Opportunity Information: Apply for HRSA 13 144
Apply for HRSA 13 144
- 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 Aug 3, 2012 and posted on Aug 3, 2012.
- Applicants must submit their applications by Sep 28, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $19,200,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 18 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- There are five components of THCGME program eligibility. Applicants must meet all of the following criteria in order to be considered eligible for THCGME funding. Applicants that fail to meet any eligibility criteria will not be considered for funding under this announcement. A. Eligible Entities An eligible entity is a community based ambulatory patient care center that operates a primary care medical or dental (general or pediatric) residency program. Specific examples of eligible outpatient settings include, but are not limited to Federally qualified health centers, as defined in section 1905(l)(2)(B) of the Social Security Act Community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act Rural health clinics, as defined in section 1861(aa) (2)of the Social Security Act Health centers operated by the Indian Health service, an Indian tribe or tribal organization, or an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act) and An entity receiving funds under title X of the Public Health Service Act. The THCGME program will support high quality primary care residency training in high need, underserved communities. The list of entities above is not exclusive, but does reflect the intent of the program to provide training in settings such as those served by the institutions listed. Community based ambulatory patient care centers that collaborate with stakeholders (e.g., academic health centers, universities and/or medical schools) to form a GME consortium that operates an accredited primary care residency program may also be an eligible THC. The GME consortium must be listed as the institutional sponsor by the accrediting body. Within the consortium, the community based ambulatory care center is expected to play an integral role in the academic, financial and administrative operations of the residency. THCGME payments must directly support the THC ambulatory training site. B. Eligible Primary Care Residency Programs Only specific residency training programs are eligible. According to the statute, Primary care residency program refers to an accredited graduate medical education residency training program in Family medicine Internal medicine Pediatrics Internal medicine pediatrics Obstetrics and gynecology Psychiatry General dentistry Pediatric dentistry or Geriatrics.
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Opportunity Summary:
The Affordable Care Act Teaching Health Center Graduate Medical Education (THCGME) Program (Funding Opportunity Number HRSA-13-144) is a Health Resources and Services Administration (HRSA) grant opportunity designed to grow the primary care workforce by funding residency training that takes place in community-based, outpatient settings. For FY 2013, HRSA solicited applications from teaching health centers that either wanted to start or continue supporting eligible residency programs, with a particular emphasis on expanding the number of resident full-time equivalent (FTE) training slots in underserved communities. The program reflects a broader Affordable Care Act investment that appropriated $230 million across FY 2011 through FY 2015 to make payments to qualified teaching health centers, with the goal of increasing the pipeline of clinicians trained where community need is greatest.
At its core, the THCGME model shifts more graduate medical education training into ambulatory, community-centered environments such as federally qualified health centers (FQHCs) and FQHC Look-Alikes, community mental health centers, rural health clinics, and health centers operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization. It also includes entities receiving Title X funds under the Public Health Service Act. The rationale highlighted in the announcement is practical and evidence-based: clinicians trained in health center settings, particularly in family medicine, are substantially more likely to practice in underserved areas after graduation (noted as nearly three times as likely compared with peers who did not train in such settings). By funding residency training in these environments, the program aims to strengthen access to primary care and related services in high-need communities over the long term.
Eligibility is structured around multiple required components, and applicants must meet all criteria to be considered. The eligible applicant entity must be a community-based ambulatory patient care center that operates a primary care medical or dental residency program. The notice makes clear that the list of settings is not meant to be exhaustive, but it reflects the program intent to prioritize training sites embedded in underserved communities. The program also allows for a teaching health center to be organized as a graduate medical education (GME) consortium in collaboration with stakeholders such as academic health centers, universities, or medical schools, as long as the consortium is the institutional sponsor recognized by the accrediting body. Even in consortium arrangements, the community-based ambulatory care center is expected to have a meaningful role in the academic, financial, and administrative operations of the residency, and THCGME payments are expected to directly support the ambulatory training site.
Only certain accredited residency types qualify as "primary care residency programs" for this funding. The announcement lists the eligible disciplines as family medicine, internal medicine, pediatrics, combined internal medicine-pediatrics, obstetrics and gynecology, psychiatry, general dentistry, pediatric dentistry, and geriatrics. This defined set of specialties signals that the funding is intended to support front-line, community-relevant care, including behavioral health and oral health training alongside traditional medical primary care.
For FY 2013 specifically, the opportunity was offered as a discretionary grant, with an estimated total funding amount of $19.2 million and an expectation of 18 awards. There was no cost sharing or matching requirement. The opportunity was posted on August 3, 2012, and closed on September 28, 2012 (with the same original and current closing date), and it was later archived on November 26, 2012. HRSA indicated that THCGME funding opportunities would be published annually as funds permit and that all teaching health centers would apply each year. New applicants, as well as existing THCGME awardees seeking to expand resident FTE slots beyond what had already been approved in FY 2012, were required to apply through this FY 2013 announcement for that expansion. Existing awardees not seeking further expansion were directed to proceed through annual reporting requirements instead (via status reports referenced in the full announcement).
Overall, the FY 2013 THCGME funding opportunity is best understood as a targeted workforce and access strategy: it uses federal dollars to help community-based clinics and similar outpatient organizations train more residents in primary care and related fields, with the expectation that training in underserved, community-based settings increases the likelihood that graduates will continue serving those communities after residency.
