Opportunity Information: Apply for HRSA 15 018
Apply for HRSA 15 018
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Childrens 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 Aug 5, 2014 and posted on Aug 5, 2014.
- Applicants must submit their applications by Sep 5, 2014. (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 62 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- There are two categories of childrens hospitals that may be eligible for CHGME payments in FY 2015, depending on the funding appropriated to the program. Please note 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 current eligibility requirements. a. Currently Eligible Hospitals Childrens hospitals that met the eligibility requirements prior to the Childrens Hospital GME Support Reauthorization Act of 2013 remain eligible for the program. These childrens 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)1 of the Social Security Act and its accompanying regulations and 4) It is a freestanding childrens hospital. b. Newly Qualified Hospitals As per the Childrens Hospital GME Support Reauthorization Act of 2013, a freestanding hospital that meets the following criteria may be eligible for CHGME payments depending on the level of funding appropriated to the program 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 childrens 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 residents under section 1886(h)(4) of the Social Security Act, the Secretary may establish such number of full time equivalent residents for the purposes of calculating CHGME program payments. Any public or private nonprofit and for profit childrens teaching hospital with an accredited residency training program which meets all of the above requirements for either category of eligibility may apply, though final
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Opportunity Summary:
The Childrens 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), administered through HRSA's Bureau of Health Workforce (BHW). Its core purpose is to correct a long-standing funding imbalance in graduate medical education (GME). Most federal GME support flows through the Centers for Medicare and Medicaid Services (CMS), but freestanding childrens teaching hospitals historically received much less GME funding than hospitals that primarily serve adults. CHGME was created to help close that gap by providing payments that support residency training at eligible childrens hospitals, strengthening the pediatric physician pipeline and helping these hospitals sustain the costs of training residents.
This opportunity was offered as a discretionary grant under Funding Opportunity Number HRSA-15-018, CFDA 93.255 (Childrens Hospitals Graduate Medical Education Payment Program). HRSA expected to make about 62 awards, with an estimated total program funding level of $100,000,000 for the cycle described (FY 2015). The posting date was August 5, 2014, with an application closing date of September 5, 2014, and an archive date of November 4, 2014. There was no cost sharing or matching requirement. The listing shows award ceiling and floor as $0, which generally indicates that individual payment amounts are not expressed as fixed minimums or maximums in the synopsis and are instead determined through program-specific calculations and the amount appropriated by Congress.
Eligibility is focused on freestanding childrens teaching hospitals that operate approved residency programs and meet specific Medicare-related criteria. HRSA describes two pathways: currently eligible hospitals and newly qualified hospitals (with eligibility for the newly qualified category depending on the funding appropriated to the program). Currently eligible hospitals are those that already met CHGME eligibility requirements prior to the Childrens Hospital GME Support Reauthorization Act of 2013. To qualify under this existing category, a hospital must (1) participate in an approved GME residency training program, (2) have a Medicare provider payment agreement, (3) be excluded from the Medicare Inpatient Prospective Payment System (IPPS) under section 1886(d)(1)(B)(iii) of the Social Security Act and related regulations, and (4) be a freestanding childrens hospital.
The newly qualified hospital category reflects changes under the Childrens Hospital GME Support Reauthorization Act of 2013 and is meant to allow certain additional freestanding hospitals to become eligible in some circumstances. To qualify as newly qualified, a freestanding hospital generally must (1) have a Medicare payment agreement and be excluded from IPPS under section 1886(d)(1)(B) of the Social Security Act and accompanying regulations, (2) serve an inpatient population that is predominantly under 18 years of age, (3) have an approved medical residency training program as defined in section 1886(h)(5)(A) of the Social Security Act, and (4) not otherwise be qualified to receive payments under the CHGME authority or under section 1886(h) (the standard Medicare GME payment framework). HRSA also notes that for freestanding childrens hospitals meeting these requirements as of April 7, 2014, but lacking an established average number of full-time equivalent (FTE) residents under section 1886(h)(4), the Secretary may establish that FTE number for purposes of calculating CHGME payments. In practical terms, this matters because resident FTE counts are central to determining payment amounts in GME-related funding formulas.
Overall, the program is best understood as targeted federal support to ensure that freestanding childrens hospitals are not disadvantaged in funding for residency training simply because they do not fit the traditional Medicare payment structures that drive most GME dollars. It is aimed at maintaining and expanding pediatric residency training capacity by offsetting training-related costs at qualifying institutions.
For applicants needing help accessing the full announcement, HRSA provided a point of contact through the HRSA Grants Application Center: Juliette Jenkins, 910 Clopper Road, Suite 155 South, Gaithersburg, MD 20878, email JJenkins@hrsa.gov, phone (301) 443-10 Ext. 58 (as listed in the synopsis).
Frequently Asked Questions (FAQs)
What is the Childrens Hospitals Graduate Medical Education (CHGME) Payment Program?
The CHGME Payment Program is a federal grant program that provides payments to eligible freestanding childrens teaching hospitals to support graduate medical education (GME), specifically residency training.
Which federal agency runs and administers CHGME?
CHGME is run by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS), and is administered through HRSA's Bureau of Health Workforce (BHW).
What problem is CHGME designed to address?
The program is intended to correct a long-standing GME funding imbalance. Most federal GME funding flows through the Centers for Medicare and Medicaid Services (CMS), but freestanding childrens teaching hospitals historically received much less GME funding than hospitals that primarily serve adults. CHGME helps close that gap.
