Opportunity Information: Apply for HRSA 14 060
Apply for HRSA 14 060
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act Teaching Health Center Graduate Medical Education (THCGME) Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.530 Affordable Care Act Teaching Health Center Graduate Medical Education Payments Program.
- This funding opportunity was created on Nov 20, 2013 and posted on Oct 31, 2013.
- Applicants must submit their applications by Dec 2, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $20,250,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 15 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible entities include community based ambulatory patient care settings that operate a primary care medical or dental (general or pediatric) residency program. Specific examples of eligible community based ambulatory patient care settings include, but
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Opportunity Summary:
The Affordable Care Act Teaching Health Center Graduate Medical Education (THCGME) Program (Funding Opportunity Number HRSA-14-060) is a discretionary HRSA grant opportunity for FY 2014 aimed at expanding primary care medical and dental residency training in community-based, ambulatory care settings. The program is backed by a direct Affordable Care Act appropriation of $230 million covering fiscal years 2011 through 2015 to make payments to qualified teaching health centers that train residents outside traditional hospital-focused environments. The underlying policy goal is straightforward: grow the pipeline of primary care clinicians and increase the likelihood that newly trained physicians and dentists practice in underserved communities.
This funding targets residency programs embedded in community care sites where underserved populations typically receive services. Eligible training locations include, but are not limited to, federally qualified health centers (FQHCs) and FQHC Look-Alikes, community mental health centers, rural health clinics, health centers operated by the Indian Health Service or by an Indian tribe or tribal organization, and entities receiving funds under Title X of the Public Health Service Act. Applicants must be community-based ambulatory patient care settings that operate a primary care residency program, specifically a primary care medical residency or a dental residency program (general or pediatric). In other words, the emphasis is on training that happens where patients actually receive front-line care, rather than primarily in inpatient hospital units.
A central rationale for the program is evidence that training location influences workforce outcomes. The announcement cites research indicating that family medicine residents who train in health center settings are nearly three times as likely to practice in underserved areas after graduation compared with those who did not train in health centers. HRSA uses this evidence base to justify directing federal funds toward residency expansion in community-based settings as a practical strategy for addressing persistent access gaps in primary care.
Operationally, HRSA runs THCGME as an annually competed funding stream as long as appropriations allow, and teaching health centers are expected to apply every year. The FY 2014 announcement is designed to identify community-based primary care residency programs that meet the THCGME eligibility requirements described in the FOA. It also draws an important distinction between two groups of existing awardees: (1) those seeking to expand by adding new resident full-time equivalent (FTE) slots in FY 2014 beyond what was approved in FY 2013 must apply through this funding opportunity, while (2) those not proposing further expansion beyond their previously approved FY 2013 resident FTE level do not reapply through the FOA and instead use the annual reporting mechanism described in the FOA reporting section.
From a funding standpoint, HRSA estimated a total of $20,250,000 available under this FY 2014 competition, with an expectation of about 15 awards. The listing shows no cost sharing or matching requirement, which means applicants are not required to contribute a specified non-federal share to be eligible. The award ceiling and floor are both shown as $0 in the summary data, which typically indicates that specific per-award amounts may be determined by program formulas, available appropriations, resident FTE calculations, or other FOA-defined payment methodologies rather than a fixed minimum/maximum in the synopsis.
Key administrative details in the synopsis include a posted date of October 31, 2013, and an application due date of December 2, 2013 (with the same date shown for both the original and current closing date). The opportunity is associated with CFDA 93.530 (Affordable Care Act Teaching Health Center Graduate Medical Education Payments Program) and is administered by the Health Resources and Services Administration (HRSA) within HHS. For applicant support, HRSA directs questions and access issues to the HRSA Grants Application Center and the HRSA Call Center (877-464-4772; CallCenter@HRSA.GOV), with a mailing address in Gaithersburg, Maryland.
Frequently Asked Questions (FAQs)
What is the Affordable Care Act Teaching Health Center Graduate Medical Education (THCGME) Program?
The THCGME Program (Funding Opportunity Number HRSA-14-060) is a discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA) for FY 2014. Its purpose is to expand primary care medical and dental residency training in community-based, ambulatory care settings (rather than primarily hospital-based inpatient settings).
What is the main goal of this funding opportunity?
