 Rajiv Aarogyasri Community Health Insurance Scheme. Post-bifurcation they evolved separately.

Andhra Pradesh: Dr. YSR Aarogyasri 2.0

Trust: Dr. YSR Aarogyasri Health Care Trust, Mangalagiri (Guntur district)
Cover: Up to ₹25 lakh per family per year under YSR Aarogyasri 2.0
Beneficiaries: ~4.25 crore individuals from ~1.48 crore families
Procedures: 3,257 listed therapies across 31 categories
Network hospitals: ~2,500 hospitals, including out-of-state tie-ups (85 in Hyderabad, 35 in Bengaluru, 16 in Chennai)
Convergence: Runs alongside AB-PMJAY (₹5L national cover)
Portal: ysraarogyasri.ap.gov.in + drntrvaidyaseva.ap.gov.in (legacy Dr. NTR Vaidya Seva brand still appears on some screens)

Telangana: Aarogyasri / Rajiv Aarogyasri

Trust: Aarogyasri Health Care Trust, Hyderabad
Cover: ₹10 lakh per family per year (doubled from ₹5L in December 2023)
Procedures: 1,835 total (1,672 original + 163 newly added)
Rate revision: 1,375 procedure rates revised in 2024, +₹487.29 crore budget
Network hospitals: ~470+ empanelled hospitals statewide; 300+ in Hyderabad alone
Convergence: AB-PMJAY (₹5L national cover) stacks under state cover
Portal: aarogyasri.telangana.gov.in + rajivaarogyasri.telangana.gov.in

Side-by-side

Aspect	AP — YSR Aarogyasri 2.0	Telangana — Aarogyasri
Annual family cover	₹25 lakh	₹10 lakh
Procedures	3,257	1,835
Network hospitals	~2,500	~470
AB-PMJAY convergence	Yes	Yes
Co-payment	None	None
Post-discharge cover	Up to 30 days	Up to 30 days (including complications)
Telugu UI requirement	Mandatory in practice	Mandatory in practice
ABDM M1/M2/M3	Required	Required
Safe-to-Host audit	Required	Required

The September 2025 Telangana Dues Crisis — What Hospital Owners Need to Internalise

On September 15, 2025, TANHA announced the indefinite suspension of Aarogyasri services across 330+ private hospitals from September 16, 2025, citing ₹1,300-1,500 crore of unpaid dues from the Telangana government. This was the second strike of 2025, after a 10-day boycott earlier in the year that was called off on payment assurances.

Two takeaways every Aarogyasri hospital owner should burn into the planning process:

Aarogyasri cashflow is high-volume but fragile. Mid-size 50-150 bed private hospitals saw ₹50L-₹5Cr stuck in the system. Small/medium facilities had to completely withdraw services for cardholders during the strike — losing both revenue and patient trust.
You cannot fight the trust on dues without line-item evidence. Hospitals running paper or Excel claim trackers had no way to prove the ageing or quantum of dues. Hospitals with modern ABDM + Aarogyasri integrated HMS could surface ageing buckets, preauth-to-claim conversion rates, and rejection-reason analytics on demand. That is leverage in any future negotiation.

This is why we now ship a claims-ageing + dunning dashboard as standard in every AP/TG Aarogyasri build. ₹50K-₹1.5L incremental cost. Pays back in the first month of the next dues cycle.

What an ABDM + Aarogyasri-Ready HMS Actually Has to Do

National ABDM layer (NHA-administered)

M1 — ABHA creation + linking. Front office can create or link an ABHA number for every walk-in OPD patient in under 60 seconds.
M2 — HIP (Health Information Provider). Discharge summaries, prescriptions, lab reports stored as FHIR R4 bundles, shareable on patient consent.
M3 — HIU (Health Information User). Doctors can pull a patient's prior records from any other ABDM-compliant facility on consent — critical for SVIMS Tirupati and Hyderabad super-specialty hospitals receiving referred patients.
HFR ID for the hospital, HPR IDs for every treating doctor.
CERT-IN Safe-to-Host audit clearance before NHA approves M2/M3 production credentials.
DPDP Act 2023 patient consent + data handling compliance.