What is the main purpose of CHGME payments?
The payments support residency training at eligible freestanding childrens hospitals, helping strengthen the pediatric physician pipeline and helping hospitals sustain the costs associated with training residents.
What is the Funding Opportunity Number (FON) for the opportunity described?
The opportunity was offered under Funding Opportunity Number HRSA-15-018.
What is the CFDA number for this program?
The CFDA number listed for this program is 93.255 (Childrens Hospitals Graduate Medical Education Payment Program).
How many awards did HRSA expect to make for the cycle described?
HRSA expected to make about 62 awards for the funding cycle described (FY 2015).
What was the estimated total funding level for the cycle described?
The estimated total program funding level for the cycle described was $100,000,000 (FY 2015).
What were the key dates for this funding opportunity?
The posting date was August 5, 2014. The application closing date was September 5, 2014. The archive date was November 4, 2014.
Was cost sharing or matching required?
No. The synopsis states there was no cost sharing or matching requirement.
Why do the award ceiling and floor show as $0?
The listing shows an award ceiling and floor of $0, which generally indicates that individual payment amounts are not expressed as fixed minimums or maximums in the synopsis. Instead, payments are determined through program-specific calculations and the amount appropriated by Congress.
Who is eligible to receive CHGME payments?
Eligibility focuses on freestanding childrens teaching hospitals that operate approved residency programs and meet specific Medicare-related criteria.
What are the two eligibility pathways described by HRSA?
HRSA describes two pathways: (1) currently eligible hospitals and (2) newly qualified hospitals (with the newly qualified category depending on the funding appropriated to the program).
What qualifies a hospital as a "currently eligible" hospital?
Currently eligible hospitals are those that already met CHGME eligibility requirements prior to the Childrens Hospital GME Support Reauthorization Act of 2013.
What criteria must a hospital meet to qualify as currently eligible?
To qualify under the existing (currently eligible) category, the hospital must: (1) participate in an approved GME residency training program, (2) have a Medicare provider payment agreement, (3) be excluded from the Medicare Inpatient Prospective Payment System (IPPS) under section 1886(d)(1)(B)(iii) of the Social Security Act and related regulations, and (4) be a freestanding childrens hospital.
What is the "newly qualified hospital" category?
The newly qualified hospital category reflects changes under the Childrens Hospital GME Support Reauthorization Act of 2013 and is intended to allow certain additional freestanding hospitals to become eligible in some circumstances.
Does the newly qualified category automatically apply to all hospitals that meet the criteria?
Not necessarily. HRSA notes that eligibility for the newly qualified category depends on the funding appropriated to the program.
What criteria must a hospital meet to qualify as newly qualified?
To qualify as newly qualified, a freestanding hospital generally must: (1) have a Medicare payment agreement and be excluded from IPPS under section 1886(d)(1)(B) of the Social Security Act and accompanying regulations, (2) serve an inpatient population that is predominantly under 18 years of age, (3) have an approved medical residency training program as defined in section 1886(h)(5)(A) of the Social Security Act, and (4) not otherwise be qualified to receive payments under the CHGME authority or under section 1886(h) (the standard Medicare GME payment framework).
What does it mean that a hospital must serve an inpatient population that is predominantly under 18?
For the newly qualified hospital pathway, HRSA specifies that the freestanding hospital must serve an inpatient population that is predominantly under 18 years of age.
What is the significance of being excluded from IPPS for eligibility?
Both eligibility pathways reference exclusion from the Medicare Inpatient Prospective Payment System (IPPS) under the Social Security Act and related regulations as a key Medicare-related criterion for freestanding childrens hospitals seeking CHGME payments.
How do residency full-time equivalent (FTE) counts relate to CHGME payments?
HRSA indicates that resident FTE counts are central to determining payment amounts in GME-related funding formulas, and they matter for calculating CHGME payments.
What if a newly qualified hospital does not have an established average number of resident FTEs?
HRSA notes that for freestanding childrens hospitals meeting the newly qualified requirements as of April 7, 2014, but lacking an established average number of FTE residents under section 1886(h)(4), the Secretary may establish the FTE number for purposes of calculating CHGME payments.
What date is mentioned regarding hospitals that may need an FTE number established?
HRSA specifically references April 7, 2014 for freestanding childrens hospitals that meet the requirements as of that date but lack an established average number of resident FTEs under section 1886(h)(4).
How is CHGME different from standard Medicare GME funding?
CHGME is targeted to freestanding childrens teaching hospitals that have historically been disadvantaged by traditional Medicare payment structures that drive most GME dollars. The newly qualified pathway also notes that a hospital must not otherwise be qualified to receive payments under CHGME authority or under section 1886(h), the standard Medicare GME framework.
What is the overall goal of the program for pediatric workforce needs?
The program aims to maintain and expand pediatric residency training capacity by offsetting training-related costs at qualifying freestanding childrens hospitals and strengthening the pediatric physician pipeline.
Who can applicants contact for help accessing the full announcement?
HRSA provided a point of contact through the HRSA Grants Application Center: Juliette Jenkins, 910 Clopper Road, Suite 155 South, Gaithersburg, MD 20878, email JJenkins@hrsa.gov, phone (301) 443-10 Ext. 58 (as listed in the synopsis).
What does "discretionary grant" mean in the context of this listing?
The opportunity was offered as a discretionary grant under Funding Opportunity Number HRSA-15-018, as stated in the synopsis.
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