The main policy goal is to grow the pipeline of primary care clinicians and increase the likelihood that newly trained physicians and dentists practice in underserved communities by expanding residency training in the community settings where underserved patients commonly receive care.
Who administers this program?
The program is administered by the Health Resources and Services Administration (HRSA), an agency within the U.S. Department of Health and Human Services (HHS).
What is the Funding Opportunity Number (FON) for this announcement?
The Funding Opportunity Number is HRSA-14-060.
What is the CFDA number associated with this opportunity?
The opportunity is associated with CFDA 93.530, titled the Affordable Care Act Teaching Health Center Graduate Medical Education Payments Program.
What types of residency programs are supported under this FOA?
This FOA supports primary care residency programs operated in community-based ambulatory patient care settings, specifically primary care medical residencies and dental residency programs (general dentistry or pediatric dentistry).
What kinds of training settings are considered eligible locations?
Eligible training locations include community-based sites where underserved populations typically receive services. Examples listed include, but are not limited to: federally qualified health centers (FQHCs) and FQHC Look-Alikes, community mental health centers, rural health clinics, health centers operated by the Indian Health Service or by an Indian tribe or tribal organization, and entities receiving funds under Title X of the Public Health Service Act.
What does "community-based, ambulatory care setting" mean in this context?
In this context, it refers to front-line outpatient settings where patients receive primary care and related services. The emphasis is on training that occurs in these community care environments rather than being primarily based in inpatient hospital units.
Why does HRSA emphasize training residents in health center and community settings?
The announcement cites evidence that training location influences workforce outcomes. Specifically, it references research indicating that family medicine residents who train in health center settings are nearly three times as likely to practice in underserved areas after graduation compared with those who did not train in health centers.
Is this program funded by the Affordable Care Act?
Yes. The program is backed by a direct Affordable Care Act appropriation totaling $230 million covering fiscal years 2011 through 2015 to make payments to qualified teaching health centers that train residents outside traditional hospital-focused environments.
What is the FY 2014 estimated total funding available and how many awards are expected?
For the FY 2014 competition, HRSA estimated a total of $20,250,000 available and anticipated making about 15 awards.
Is there a cost sharing or matching requirement?
No. The synopsis indicates there is no cost sharing or matching requirement for this opportunity.
Is there a minimum or maximum award amount listed?
The summary data shows an award ceiling of $0 and an award floor of $0. This typically indicates that per-award amounts are not presented as fixed minimums or maximums in the synopsis and may instead be determined through FOA-defined methodologies such as program formulas, appropriations, and resident FTE calculations.
Do current awardees need to reapply every year?
HRSA describes THCGME as an annually competed funding stream as long as appropriations allow, and teaching health centers are expected to apply every year. However, the FY 2014 announcement distinguishes between current awardees who are expanding versus those who are not.
What is the difference between expanding and non-expanding FY 2013 awardees for FY 2014?
The announcement distinguishes two groups of existing awardees: (1) awardees seeking to expand by adding new resident full-time equivalent (FTE) slots in FY 2014 beyond what was approved in FY 2013 must apply through this FY 2014 funding opportunity; and (2) awardees that are not proposing further expansion beyond their previously approved FY 2013 resident FTE level do not reapply through the FOA and instead use the annual reporting mechanism described in the FOA reporting section.
What does resident FTE mean in this FOA?
The FOA references resident full-time equivalent (FTE) slots when describing expansion beyond previously approved levels. In this context, resident FTE is used as the measure for residency training capacity and the basis for determining whether an awardee is expanding.
What is the posted date for this opportunity?
The synopsis lists a posted date of October 31, 2013.
What is the application due date?
The application due date is December 2, 2013. The same date is shown for both the original and current closing date.
What populations and community needs does this program aim to address?
The program targets residency programs embedded in community care sites where underserved populations typically receive services. The overall intent is to address persistent access gaps in primary care by increasing the number of primary care clinicians trained in underserved community settings.
Where can applicants get help with application questions or access issues?
For support, HRSA directs questions and access issues to the HRSA Grants Application Center and the HRSA Call Center at 877-464-4772 or via email at CallCenter@HRSA.GOV. The synopsis also lists a mailing address in Gaithersburg, Maryland.
What kind of payments does THCGME provide?
The program makes payments to qualified teaching health centers that train residents outside traditional hospital-focused environments, supporting the expansion of primary care residency training in community-based ambulatory settings.
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