State Aarogyasri layer (trust-administered)

Patient eligibility check against state trust portal (Aadhaar + ration card + biometric).
Package mapping — every diagnosis maps to one of 3,257 AP / 1,835 TG procedures with the correct package rate. Manual mapping = revenue leakage.
e-Preauth raise with ICD code, investigation reports, photos. Trust portal runs 24x7x365. Preauth grant acts as prima facie evidence for the claim.
Treatment delivery + documentation — case sheet, OT notes, daily progress, investigation reports, discharge summary all timestamped.
Electronic claim submission via portal. Trust verifies claim amount ≤ preauth amount + case matches preauth + treatment evidence exists, then releases payment.
Claims-ageing dashboard — 0-30 / 31-60 / 61-90 / 90+ day buckets, rejection-reason analytics, dues reconciliation reports.
Telugu UI for patient consent + discharge summary print + SMS/WhatsApp notifications.

A hospital that gets both layers right runs claim-to-payment cycles 40-60% faster than peers and rejection rates 50%+ lower.

Realistic Cost Tables

Andhra Pradesh — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Component	Cost
ABDM M1 bolt-on	₹1.5L-₹3L
ABDM M2 bolt-on (HIP, FHIR R4)	₹3L-₹7L
ABDM M3 bolt-on (HIU)	₹1.5L-₹3L
Safe-to-Host security audit	₹50K-₹2L
YSR Aarogyasri preauth + claim modules (3,257 packages)	₹1.5L-₹3L
Telugu UI localisation	₹15K-₹50K
Claims-ageing + dunning dashboard	₹50K-₹1.5L
Staff training	₹50K-₹2L
Total	₹9L-₹22L
Timeline	10-14 weeks

Telangana — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Component	Cost
ABDM M1+M2+M3 bolt-on	₹6L-₹13L
Safe-to-Host audit	₹50K-₹2L
Telangana Aarogyasri preauth + claim modules (1,835 packages)	₹1L-₹2.5L
Telugu UI localisation	₹15K-₹50K
Claims-ageing + dunning dashboard (post-strike must-have)	₹50K-₹1.5L
Staff training	₹50K-₹2L
Total	₹8.5L-₹21.5L
Timeline	8-12 weeks

Hyderabad Pharma/Biotech-tier Enterprise (200-500 beds, multi-site)

Full custom HMS + ABDM native + Aarogyasri + group-pharmacy ERP + mobile + WhatsApp + analytics: ₹40L-₹2Cr, 24-40 weeks
Reference profile: Hyderabad corporate hospital chains demanding Apollo/Yashoda-grade UX

Step-by-Step: AP/TG Hospital Compliance Sequence

HFR registration of your hospital on facility.abdm.gov.in. Free, takes 1-2 weeks for verification.
HPR enrolment for every treating doctor on hpr.abdm.gov.in. 14-digit ID per doctor.
HMS gap audit — does your current HMS support ABDM M1/M2/M3? If not, decide: bolt-on, SaaS migration, or full custom rebuild.
ABDM M1/M2/M3 implementation — 6-10 weeks for bolt-on on existing custom HMS.
CERT-IN Safe-to-Host audit — 2-4 weeks. Mandatory before NHA grants M2/M3 production credentials.
NHA approval — submit certification artefacts, 2-3 weeks turnaround.
Aarogyasri trust portal configuration — package master upload, preauth template setup, claim template setup. State-specific.
Telugu UI go-live — patient consent, discharge summary, SMS/WhatsApp.
Staff training — front office (eligibility check, ABHA creation), clinicians (preauth raise, FHIR R4 discharge summary), billing (claim submission, ageing review).
Pilot week — run 20-50 real Aarogyasri cases end-to-end before full cutover.
CFO dashboard live — ageing buckets, preauth-to-claim conversion, rejection-reason analytics.

How Codingclave Helps AP + Telangana Hospitals

We're a Lucknow-based agency (Vrindavan Colony). For AP + Telangana hospitals we deliver remote-first with scheduled on-ground visits to Hyderabad, Visakhapatnam, Vijayawada and Tirupati for discovery, training and trust-portal coordination. Lucknow-Hyderabad is a 1.5-hour direct flight.

