Opportunity Information: Apply for HRSA 22 051
The Children's Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant program designed to address a long-standing imbalance in how graduate medical education (GME) is financed in the United States. Most federal GME support flows through Medicare, which is administered by the Centers for Medicare and Medicaid Services (CMS). Because Medicare primarily covers older adults, the teaching hospitals that care for large adult populations tend to receive the bulk of federal GME dollars. Freestanding children's teaching hospitals, on the other hand, typically have very low Medicare patient volumes, which means they receive little to no Medicare-based GME funding even though they train residents and other pediatric specialists who are essential to the healthcare workforce. The CHGME program exists specifically to compensate for that gap and help stabilize funding for pediatric training programs that would otherwise be disadvantaged by Medicare's patient mix.
Administratively, the program sits within the U.S. Department of Health and Human Services (HHS) and is run by the Health Resources and Services Administration (HRSA), through HRSA's Bureau of Health Workforce (BHW). In practical terms, the program provides grant payments to eligible freestanding children's teaching hospitals to support the costs of training physicians in residency programs and related training environments. The overall goal is not just to help individual hospitals, but to protect and sustain the national pipeline of pediatric physicians and pediatric subspecialists by ensuring that children's hospitals are not structurally underfunded compared with adult-serving teaching hospitals.
This particular funding opportunity was posted as a discretionary grant opportunity under HRSA with the title "Children's Hospitals Graduate Medical Education (CHGME) Payment Program" and funding opportunity number HRSA-22-051. It is associated with CFDA number 93.255 and classified under the health funding activity category. The opportunity record indicates an expected 62 awards, reflecting that the program is intended to support a defined set of qualifying hospitals rather than an open-ended range of applicants. The listing shows an award ceiling of 0, which generally signals that the specific maximum amount is not stated in that field and that award amounts are determined through program-specific formulas, appropriations, eligibility, and other requirements rather than a single fixed cap published in the summary.
Key dates in the source information include a creation date of May 7, 2021, and an original closing date of July 15, 2021. Eligibility is summarized as "Others" with additional clarification typically provided in the full eligibility section, and in the CHGME context that generally points toward freestanding children's teaching hospitals that meet the program's statutory and regulatory requirements. Overall, the opportunity is best understood as targeted support meant to level the playing field in federal GME financing so that children's hospitals can continue training the pediatric workforce even though Medicare-based funding mechanisms do not naturally reach them.Apply for HRSA 22 051
- 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 07, 2021.
- Applicants must submit their applications by Jul 15, 2021. (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 62 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs): Children's Hospitals Graduate Medical Education (CHGME) Payment Program (HRSA-22-051)
What is the CHGME Payment Program?
The Children's Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant program that provides payments to eligible freestanding children's teaching hospitals to help support the costs of training physicians in residency programs and related training settings.
Why does this program exist?
The program was created to address a long-standing imbalance in how graduate medical education (GME) is financed in the United States. Most federal GME funding flows through Medicare, which generally benefits adult-serving teaching hospitals. Freestanding children's teaching hospitals typically have low Medicare patient volume, so they receive little to no Medicare-based GME funding even though they train critical pediatric clinicians. CHGME exists to compensate for that structural gap.
How is Medicare related to GME funding, and why does that matter for children's hospitals?
Most federal support for GME historically flows through Medicare, administered by the Centers for Medicare and Medicaid Services (CMS). Because Medicare primarily covers older adults, hospitals that care for large adult populations tend to receive most Medicare-linked GME dollars. Freestanding children's hospitals usually care for pediatric patients and therefore see far fewer Medicare patients, which reduces or eliminates their access to Medicare-based GME payments.
Which federal agency administers the CHGME program?
The CHGME Payment Program is housed within the U.S. Department of Health and Human Services (HHS) and administered by the Health Resources and Services Administration (HRSA), through HRSA's Bureau of Health Workforce (BHW).
What is the official title of this funding opportunity?
The opportunity is titled "Children's Hospitals Graduate Medical Education (CHGME) Payment Program."
What is the funding opportunity number?
The funding opportunity number is HRSA-22-051.
What is the CFDA number associated with this program?
The opportunity is associated with CFDA number 93.255.
What type of grant opportunity is this?
It is listed as a discretionary grant opportunity under HRSA and categorized under the health funding activity category.
What does the CHGME program fund or support?
Based on the opportunity description, the program provides grant payments to support the costs of training physicians in residency programs and related training environments at eligible freestanding children's teaching hospitals.
What is the broader goal of providing these payments?
The program aims to protect and sustain the national pipeline of pediatric physicians and pediatric subspecialists by stabilizing pediatric training funding at children's hospitals that are otherwise disadvantaged under Medicare-based funding mechanisms.
Who is eligible to apply, based on the listing?
The eligibility field is summarized as "Others." In the CHGME context described, eligibility generally points toward freestanding children's teaching hospitals that meet statutory and regulatory program requirements.
Is this program intended for a broad range of applicants?
The listing indicates an expected 62 awards, which suggests the program is designed to support a defined set of qualifying hospitals rather than an open-ended pool of applicants.
How many awards are expected?
The opportunity record indicates an expected 62 awards.
Is there a maximum award amount (award ceiling)?
The listing shows an award ceiling of 0. This typically indicates that a single fixed maximum amount is not stated in that summary field and that award amounts are determined through program-specific formulas, appropriations, eligibility factors, and other requirements rather than a published cap in the brief listing.
What does it mean when the award ceiling is listed as 0?
In this listing, an award ceiling of 0 generally signals that the maximum award amount is not provided in that particular summary field. Instead, payments are usually determined by program-specific rules and available appropriations rather than a single stated ceiling.
When was this opportunity created?
The source information lists a creation date of May 7, 2021.
What was the original closing date for this opportunity?
The source information lists an original closing date of July 15, 2021.
What problem in the healthcare workforce does CHGME try to address?
By stabilizing training funding at children's teaching hospitals, CHGME supports the pipeline of pediatric physicians and pediatric subspecialists who are essential to the healthcare workforce.
How does this program "level the playing field" in GME financing?
Because Medicare-linked GME funding does not naturally reach freestanding children's hospitals due to low Medicare patient volume, CHGME provides targeted payments intended to compensate for that mismatch and reduce structural underfunding compared with adult-serving teaching hospitals.
Is the program focused on individual hospitals or broader national needs?
While payments go to eligible hospitals, the stated purpose extends beyond individual institutions. The program is framed as a way to sustain the national pediatric training pipeline by helping ensure children's hospitals can continue training pediatric clinicians even when Medicare-based financing does not support them.
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