Opportunity Information: Apply for HRSA 17 006

  • The HHS-HRSA 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 May 16, 2016 and posted on May 16, 2016.
  • Applicants must submit their applications by Jul 15, 2016. (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 65 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 17 006

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Opportunity Summary:

The Children’s Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant opportunity run by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS), specifically administered through HRSA’s Bureau of Health Workforce (BHW). It is designed to support graduate medical education (GME) at freestanding children’s teaching hospitals, which historically have not benefited from the main federal GME funding stream in the same way that adult-serving teaching hospitals have.

In the broader U.S. health financing system, most federal support for residency training is routed through the Centers for Medicare and Medicaid Services (CMS), largely because Medicare payments have long been a primary mechanism for underwriting the costs of training physicians. The problem CHGME is meant to address is that many freestanding children’s hospitals treat few or no Medicare patients, so they do not receive Medicare GME payments at levels comparable to general teaching hospitals that serve adults. Before CHGME existed, this created a significant imbalance: children’s hospitals were incurring substantial costs to train residents and other physicians in pediatric settings, yet the traditional Medicare-based funding model did not adequately follow that training activity.

The core purpose of CHGME, as described in the opportunity announcement, is to compensate for that disparity in federal GME support. In practical terms, the program provides grant funding intended to bolster the financial capacity of eligible freestanding children’s teaching hospitals to continue operating and sustaining residency training programs. By doing so, the program helps maintain and strengthen the pediatric physician workforce pipeline, since children’s hospitals play an outsized role in training pediatric specialists and providing the clinical environments where many pediatric residents gain experience.

This specific funding notice is labeled as a discretionary grant opportunity with the funding opportunity number HRSA-17-006 and is associated with CFDA number 93.255. The agency listed is HHS-HRSA, and the application window in the posted data reflects a closing date of July 15, 2016 (with the same date listed as both the original and current deadline). The notice anticipated making around 65 awards. The “award ceiling” field is shown as 0 in the source data, which typically indicates that a fixed maximum award amount is not provided in that particular summary field or may be determined by formula, appropriation levels, eligibility, and other program-specific payment calculations rather than a single uniform cap.

Eligibility is indicated as “Others,” with additional clarification expected in the full announcement text. In context, CHGME is generally aimed at freestanding children’s teaching hospitals that meet statutory and program requirements, rather than open eligibility to a broad range of organizations like universities, states, or nonprofits. Overall, the opportunity is best understood as a targeted federal payment program structured as grant awards to reduce inequities in how the federal government finances physician training, ensuring that pediatric-focused training institutions are not penalized simply because their patient mix does not align with Medicare’s traditional funding pathways.

Frequently Asked Questions (FAQs): Children’s Hospitals Graduate Medical Education (CHGME) Payment Program

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 opportunity intended to support graduate medical education (GME) at eligible freestanding children’s teaching hospitals. It is designed to help sustain residency training in pediatric-focused settings.

Which federal agency runs and administers this program?

The program is run by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS). It is specifically administered through HRSA’s Bureau of Health Workforce (BHW).

What problem is CHGME meant to address?

CHGME is meant to address an imbalance in federal funding for physician residency training. Most federal GME support traditionally flows through Medicare (via CMS). Freestanding children’s hospitals often treat few or no Medicare patients, so they historically have not received Medicare GME payments at levels comparable to adult-serving teaching hospitals, despite incurring significant costs to train residents in pediatric environments.

Why does the Medicare-based GME funding model disadvantage freestanding children’s hospitals?

Because Medicare payments are tied to Medicare patient care, and freestanding children’s hospitals typically have a patient mix with few Medicare beneficiaries. As a result, the conventional Medicare GME payment stream does not adequately follow or fund residency training activity happening in pediatric-only or pediatric-heavy hospital settings.

What is the main purpose of CHGME funding?

The core purpose is to compensate for disparities in federal GME support by providing grant funding that strengthens the financial capacity of eligible freestanding children’s teaching hospitals to operate and sustain residency training programs. This, in turn, supports the pediatric physician workforce pipeline.

How does CHGME relate to the pediatric physician workforce?

Children’s hospitals play an outsized role in training pediatric specialists and in providing clinical training environments for pediatric residents. By supporting residency training at these institutions, CHGME helps maintain and strengthen the pipeline of physicians trained to care for children.

Is this considered a grant or a payment program?

In the posted description, it is presented as a discretionary grant opportunity and is also described as a targeted federal payment program structured as grant awards. In practice, it functions as federal support delivered through grant-style awards to eligible hospitals to reduce inequities in GME financing.

What is the funding opportunity number for this notice?

The funding opportunity number (FON) listed is HRSA-17-006.

What is the CFDA number associated with this opportunity?

The opportunity is associated with CFDA number 93.255.

What is the listed application deadline for this opportunity?

The posted data reflects a closing date of July 15, 2016, and that same date is shown as both the original and current deadline.

How many awards were anticipated?

The notice anticipated making around 65 awards.

Is there an award maximum (award ceiling) listed?

The summary data shows the “award ceiling” field as 0. In this context, that typically means a fixed maximum award amount is not provided in that summary field, or that award amounts may be determined by program-specific calculations (such as formulas, appropriation levels, eligibility requirements, and other payment factors) rather than a single uniform cap.

Who is eligible to apply?

Eligibility is indicated as “Others” in the summary information, with additional clarification expected in the full announcement. Based on the context provided, CHGME is generally aimed at freestanding children’s teaching hospitals that meet statutory and program requirements, rather than being broadly open to organizations such as universities, states, or general nonprofits.

Is this opportunity open to a wide range of organizations (universities, nonprofits, states, etc.)?

The information provided suggests it is a targeted program focused on eligible freestanding children’s teaching hospitals. The summary eligibility category is “Others,” and the full announcement would typically contain the precise eligibility rules.

What types of hospitals does CHGME specifically focus on?

The program is designed to support GME at freestanding children’s teaching hospitals, particularly those that historically have not benefited from the main federal GME funding stream in the same way adult-serving teaching hospitals have.

How does CHGME fit into the broader U.S. health financing system for residency training?

Most federal support for residency training has traditionally been routed through the Centers for Medicare and Medicaid Services (CMS), mainly through Medicare payment mechanisms. CHGME exists as a policy and funding response to ensure pediatric-focused training institutions are not financially disadvantaged simply because their patient mix does not align with Medicare’s traditional funding pathways.

What makes this program “discretionary” in the posted notice?

The notice is labeled as a discretionary grant opportunity. Based on the information provided, this classification describes the grant category in the listing, while the program’s practical purpose is to provide targeted federal support through grant awards to eligible children’s hospitals for GME.

Where within HRSA is the program administered?

It is administered through HRSA’s Bureau of Health Workforce (BHW).

Does the summary information explain exactly how payment amounts are calculated?

No. The summary notes that the award ceiling is shown as 0 and indicates that award amounts may depend on program-specific payment calculations, formulas, appropriation levels, and eligibility requirements. Exact calculation details are not provided in the information shown here.

What is the main takeaway about why CHGME exists?

CHGME exists to reduce inequities in federal financing of physician training by helping ensure that pediatric training institutions, particularly freestanding children’s teaching hospitals, are supported even though they do not receive Medicare GME payments comparable to adult-serving teaching hospitals.

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