Our Aarogyasri + ABDM Packages

Scope	Cost	Timeline
Aarogyasri portal docs + ABDM gap audit (HMS already ABDM-certified)	₹50K-₹2L	4-8 weeks
ABDM bolt-on + Aarogyasri customisation + Telugu UI	₹7L-₹16L	8-12 weeks
Full custom HMS + ABDM + Aarogyasri + Telugu + mobile	₹15L-₹40L	16-24 weeks
Hyderabad pharma/biotech enterprise build	₹40L-₹2Cr	24-40 weeks
Suspended hospital restoration (post-strike or audit)	₹8L-₹20L	3-6 months

Why we work for AP + Telangana hospitals

Modern stack — Next.js, FHIR R4 native, AI-assisted preauth document checks. Hyderabad pharma/biotech buyers appreciate it.
Telugu UI — handled via remote development + native Telugu content reviewers.
Pricing competitive vs Hyderabad-local vendors — we typically come in 20-40% below Hyderabad agencies for equivalent scope, because Lucknow operating costs are lower.
Post-strike ready — every build ships with claims-ageing + dunning dashboard.
Fixed-price quotes — no surprise costs, no scope creep.

Quick FAQs Hospital Owners Always Ask Me

"Is SVIMS Tirupati a reference institution for ABDM + Aarogyasri?" Yes — Sri Venkateswara Institute of Medical Sciences is one of AP's premier super-specialty institutions and is frequently referenced for ABDM M3 HIU usage because of pilgrim healthcare load and cross-state patient demographics.

"Can we go live on Aarogyasri without ABDM?" Practically, no — Aarogyasri runs in convergence with AB-PMJAY, and AB-PMJAY hospitals are being audited for ABDM readiness. Hospitals that cannot demonstrate ABDM integration risk claim processing delays even before formal de-empanelment.

"How do we handle the trust dues cycle?" Build a CFO dashboard with ageing buckets day one. Reconcile portal data with bank receipts weekly. Maintain a single contact at the trust. Escalate via TANHA / network associations.

Get Aarogyasri + ABDM Compliant Fast

If you're an AP or Telangana hospital — Hyderabad, Visakhapatnam, Vijayawada, Tirupati, Warangal, Guntur, Nellore, Karimnagar, Khammam, Rajahmundry, Kurnool, Anantapur, or any city in either state — and you need Aarogyasri + ABDM compliance, talk to me directly.

WhatsApp Ashish for AP/Telangana hospital ABDM + Aarogyasri help →

Or schedule a 30-minute call →

About the Author

Ashish Sharma is the founder of Codingclave, a Top Rated Upwork agency based in Lucknow, Vrindavan Colony. We help hospitals across India navigate ABDM + state-scheme compliance with remote-first delivery + scheduled on-ground visits. Reach Ashish on LinkedIn or WhatsApp.

Related deep guides:

AP + Telangana city-specific ABDM hospital software pages:

Aarogyasri Compliance Hospital 2026: The AP + Telangana Definitive Guide

WhatsApp me directly → for a free 30-minute audit.

TL;DR — Aarogyasri + ABDM Compliance Path

Your Hospital Status	Compliance Path	Cost	Timeline
Aarogyasri empanelled, HMS ABDM-certified	Aarogyasri preauth/claim config + portal docs	₹50K-₹2L	4-8 weeks
Aarogyasri empanelled, custom HMS without ABDM	ABDM bolt-on + Aarogyasri modules + Telugu UI	₹7L-₹16L	8-14 weeks
Aarogyasri empanelled, basic SaaS without ABDM	Migrate to ABDM SaaS OR custom + Aarogyasri	₹3L-₹25L	4-7 months
Aarogyasri empanelled, paper/Excel	Full custom HMS + ABDM + Aarogyasri + Telugu	₹15L-₹40L	6-10 months
Hyderabad pharma-tier / corporate enterprise	Custom HMS + ABDM + Aarogyasri + group integrations	₹40L-₹2Cr	24-40 weeks
Suspended / strike-impacted hospital	Remediation + dues reconciliation + re-application	₹8L-₹20L	3-6 months

YSR Aarogyasri (Andhra Pradesh) vs Telangana Aarogyasri — The 2026 Snapshot

Both schemes share DNA from the original 2007 Rajiv Aarogyasri Community Health Insurance Scheme. Post-bifurcation they evolved separately.

