Opportunity Information: Apply for HRSA 16 022
Apply for HRSA 16 022
- The 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 Childrens Hospitals Graduate Medical Education Payment Program.
- This funding opportunity was created on May 18, 2015 and posted on May 18, 2015.
- Applicants must submit their applications by Jul 17, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $100,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 60 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- There are two categories of children s hospitals that may be eligible for CHGME payments in FY 2016, depending on the funding appropriated to the program. New hospitals that are applying for the CHGME program include hospitals that are eligible as a Newly Qualified Hospital or hospitals that are new to the CHGME program but qualify under the Currently Eligible Hospitals requirements. a. Currently Eligible Hospitals Children s hospitals that met the eligibility requirements prior to the Children s Hospital GME Support Reauthorization Act of 2013 remain eligible for the program. These children s hospitals must meet the following criteria 1) It participates in an approved graduate medical education (GME) residency training program 2) It has a Medicare provider payment agreement 3) It is excluded from the Medicare Inpatient Prospective Payment System (IPPS) under section 1886(d)(1)(B)(iii) 3 of the Social Security Act and its accompanying regulations and 4) It is a freestanding children s hospital. b. Newly Qualified Hospitals As per the Children s Hospital GME Support Reauthorization Act of 2013, a freestanding hospital may be eligible for CHGME payments depending on the level of funding appropriated to the program if it meets the following criteria 1) It has a Medicare payment agreement and that is excluded from the Medicare inpatient hospital prospective payment system (IPPS) pursuant to section 1886(d)(1)(B) of the Social Security Act and its accompanying regulations 2) Its inpatients are predominantly individuals under 18 years of age 3) It has an approved medical residency training program as defined in section 1886(h)(5)(A) of the Social Security Act 4) It is not otherwise qualified to receive payments under this section or section 1886(h) of the Social Security Act. For those free standing children s hospitals that met the above requirements as of April 7, 2014, other than the Secretary has not determined an average number of full time equivalent
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Opportunity Summary:
The Children s Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant program run by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services (HHS), specifically administered through HRSA s Bureau of Health Workforce (BHW). It exists because most federal graduate medical education (GME) dollars traditionally flow through the Centers for Medicare and Medicaid Services (CMS), and that system historically left freestanding children s teaching hospitals at a disadvantage. Since many children s hospitals are outside the main Medicare inpatient payment framework that supports GME in adult-serving teaching hospitals, they tended to receive a disproportionately low level of federal support for training resident physicians. CHGME is meant to correct that imbalance by providing payments that help offset the gap in federal GME funding for pediatric-focused teaching environments.
This particular opportunity (Funding Opportunity Number HRSA 16 022) was offered as a discretionary grant with an estimated total funding level of about 100,000,000 for the cycle referenced. HRSA anticipated making around 60 awards, and the program is listed under CFDA 93.255 (Childrens Hospitals Graduate Medical Education Payment Program). There was no cost sharing or matching requirement, meaning applicants were not required to contribute a set portion of non-federal funds to receive an award. The announcement was posted May 18, 2015, with an application closing date of July 17, 2015, and an archive date of September 15, 2015. The award floor and award ceiling were both listed as 0, which typically indicates that specific per-award amounts are not stated in the synopsis and may instead be determined by formula, eligibility, appropriations, and other program rules described in the full notice.
Eligibility centers on freestanding children s teaching hospitals that operate approved residency training programs and meet specific Medicare-related conditions. The notice describes two main pathways depending on appropriations and status: Currently Eligible Hospitals and Newly Qualified Hospitals. Currently Eligible Hospitals are those that already met CHGME eligibility requirements prior to the Children s Hospital GME Support Reauthorization Act of 2013 and remain eligible if they (1) participate in an approved GME residency training program, (2) have a Medicare provider payment agreement, (3) are excluded from the Medicare Inpatient Prospective Payment System (IPPS) under the Social Security Act and related regulations, and (4) are freestanding children s hospitals. Newly Qualified Hospitals are freestanding hospitals that may qualify under the 2013 reauthorization if funding levels allow, and if they (1) have a Medicare payment agreement and are excluded from IPPS under the applicable Social Security Act provisions, (2) serve an inpatient population that is predominantly under age 18, (3) operate an approved medical residency training program as defined in federal statute, and (4) are not otherwise qualified to receive GME payments under the other referenced Medicare GME payment authorities. In other words, the program is designed to focus on pediatric teaching hospitals that do not benefit from the usual Medicare GME financing streams.
