The Government of Meghalaya has adopted Meghalaya Medical Attendance Rules (MMA) 2021 under the Department of Health and Family Welfare. These guidelines will be applied to both Employees in service and pensioners of the Government of Meghalaya, including All India Service officers in service opting for these rules. These are also applicable for retired members of the Joint Assam-Meghalaya cadre of the All-India Service who had served and retired from the Meghalaya Wing, irrespective of their place of permanent settlement, or who are re-employed under the Government of Meghalaya, or who proceeded on deputation from Meghalaya Wing to the Central Government or Public Sector Undertaking (PSU).

The Meghalaya State currently has 68,280 in-service employees and their dependent families and 24,044 pensioners and All-India Service employees. Overall, 4,43,155 members are getting medical reimbursements from different departments based on MMA rules 2021. Presently the Government of Meghalaya employees do not have cashless coverage for medical services, despite the State of Meghalaya having Universal Health Coverage for all the citizens. There are requests to provide a cashless facility for the healthcare needs of Meghalaya employees and their dependent family members