The Children’s Hospitals Graduate Medical Education (CHGME) Payment Program, administered by the Health Resources and Services Administration (HRSA), is designed to address funding disparities between children’s teaching hospitals and other medical institutions. The program provides financial support for the education and training of pediatric medical residents, with a focus on enhancing care for low-income children. The application guidance outlines processes for both initial and reconciliation funding applications, detailing eligibility criteria, required forms, and payment methodologies. Eligible freestanding children's teaching hospitals must submit applications through HRSA's Electronic Handbooks, complying with deadlines cited in the Notice of Funding Opportunity. The funding process includes interim payments based on initial applications and reconciliations that adjust payments according to the final resident counts. The program highlights the importance of accurate reporting, as the distribution of funding relies on these figures. Overall, the guidance emphasizes the significance of rigorous application processes to secure funding from the more than $6 billion distributed since the program's inception, reinforcing its integral role in the pediatric workforce development.