Overall, the CHGME Payment Program is best understood as a federal mechanism to sustain and strengthen pediatric physician training by directing GME support to freestanding children s hospitals that would otherwise receive relatively little Medicare-based GME funding. The practical impact is to help these hospitals cover the costs associated with training residents in pediatric and pediatric subspecialty settings, supporting the workforce pipeline for children s health care. For questions or access issues related to the full announcement, the listed HRSA contact for this notice was Anna Maria Padlan (APadlan@hrsa.gov, 301 443 1058).
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 payments to help support graduate medical education (GME) at freestanding children s teaching hospitals. It is intended to sustain and strengthen pediatric physician training by helping cover the costs associated with training resident physicians in pediatric and pediatric subspecialty settings.
Which federal agency runs this program?
The program is run by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services (HHS). It is administered through HRSA s Bureau of Health Workforce (BHW).
Why does CHGME exist?
CHGME exists because most federal GME dollars traditionally flow through the Centers for Medicare and Medicaid Services (CMS), and that system historically left freestanding children s teaching hospitals at a disadvantage. Many children s hospitals fall outside the main Medicare inpatient payment framework (IPPS) that supports GME in adult-serving teaching hospitals, which contributed to disproportionately low federal support for resident training in pediatric-focused teaching environments. CHGME is intended to help correct that imbalance.
What is the specific funding opportunity referenced here?
The opportunity described is Funding Opportunity Number HRSA 16 022, offered as a discretionary grant for the cycle referenced in the notice.
What is the CFDA number for this program?
The program is listed under CFDA 93.255, titled Childrens Hospitals Graduate Medical Education Payment Program.
How much funding was expected to be available for this cycle?
The estimated total funding level for the cycle referenced was about 100,000,000.
How many awards were expected?
HRSA anticipated making around 60 awards for this cycle.
Is there a cost sharing or matching requirement?
No. The opportunity stated there was no cost sharing or matching requirement, meaning applicants were not required to contribute a set portion of non-federal funds to receive an award.
What were the key dates for this announcement?
The announcement was posted May 18, 2015. The application closing date was July 17, 2015. The archive date was September 15, 2015.
What does it mean that the award floor and award ceiling were both listed as 0?
An award floor and award ceiling of 0 typically indicates that specific per-award amounts are not stated in the synopsis. Instead, award amounts may be determined by formula, eligibility, appropriations, and other program rules described in the full notice.
Who is eligible to apply?
Eligibility centers on freestanding children s teaching hospitals that operate approved residency training programs and meet specific Medicare-related conditions. The notice describes two pathways: Currently Eligible Hospitals and Newly Qualified Hospitals (depending on appropriations and status).
What is a Currently Eligible Hospital under this notice?
Currently Eligible Hospitals are those that met CHGME eligibility requirements prior to the Children s Hospital GME Support Reauthorization Act of 2013 and remain eligible if they meet all of the following conditions:
- Participate in an approved GME residency training program
- Have a Medicare provider payment agreement
- Are excluded from the Medicare Inpatient Prospective Payment System (IPPS) under the Social Security Act and related regulations
- Are freestanding children s hospitals
What is a Newly Qualified Hospital under this notice?
Newly Qualified Hospitals are freestanding hospitals that may qualify under the 2013 reauthorization if funding levels allow, and if they meet all of the following conditions:
- Have a Medicare payment agreement and are excluded from IPPS under applicable Social Security Act provisions
- Serve an inpatient population that is predominantly under age 18
- Operate an approved medical residency training program as defined in federal statute
- Are not otherwise qualified to receive GME payments under the other referenced Medicare GME payment authorities
What types of hospitals does the program focus on?
The program is designed to focus on pediatric teaching hospitals (freestanding children s hospitals) that do not benefit from the usual Medicare GME financing streams.
What is the intended purpose or impact of CHGME payments?
CHGME is a federal mechanism to sustain and strengthen pediatric physician training by directing GME support to freestanding children s hospitals that would otherwise receive relatively little Medicare-based GME funding. Practically, it helps hospitals offset the gap in federal GME funding and supports the workforce pipeline for children s health care.
Who can be contacted for questions or access issues related to the full announcement?
The listed HRSA contact for this notice was Anna Maria Padlan. Email: APadlan@hrsa.gov. Phone: 301 443 1058.
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