GrantPostedDiscretionary

Children’s Hospitals Graduate Medical Education (CHGME) Payment Program

Health Resources and Services Administration
HRSA-27-016
Application Deadline
Days Remaining
Until deadline
Award Ceiling
$28,000,000
Total Program Funding
$371,000,000

Grant Opportunity Analysis

The Health Resources and Services Administration is accepting applications for the Children’s Hospitals Graduate Medical Education Payment Program to support graduate medical education programs in freestanding children's hospitals. Funded institutions will utilize the grant money to train resident physicians and dentists. Eligible applicants must be freestanding children's teaching hospitals that meet specific Medicare payment agreements and exclusion criteria, possess approved residency programs, and predominantly serve inpatients under 18 years of age. The program has an estimated total funding of $371,000,000 to support approximately 59 awards ranging from $32,000 to $28,000,000. Applications must be submitted electronically by August 31, 2026, and questions can be directed to Lisa Flach-Fulcher at AFlach-Fulcher@hrsa.gov.

Eligible Applicants

Others
Additional Eligibility Information

​​Currently Eligible Hospitals​Includes freestanding children"s hospitals that meet the original eligibility requirements for CHGME payments, as described in the CHGME Federal Register published on March 1, 2001 (66 FRN 12940), established prior to the Children"s Hospital GME Support Reauthorization Act of 2013. A children"s teaching hospital is considered "freestanding" if it does not operate under a Medicare hospital provider number assigned to a larger health care entity that receives Medicare GME payments. These freestanding children"s hospitals must meet all the following criteria: Have a Medicare payment agreement.Are excluded from the Medicare Inpatient Prospective Payment System (IPPS) pursuant to section 1886(d)(1)(B)(iii) of the Social Security Act (SSA) and its accompanying regulations. The exclusion of children"s hospitals from IPPS set forth under section 1886(d)(1)(B)(iii) of the SSA states this exclusion exists for hospitals whose inpatients are predominantly individuals under 18 years of age.Participate in an approved GME residency training program as defined in section 1886(h)(5)(A) of the SSA. It is a "freestanding" children's hospital. ​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 all the following criteria: Has a Medicare payment agreement.Is excluded from Medicare IPPS pursuant to section 1886(d)(1)(B) of the SSA and its accompanying regulations.Its inpatients are predominantly people under 18 years of age.Has an approved medical residency training program as defined in section 1886(h)(5)(A) of the SSA.Is not otherwise qualified to receive payments under 42 U.S.C. § 256e or section 1886(h) of the SSA as a Currently Eligible Hospital. ​For those freestanding children"s hospitals that met the above requirements for Newly Qualified Hospitals as of April 7, 2014, and the Secretary had not previously determined an average number of full-time equivalent (FTE) residents under section 1886(h)(4) of the SSA, the Secretary may establish such number of FTE residents for the purposes of calculating CHGME Payment Program payments.

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Project Timeline

postedOriginal Opportunity PostedJul 8, 2026
expiryArchive DateSep 30, 2026

Funding Details

Award Ceiling
$28,000,000
Award Floor
$32,000
Est. Total Program Funding
$371,000,000
Expected Awards
59
No cost sharing required

Agency & Classification

Agency
Health Resources and Services Administration(HHS-HRSA)
Funding Category
Health
Funding Instrument
Grant

Grantor Contact

Name
Lisa Flach-Fulcher, MBA, MS

CFDA Numbers

93.255

Official Sources