Andhra Pradesh: Dr. YSR Aarogyasri 2.0

Trust: Dr. YSR Aarogyasri Health Care Trust, Mangalagiri (Guntur district)
Cover: Up to ₹25 lakh per family per year under YSR Aarogyasri 2.0
Beneficiaries: ~4.25 crore individuals from ~1.48 crore families
Procedures: 3,257 listed therapies across 31 categories
Network hospitals: ~2,500 hospitals, including out-of-state tie-ups (85 in Hyderabad, 35 in Bengaluru, 16 in Chennai)
Convergence: Runs alongside AB-PMJAY (₹5L national cover)
Portal: ysraarogyasri.ap.gov.in + drntrvaidyaseva.ap.gov.in (legacy Dr. NTR Vaidya Seva brand still appears on some screens)

Telangana: Aarogyasri / Rajiv Aarogyasri

Trust: Aarogyasri Health Care Trust, Hyderabad
Cover: ₹10 lakh per family per year (doubled from ₹5L in December 2023)
Procedures: 1,835 total (1,672 original + 163 newly added)
Rate revision: 1,375 procedure rates revised in 2024, +₹487.29 crore budget
Network hospitals: ~470+ empanelled hospitals statewide; 300+ in Hyderabad alone
Convergence: AB-PMJAY (₹5L national cover) stacks under state cover
Portal: aarogyasri.telangana.gov.in + rajivaarogyasri.telangana.gov.in

Side-by-side

Aspect	AP — YSR Aarogyasri 2.0	Telangana — Aarogyasri
Annual family cover	₹25 lakh	₹10 lakh
Procedures	3,257	1,835
Network hospitals	~2,500	~470
AB-PMJAY convergence	Yes	Yes
Co-payment	None	None
Post-discharge cover	Up to 30 days	Up to 30 days (including complications)
Telugu UI requirement	Mandatory in practice	Mandatory in practice
ABDM M1/M2/M3	Required	Required
Safe-to-Host audit	Required	Required

The September 2025 Telangana Dues Crisis — What Hospital Owners Need to Internalise

Two takeaways every Aarogyasri hospital owner should burn into the planning process:

Aarogyasri cashflow is high-volume but fragile. Mid-size 50-150 bed private hospitals saw ₹50L-₹5Cr stuck in the system. Small/medium facilities had to completely withdraw services for cardholders during the strike — losing both revenue and patient trust.
You cannot fight the trust on dues without line-item evidence. Hospitals running paper or Excel claim trackers had no way to prove the ageing or quantum of dues. Hospitals with modern ABDM + Aarogyasri integrated HMS could surface ageing buckets, preauth-to-claim conversion rates, and rejection-reason analytics on demand. That is leverage in any future negotiation.

This is why we now ship a claims-ageing + dunning dashboard as standard in every AP/TG Aarogyasri build. ₹50K-₹1.5L incremental cost. Pays back in the first month of the next dues cycle.

What an ABDM + Aarogyasri-Ready HMS Actually Has to Do

National ABDM layer (NHA-administered)

M1 — ABHA creation + linking. Front office can create or link an ABHA number for every walk-in OPD patient in under 60 seconds.
M2 — HIP (Health Information Provider). Discharge summaries, prescriptions, lab reports stored as FHIR R4 bundles, shareable on patient consent.
M3 — HIU (Health Information User). Doctors can pull a patient's prior records from any other ABDM-compliant facility on consent — critical for SVIMS Tirupati and Hyderabad super-specialty hospitals receiving referred patients.
HFR ID for the hospital, HPR IDs for every treating doctor.
CERT-IN Safe-to-Host audit clearance before NHA approves M2/M3 production credentials.
DPDP Act 2023 patient consent + data handling compliance.

