Program Description

The purpose of the Children's Hospitals Graduate Medical Education (CHGME) Payment Program is to compensate for the disparity in the level of federal funding for pediatric teaching hospitals versus other types of teaching hospitals that serve adult patients. The CHGME Payment Program is administered by the Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS). Children's Hospitals Graduate Medical Education (CHGME) Payment Program provides funds to freestanding children's teaching hospitals to support the training of pediatric and other residents in graduate medical education (GME) programs. Federal funding for graduate medical education (GME) is extensively provided by the Centers for Medicare and Medicaid Services (CMS).

The CHGME Payment Program is designed to support the three pronged social missions of freestanding children's teaching hospitals that comply with the social mission of medical education:

  • Educate and train future pediatricians, pediatric sub-specialists, and other non-pediatric residents
  • Provide care for vulnerable and underserved children, and
  • Conduct innovative and valuable pediatric research.

General Program Requirements

Applicants (children's teaching hospitals) must meet the following eligibility requirements in accordance with the Federal Register Notice, Vol. 66, No. 41 published on March 1, 2001: (1) Participate in an approved graduate medical education residency training program; (2) have a Medicare provider payment agreement as defined by section 340E(g)(2) of the PHS Act; (3) be excluded from the Medicare Inpatient Prospective Payment System (PPS) under Section 1886(d)(1)(B)(iii), of the Social Security Act and its accompanying regulations; and (4) be a "freestanding" children's hospital. The Children's Hospital GME Support Reauthorization Act of 2013 has expanded the eligibility to include freestanding hospitals 1) with a Medicare payment agreement and that is excluded from the Medicare inpatient hospital prospective payment system pursuant to section 1886(d)(1)(B) of the Social Security Act and its accompanying regulations; 2) whose inpatients are predominantly individuals under 18 years of age; 3) that has an approved medical residency training program as defined in section 1886(h)(5)(A) of the Social Security Act; and 4) that is not otherwise qualified to receive payments under this section or section 1886(h) of the Social Security Act. The reauthorization permits the Secretary, "to make available up to 25% of the total amounts in excess of $245,000,000," but "not to exceed $7,000,000," for the purpose of making CHGME payments to these Newly Qualified Hospitals. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible. Any public or private nonprofit and profit freestanding children's teaching hospital with an accredited residency training program which meets all eligibility requirements may apply.

Your Next Steps

The following information will lead you to the next steps to apply for this program.

Application Process

For more information about all this and other potential HRSA funding opportunities, please visit the HRSA Open Opportunities page.

Program Contact Information

Marshala Lee
Branch Chief, Children Hospitals Graduate Medical Education Training Branch

Additional Information

Catalog of Federal Domestic Assistance (CFDA) Number93.255
Current Method of Tribal EligibilityProgram not specific to American Indians and Alaska Natives, but they are eligible
Can the funding from the program be renewedNo
Funding TypeMandatory
Entities Eligible for Grant AssistanceFederally Recognized Tribes and Tribal Organizations, Non-Tribal Entities
Matching Funds RequiredNo
Number of People Served by this Program (Approximate)9,986
Length of Program1 years
Recurring Base Funding for TribesNo
Do Tribes compete with other entities for funding from the program?Yes

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