Frequently Asked Questions (FAQs)
What is the Affordable Care Act Teaching Health Center Graduate Medical Education (THCGME) Program?
The THCGME Program is a Health Resources and Services Administration (HRSA) funding opportunity created to expand the primary care workforce by supporting residency training that occurs in community-based, outpatient settings (often referred to as ambulatory settings). The focus is on training clinicians in places where community need is highest, particularly underserved communities.
What is the Funding Opportunity Number for this THCGME announcement?
The Funding Opportunity Number listed is HRSA-13-144.
What is the main goal of the THCGME model?
The main goal is to shift more graduate medical education training into community-centered, outpatient environments and to increase the number of residency training slots in underserved communities. The long-term intent is to improve access to primary care and related services by training clinicians in settings where they are more likely to continue practicing after graduation.
Why does the program emphasize training in community-based health center settings?
The rationale described in the opportunity is that clinicians trained in health center settings, particularly in family medicine, are much more likely to practice in underserved areas after graduation (described as nearly three times as likely compared with peers who did not train in such settings). The program uses that evidence-based approach to strengthen the workforce pipeline for high-need communities.
What types of training sites does THCGME prioritize?
The program prioritizes residency training that takes place in ambulatory, community-based settings. Examples listed include federally qualified health centers (FQHCs) and FQHC Look-Alikes, community mental health centers, rural health clinics, and health centers operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization. The opportunity also includes entities receiving Title X funds under the Public Health Service Act. The notice indicates the list is not intended to be exhaustive.
Who can apply for this funding (general eligibility)?
To be eligible, the applicant entity must be a community-based ambulatory patient care center that operates a primary care medical or dental residency program. Applicants must meet all listed eligibility criteria to be considered.
Does the program allow a consortium to apply?
Yes. A teaching health center may be organized as a graduate medical education (GME) consortium in collaboration with partners such as academic health centers, universities, or medical schools, as long as the consortium is the institutional sponsor recognized by the accrediting body.
If applying as a consortium, what role must the community-based ambulatory care center have?
Even in consortium arrangements, the community-based ambulatory care center is expected to have a meaningful role in the academic, financial, and administrative operations of the residency. The opportunity also states that THCGME payments are expected to directly support the ambulatory training site.
Which residency specialties qualify as "primary care residency programs" under this opportunity?
The eligible disciplines listed are: family medicine, internal medicine, pediatrics, combined internal medicine-pediatrics, obstetrics and gynecology, psychiatry, general dentistry, pediatric dentistry, and geriatrics.
Is this funding intended only for traditional medical primary care?
No. The eligible disciplines include behavioral health (psychiatry) and oral health (general dentistry and pediatric dentistry), along with medical primary care fields and geriatrics.
What fiscal year does the described announcement cover?
The provided details describe the FY 2013 THCGME funding opportunity.
How much total funding was estimated to be available for FY 2013?
The estimated total funding amount for FY 2013 was $19.2 million.
How many awards were expected for FY 2013?
The announcement indicated an expectation of 18 awards.
Was there a cost sharing or matching requirement?
No. The opportunity states there was no cost sharing or matching requirement.
What were the key dates for this FY 2013 opportunity (posted and closing dates)?
The opportunity was posted on August 3, 2012, and closed on September 28, 2012 (the same original and current closing date are noted). It was later archived on November 26, 2012.
How often does HRSA plan to publish THCGME funding opportunities?
HRSA indicated that THCGME funding opportunities would be published annually as funds permit, and that teaching health centers would apply each year.
Do existing THCGME awardees need to apply again every year?
HRSA indicated that teaching health centers would apply each year as funds permit. However, for FY 2013, existing awardees not seeking expansion were directed to proceed through annual reporting requirements instead (via the status reports referenced in the full announcement).
Who needed to apply under the FY 2013 announcement?
For FY 2013, the announcement required applications from (1) new applicants seeking to start or continue supporting eligible residency programs, and (2) existing THCGME awardees seeking to expand resident full-time equivalent (FTE) training slots beyond what had been approved in FY 2012.
What is meant by expanding resident FTE training slots in this context?
Within this opportunity, the emphasis on expansion refers to increasing the number of resident full-time equivalent (FTE) training slots in underserved communities beyond the levels previously approved (specifically beyond what had been approved in FY 2012 for existing awardees).
What broader Affordable Care Act investment is referenced in the opportunity?
The opportunity describes a broader Affordable Care Act investment that appropriated $230 million across FY 2011 through FY 2015 to make payments to qualified teaching health centers, with the goal of increasing the pipeline of clinicians trained where community need is greatest.
What is the overall purpose of the FY 2013 THCGME funding opportunity?
The FY 2013 opportunity is described as a targeted workforce and access strategy: using federal funds to help community-based outpatient organizations train more residents in primary care and related fields, based on the expectation that training in underserved, community-based settings increases the likelihood that graduates will continue serving those communities after residency.
Is the list of eligible community-based settings limited to only those named in the announcement?
No. The notice states that the list of settings is not meant to be exhaustive, while still reflecting program intent to prioritize training sites embedded in underserved communities.
What kinds of organizations are explicitly mentioned as ambulatory, community-centered environments for training?
The announcement mentions FQHCs and FQHC Look-Alikes, community mental health centers, rural health clinics, Indian Health Service facilities, facilities operated by an Indian tribe or tribal organization, facilities operated by an urban Indian organization, and entities receiving Title X funds under the Public Health Service Act.
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