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Grants / Department of Health and Human Services / Health Resources and Services Administration

HRSA-23-012: Children’s Hospitals Graduate Medical Education (CHGME) Payment Program

Closed Closed August 1, 2022 Opportunity HRSA-23-012

This grant is closed. A newer notice from the same program is forecast: Children’s Hospitals Graduate Medical Education (CHGME) Payment Program (HRSA-27-016). Status: Expected deadline February 3, 2027. It is in our archive of Health Resources and Services Administration notices from 2022.

Health Resources and Services Administration offered grants to the applicants described in the notice. It expected to make about 62 awards worth $332 million in total. Applications closed on August 1, 2022.

From the official notice on Grants.gov, last changed June 29, 2022. Checked November 7, 2026.

Other notices with this title

Health Resources and Services Administration has posted this title under other numbers: earlier or later rounds, or the same competition for another area. Each has its own dates and may change its rules.

NoticePostedDeadlineStatus
HRSA-27-016July 8, 2026Expected deadline February 3, 2027Forecast
HRSA-25-079June 26, 2024Closed August 8, 2024Closed
HRSA-24-020June 1, 2023Closed July 14, 2023Closed
HRSA-22-051May 7, 2021Closed July 15, 2021Closed

Key dates

PostedJune 29, 2022
DeadlineAugust 1, 2022

Who can apply

This opportunity was open to the applicants described in the notice.

There are two categories of children’s hospitals that may be eligible for CHGME payments in FY 2023, depending on the funding appropriated to the program – “Currently Eligible Hospitals” and “Newly Qualified Hospitals.” Hospitals that are applying for the first time for the CHGME Payment Program may be hospitals that are new to the CHGME Payment Program but qualify under the “Currently Eligible Hospitals” requirements or are eligible as a “Newly Qualified Hospital.” a. Currently Eligible Hospitals: Includes freestanding children’s hospitals that meet the original eligibility requirements for CHGME payments that were established prior to the Children’s Hospital GME Support Reauthorization Act of 2013. These freestanding children’s hospitals must meet the following criteria: 1) Have a Medicare provider agreement; 2) Are excluded from the Medicare Inpatient Prospective Payment System (IPPS) pursuant to section 1886(d)(1)(B)(iii) 4 of the Social Security Act (SSA) and its accompanying regulations; and 3) Participate in an approved GME residency training program as defined in section 1886(h)(5)(A) of the SSA. b. 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 the following criteria: 1) Has a Medicare provider agreement; 2) Is excluded from Medicare IPPS pursuant to section 1886(d)(1)(B) of the SSA and its accompanying regulations; 3) Its inpatients are predominantly individuals under 18 years of age; 4) Has an approved medical residency training program as defined in section 1886(h)(5)(A) of the SSA; and 5) Is not otherwise qualified to receive payments as a Currently Eligible Hospital as defined by section 1886(h) of the SSA. 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 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. Any public or private nonprofit and for-profit children's teaching hospital with an accredited residency training program (as defined below), that meets all of the above requirements for either category of eligibility may apply, though final eligibility for receiving funds as a “curr

Is this a realistic fit?

What the grant funds

This notice announces the opportunity to apply for funding under the Children’s Hospitals Graduate Medical Education (CHGME) Payment Program. The purpose of the CHGME Payment Program is to compensate for the disparity in the level of Federal GME funding for freestanding children’s teaching hospitals versus other types of teaching hospitals. Federal funding for graduate medical education (GME) is primarily provided by the Centers for Medicare and Medicaid Services (CMS) and goes to full service teaching hospitals that serve primarily adult patients. Freestanding children’s hospitals receive little to no GME funding from Medicare because children’s hospitals have a low Medicare caseload. The CHGME Payment Program is administered by the Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS).

Category: Health.

Who has won Children's Hospitals Graduate Medical Education Payment Program grants before

From fiscal 2021 to 2025, Children's Hospitals Graduate Medical Education Payment Program (93.255) awarded $1.8 billion across 59 grant awards, an average of $30.4 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
The Children's Hospital of PhiladelphiaPennsylvania1$134 million
The Children's Hospital CorporationMassachusetts1$116 million
Children's National Medical CenterDistrict of Columbia1$79.4 million
Children's Hospital Los AngelesCalifornia1$76.3 million
VHS Children's Hospital of Michigan, IncMichigan1$72.9 million

Top states: California ($242 million), Pennsylvania ($241 million), Ohio ($176 million), Texas ($172 million), Massachusetts ($117 million).

Applying now

This notice no longer takes applications. Apply under the newer notice, HRSA-27-016, which is forecast.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.

Questions people ask

Is HRSA-23-012 still open?

No. It closed on August 1, 2022. A newer notice is forecast: HRSA-27-016, expected deadline February 3, 2027.

Who can apply for Children’s Hospitals Graduate Medical Education (CHGME) Payment Program?

Health Resources and Services Administration accepted applications from the applicants described in the notice. The notice adds further conditions, so read its eligibility section.

What is the deadline for Children’s Hospitals Graduate Medical Education (CHGME) Payment Program?

Closed August 1, 2022. Applications are no longer accepted; the program's newer notices are on this page when there are any.

How much funding is available?

About $332 million in total across about 62 awards.

Who has won Children's Hospitals Graduate Medical Education Payment Program grants before?

The largest recipients over five fiscal years were The Children's Hospital of Philadelphia, The Children's Hospital Corporation, Children's National Medical Center. The program made 59 awards worth $1.8 billion in that time.

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