State Aarogyasri layer (trust-administered)

Patient eligibility check against state trust portal (Aadhaar + ration card + biometric).
Package mapping — every diagnosis maps to one of 3,257 AP / 1,835 TG procedures with the correct package rate. Manual mapping = revenue leakage.
e-Preauth raise with ICD code, investigation reports, photos. Trust portal runs 24x7x365. Preauth grant acts as prima facie evidence for the claim.
Treatment delivery + documentation — case sheet, OT notes, daily progress, investigation reports, discharge summary all timestamped.
Electronic claim submission via portal. Trust verifies claim amount ≤ preauth amount + case matches preauth + treatment evidence exists, then releases payment.
Claims-ageing dashboard — 0-30 / 31-60 / 61-90 / 90+ day buckets, rejection-reason analytics, dues reconciliation reports.
Telugu UI for patient consent + discharge summary print + SMS/WhatsApp notifications.

A hospital that gets both layers right runs claim-to-payment cycles 40-60% faster than peers and rejection rates 50%+ lower.

Realistic Cost Tables

Andhra Pradesh — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Component	Cost
ABDM M1 bolt-on	₹1.5L-₹3L
ABDM M2 bolt-on (HIP, FHIR R4)	₹3L-₹7L
ABDM M3 bolt-on (HIU)	₹1.5L-₹3L
Safe-to-Host security audit	₹50K-₹2L
YSR Aarogyasri preauth + claim modules (3,257 packages)	₹1.5L-₹3L
Telugu UI localisation	₹15K-₹50K
Claims-ageing + dunning dashboard	₹50K-₹1.5L
Staff training	₹50K-₹2L
Total	₹9L-₹22L
Timeline	10-14 weeks

Telangana — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Component	Cost
ABDM M1+M2+M3 bolt-on	₹6L-₹13L
Safe-to-Host audit	₹50K-₹2L
Telangana Aarogyasri preauth + claim modules (1,835 packages)	₹1L-₹2.5L
Telugu UI localisation	₹15K-₹50K
Claims-ageing + dunning dashboard (post-strike must-have)	₹50K-₹1.5L
Staff training	₹50K-₹2L
Total	₹8.5L-₹21.5L
Timeline	8-12 weeks

Hyderabad Pharma/Biotech-tier Enterprise (200-500 beds, multi-site)

Full custom HMS + ABDM native + Aarogyasri + group-pharmacy ERP + mobile + WhatsApp + analytics: ₹40L-₹2Cr, 24-40 weeks
Reference profile: Hyderabad corporate hospital chains demanding Apollo/Yashoda-grade UX

Step-by-Step: AP/TG Hospital Compliance Sequence

HFR registration of your hospital on facility.abdm.gov.in. Free, takes 1-2 weeks for verification.
HPR enrolment for every treating doctor on hpr.abdm.gov.in. 14-digit ID per doctor.
HMS gap audit — does your current HMS support ABDM M1/M2/M3? If not, decide: bolt-on, SaaS migration, or full custom rebuild.
ABDM M1/M2/M3 implementation — 6-10 weeks for bolt-on on existing custom HMS.
CERT-IN Safe-to-Host audit — 2-4 weeks. Mandatory before NHA grants M2/M3 production credentials.
NHA approval — submit certification artefacts, 2-3 weeks turnaround.
Aarogyasri trust portal configuration — package master upload, preauth template setup, claim template setup. State-specific.
Telugu UI go-live — patient consent, discharge summary, SMS/WhatsApp.
Staff training — front office (eligibility check, ABHA creation), clinicians (preauth raise, FHIR R4 discharge summary), billing (claim submission, ageing review).
Pilot week — run 20-50 real Aarogyasri cases end-to-end before full cutover.
CFO dashboard live — ageing buckets, preauth-to-claim conversion, rejection-reason analytics.

