Opportunity Information: Apply for HRSA 24 020

The Children s Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered through the Health Resources and Services Administration (HRSA) and its Bureau of Health Workforce (BHW). The program exists to address a long-running funding imbalance in how the federal government supports graduate medical education (GME), especially residency training. In practice, most federal GME support flows through the Centers for Medicare and Medicaid Services (CMS) to full-service teaching hospitals that mainly treat adults. Because freestanding children s hospitals typically have very low Medicare patient volume, they receive little to no Medicare-based GME support, even though they train pediatric residents and other physicians who care for children. CHGME is designed to help close that gap by providing grant payments to eligible children s teaching hospitals.

The opportunity is listed as a discretionary grant (Funding Opportunity Number HRSA-24-020) under CFDA (now commonly referred to as Assistance Listing) 93.255, with a focus area categorized broadly as Health. HRSA anticipates making awards to a set of eligible institutions, with the notice indicating an expected number of awards of 62. The posting shows an original application closing date of July 14, 2023, and a creation date of June 1, 2023. While the listing shows an award ceiling of 0, that figure in these summaries often reflects that funding levels are determined through program-specific formulas, appropriations, or other calculations described in the full notice rather than a simple maximum cap presented in the synopsis.

Eligibility is summarized as "Others," with the note that applicants should review the full opportunity text for clarification. In this program, that generally points to freestanding children s teaching hospitals that meet the statutory and program requirements for CHGME participation, rather than a broad range of typical nonprofit or academic applicants. The core expectation is that participating hospitals are engaged in training residents and can document qualifying training activity in a way that aligns with HRSA s CHGME rules.

At a practical level, the program is meant to strengthen the pediatric physician training pipeline by supporting the institutions that shoulder the cost of training residents in children s hospitals without receiving the same Medicare GME revenue stream that adult-serving teaching hospitals typically rely on. The notice directs applicants to review the Program Requirements and Expectations section (referenced under Award Administration Information) for the specific operational, reporting, and compliance details tied to receiving and managing CHGME payments.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Children’s Hospitals Graduate Medical Education (CHGME) Payment Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.255.
  • This funding opportunity was created on Jun 01, 2023.
  • Applicants must submit their applications by Jul 14, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 62 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 24 020

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Frequently Asked Questions (FAQs)

What is the Children's Hospitals Graduate Medical Education (CHGME) Payment Program?

The Children's Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant program that provides payment support to eligible children's teaching hospitals for graduate medical education (GME), especially residency training related to pediatric care.

Which federal agency offers and administers this opportunity?

This is a U.S. Department of Health and Human Services (HHS) opportunity, administered by the Health Resources and Services Administration (HRSA) through HRSA's Bureau of Health Workforce (BHW).

Why does CHGME exist?

CHGME exists to address a long-running funding imbalance in federal support for graduate medical education. Most federal GME support flows through the Centers for Medicare and Medicaid Services (CMS) to full-service teaching hospitals that mainly treat adults. Freestanding children's hospitals typically have very low Medicare patient volume, so they receive little to no Medicare-based GME support even though they train pediatric residents and other physicians who care for children. CHGME is designed to help close that gap.

How does CHGME relate to Medicare GME funding through CMS?

In practice, many adult-serving teaching hospitals receive substantial GME support through Medicare (via CMS). Freestanding children's hospitals generally do not, because they have low Medicare patient volume. CHGME provides grant payments intended to support the training activity at children's teaching hospitals that would otherwise not be funded through Medicare-based GME mechanisms.

What is the main purpose of the CHGME payments?

The program is meant to strengthen the pediatric physician training pipeline by supporting the institutions that shoulder the cost of training residents in children's hospitals without receiving the same Medicare GME revenue stream that adult-serving teaching hospitals typically rely on.

What type of funding opportunity is this?

The opportunity is listed as a discretionary grant.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is HRSA-24-020.

What is the Assistance Listing (CFDA) number for this program?

The Assistance Listing (formerly CFDA) number shown is 93.255.

What is the broad focus area for this opportunity?

The focus area is categorized broadly as Health.

Who is eligible to apply based on the summary provided?

Eligibility is summarized as "Others," with a note that applicants should review the full opportunity text for clarification. Based on the program description provided, this generally points to freestanding children's teaching hospitals that meet the statutory and program requirements for CHGME participation.

Are typical nonprofit organizations or universities the intended applicants?

Based on the information provided, CHGME is not described as a broad competition for typical nonprofit or academic applicants. It is described as being intended for freestanding children's teaching hospitals that qualify under CHGME statutory and program rules.

What training activity is CHGME intended to support?

The program is focused on supporting graduate medical education, especially residency training, including pediatric residency training and training for other physicians who care for children.

What does an eligible hospital need to be able to document?

The core expectation described is that participating hospitals are engaged in training residents and can document qualifying training activity in a way that aligns with HRSA's CHGME rules.

How many awards does HRSA expect to make?

The notice indicates an expected number of awards of 62.

What are the key dates shown in the listing?

The posting shows a creation date of June 1, 2023, and an original application closing date of July 14, 2023.

Is there an award ceiling (maximum award amount) listed?

The listing shows an award ceiling of 0. The description notes that, in these summaries, that figure often reflects that funding levels are determined through program-specific formulas, appropriations, or other calculations described in the full notice rather than a simple maximum cap presented in the synopsis.

Does an award ceiling of 0 mean no funding is available?

Not necessarily. The information provided explains that an award ceiling shown as 0 in a summary can indicate that funding is determined through program-specific formulas or appropriations rather than a fixed maximum amount in the synopsis. Applicants are directed to the full notice for details.

Where should applicants look for operational, reporting, and compliance requirements?

The notice directs applicants to review the Program Requirements and Expectations section, referenced under Award Administration Information, for specific operational, reporting, and compliance details tied to receiving and managing CHGME payments.

What is the overall policy problem CHGME is trying to solve?

The program addresses the imbalance where most federal GME funding is routed through Medicare to hospitals that mainly treat adults, while freestanding children's hospitals receive little to no Medicare GME support despite training pediatric residents and other physicians who care for children.

What kind of institutions benefit from CHGME according to the description?

According to the description, CHGME benefits eligible freestanding children's teaching hospitals that conduct resident training and would otherwise not receive comparable Medicare-based GME support due to low Medicare patient volume.

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