Opportunity Information: Apply for HRSA 21 012
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 U.S. Department of Health and Human Services (HHS), specifically administered through HRSA s Bureau of Health Workforce (BHW). Its core goal is to help correct a long-standing imbalance in how graduate medical education (GME) is funded across the country, especially for freestanding children s teaching hospitals that train physicians but do not receive the same level of federal support as most adult-serving teaching hospitals.
In most of the U.S. health care system, the largest stream of federal GME support flows through Medicare and is administered by the Centers for Medicare and Medicaid Services (CMS). That structure works for general teaching hospitals because they typically treat many Medicare patients, and Medicare GME payments are tied to Medicare utilization and related formulas. Freestanding children s hospitals, however, care primarily for pediatric patients and therefore have very low Medicare patient volumes. As a result, even when these hospitals operate robust residency and fellowship programs and play a major role in training pediatric specialists, they often receive little to no Medicare-funded GME support. The CHGME program exists to compensate for that mismatch by providing payments that help sustain and strengthen physician training in children s hospitals.
This opportunity (Funding Opportunity Number HRSA 21 012) is categorized as a discretionary grant under the health funding activity category and is associated with CFDA (now Assistance Listing) number 93.255. The program anticipated making about 59 awards under this cycle, reflecting support distributed across eligible freestanding children s teaching hospitals. The listing shows an award ceiling of 0, which generally signals that awards are determined by formula, appropriations, or program-specific calculations rather than a single fixed maximum amount stated in the notice. Eligibility is listed broadly as "Others" with additional clarification typically provided in the full eligibility section of the notice, but the program is fundamentally designed for freestanding children s teaching hospitals that operate accredited GME training programs.
The opportunity was created on May 18, 2020, with an original closing date of July 24, 2020. In practice, the CHGME program functions as a mechanism to provide financial support for training residents and fellows in pediatric-focused settings, helping maintain the pipeline of pediatricians and pediatric subspecialists by addressing a structural funding gap that exists when Medicare-based GME financing does not align with where pediatric care is delivered.Apply for HRSA 21 012
- The Department of Health and Human Services, 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.
- This funding opportunity was created on May 18, 2020.
- Applicants must submit their applications by Jul 24, 2020. (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 59 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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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) in freestanding children’s teaching hospitals. It is designed to strengthen physician training in pediatric-focused settings.
Which federal agency runs and administers this program?
The CHGME Payment 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 intended to address?
CHGME is intended to correct a long-standing imbalance in how GME is funded across the country. Freestanding children’s teaching hospitals often train physicians extensively but do not receive the same level of federal GME support as most adult-serving teaching hospitals.
Why do freestanding children’s hospitals receive less Medicare GME funding?
The largest stream of federal GME support typically flows through Medicare and is administered by the Centers for Medicare and Medicaid Services (CMS). Medicare GME payments are tied to Medicare utilization and related formulas. Because freestanding children’s hospitals primarily treat pediatric patients and have very low Medicare patient volumes, they often receive little to no Medicare-funded GME support.
How does CHGME relate to Medicare and CMS?
CHGME exists in large part because Medicare-based GME financing does not align well with pediatric care settings. While Medicare GME payments (administered by CMS) work for many general teaching hospitals that serve Medicare patients, freestanding children’s hospitals generally do not have the Medicare patient volumes needed to generate comparable support. CHGME helps compensate for that mismatch.
What is the core goal of CHGME payments?
The core goal is to help sustain and strengthen physician training in children’s hospitals, supporting residency and fellowship programs and helping maintain the pipeline of pediatricians and pediatric subspecialists.
What types of training programs does CHGME support?
Based on the description provided, CHGME supports hospitals that operate accredited GME training programs, including residency and fellowship programs, in pediatric-focused settings.
Who is this funding opportunity designed for?
This opportunity is fundamentally designed for freestanding children’s teaching hospitals that operate accredited graduate medical education training programs.
What is the Funding Opportunity Number (FON) for this CHGME cycle?
The Funding Opportunity Number listed for this opportunity is HRSA 21 012.
How is this grant categorized?
This funding opportunity is categorized as a discretionary grant under the health funding activity category.
What is the CFDA or Assistance Listing number associated with this program?
The program is associated with CFDA (now called the Assistance Listing) number 93.255.
How many awards were anticipated under this cycle?
The opportunity anticipated making about 59 awards for this cycle, reflecting support distributed across eligible freestanding children’s teaching hospitals.
Is there a maximum (ceiling) award amount listed?
The listing shows an award ceiling of 0. This generally indicates awards are determined by formula, appropriations, or program-specific calculations rather than a single fixed maximum amount stated in the notice.
What does an “award ceiling of 0” usually mean in practice?
In this context, it generally signals that the award amounts are not capped at a single published maximum in the opportunity listing. Instead, amounts are typically set through a formula, the availability of appropriations, and/or specific program calculations.
What is the eligibility category shown in the listing?
Eligibility is listed broadly as “Others,” with additional clarification typically provided in the full eligibility section of the notice. The program description indicates it is aimed at freestanding children’s teaching hospitals with accredited GME programs.
When was this funding opportunity created?
The opportunity was created on May 18, 2020.
What was the original closing date for this opportunity?
The original closing date listed is July 24, 2020.
What is the larger policy rationale behind CHGME?
CHGME functions as a mechanism to provide financial support for training residents and fellows in pediatric-focused settings by addressing a structural funding gap: Medicare-based GME financing is tied to Medicare patient volumes, which do not reflect where most pediatric care is delivered.
What kind of hospitals does this program emphasize?
The program emphasizes freestanding children’s teaching hospitals, particularly those that play a major role in training pediatric specialists but may receive limited support through Medicare-based GME funding streams.
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