How Codingclave Helps AP + Telangana Hospitals

Our Aarogyasri + ABDM Packages

Scope	Cost	Timeline
Aarogyasri portal docs + ABDM gap audit (HMS already ABDM-certified)	₹50K-₹2L	4-8 weeks
ABDM bolt-on + Aarogyasri customisation + Telugu UI	₹7L-₹16L	8-12 weeks
Full custom HMS + ABDM + Aarogyasri + Telugu + mobile	₹15L-₹40L	16-24 weeks
Hyderabad pharma/biotech enterprise build	₹40L-₹2Cr	24-40 weeks
Suspended hospital restoration (post-strike or audit)	₹8L-₹20L	3-6 months

Why we work for AP + Telangana hospitals

Modern stack — Next.js, FHIR R4 native, AI-assisted preauth document checks. Hyderabad pharma/biotech buyers appreciate it.
Telugu UI — handled via remote development + native Telugu content reviewers.
Pricing competitive vs Hyderabad-local vendors — we typically come in 20-40% below Hyderabad agencies for equivalent scope, because Lucknow operating costs are lower.
Post-strike ready — every build ships with claims-ageing + dunning dashboard.
Fixed-price quotes — no surprise costs, no scope creep.

Quick FAQs Hospital Owners Always Ask Me

Get Aarogyasri + ABDM Compliant Fast

WhatsApp Ashish for AP/Telangana hospital ABDM + Aarogyasri help →

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About the Author

Related deep guides:

AP + Telangana city-specific ABDM hospital software pages:

Aarogyasri Compliance Hospital 2026: The AP + Telangana Definitive Guide

TL;DR — Aarogyasri + ABDM Compliance Path

YSR Aarogyasri (Andhra Pradesh) vs Telangana Aarogyasri — The 2026 Snapshot

Andhra Pradesh: Dr. YSR Aarogyasri 2.0

Telangana: Aarogyasri / Rajiv Aarogyasri

Side-by-side

The September 2025 Telangana Dues Crisis — What Hospital Owners Need to Internalise

What an ABDM + Aarogyasri-Ready HMS Actually Has to Do

National ABDM layer (NHA-administered)

State Aarogyasri layer (trust-administered)

Realistic Cost Tables

Andhra Pradesh — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Telangana — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Hyderabad Pharma/Biotech-tier Enterprise (200-500 beds, multi-site)

Step-by-Step: AP/TG Hospital Compliance Sequence

How Codingclave Helps AP + Telangana Hospitals

Our Aarogyasri + ABDM Packages

Why we work for AP + Telangana hospitals

Quick FAQs Hospital Owners Always Ask Me

Get Aarogyasri + ABDM Compliant Fast

About the Author

Related Resources

Ready to Build Something Great?

Reply Within 2 Hours

100% Free Consultation

200+ Projects Shipped

Aarogyasri Compliance Hospital 2026: The AP + Telangana Definitive Guide

TL;DR — Aarogyasri + ABDM Compliance Path

YSR Aarogyasri (Andhra Pradesh) vs Telangana Aarogyasri — The 2026 Snapshot

Andhra Pradesh: Dr. YSR Aarogyasri 2.0

Telangana: Aarogyasri / Rajiv Aarogyasri

Side-by-side

The September 2025 Telangana Dues Crisis — What Hospital Owners Need to Internalise

What an ABDM + Aarogyasri-Ready HMS Actually Has to Do

National ABDM layer (NHA-administered)

State Aarogyasri layer (trust-administered)

Realistic Cost Tables

Andhra Pradesh — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Telangana — Aarogyasri + ABDM (Mid-Size 50-150 bed Hospital)

Hyderabad Pharma/Biotech-tier Enterprise (200-500 beds, multi-site)

Step-by-Step: AP/TG Hospital Compliance Sequence

How Codingclave Helps AP + Telangana Hospitals

Our Aarogyasri + ABDM Packages

Why we work for AP + Telangana hospitals

Quick FAQs Hospital Owners Always Ask Me

Get Aarogyasri + ABDM Compliant Fast

About the Author

Related Resources

Ready to Build Something Great?

Reply Within 2 Hours

100% Free Consultation

200+ Projects Shipped