Children’s Hospitals Graduate Medical Education Payment Program

Children's Hospital Graduate Medical Education (CHGME) Payment Program
CFDA 93.255 Active Direct Payment (Specified Use)

Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$370.6M FY2026
$369M
FY24
$369.6M
FY25
$370.6M
FY26*
* estimated

Who has received this funding

Organizations awarded under CFDA 93.255 (USAspending.gov).

Funded Projects

Examples of what this program has supported.

FY2025 In Academic Year 2023-2024, CHGME funded over 16,374 physician and dental residents and fellows. The program supported the training of 6,235 Pediatric residents and 3,383 Pediatric medical subspecialty fellows, including training 264 Child and Adolescent Psychiatry fellows. Moreover, CHGME funding was responsible for training 5,798 Adult Medical and Surgical Specialty Residents who rotate through children’s hospitals for their pediatrics training. There were also 487 adult and pediatric dentistry residents and 471 pediatric surgical subspecialty residents. CHGME-funded hospitals reported providing more than 1.5 million patient encounters in primary care settings, with their medical residents and fellows providing over 5.6 million hours of patient care in medically underserved communities.

Program Objective

The purpose of the CHGME Payment Program is to compensate for the disparity in the level of Federal graduate medical education (GME) funding for freestanding children’s teaching hospitals versus other types of teaching hospitals. Hospitals typically receive GME support GME through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. 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 supports freestanding children’s teaching hospitals that: 1) educate and train future pediatricians, pediatric sub-specialists, and other non-pediatric residents, including residents in dentistry; 2) provide care for vulnerable and underserved children; and 3) conduct innovative and valuable pediatric research. The CHGME Support Reauthorization Act of 2013 contained a provision to establish a quality bonus system (QBS). The goal of the QBS is to recognize and incentivize those CHGME Payment Program awardees with high quality training to meet the pediatric workforce needs of the nation.

Eligibility

Eligible Applicants

  • U.S. State Government
  • Federally Recognized Tribal Government
  • Tribal Government (other)
  • U.S. Territory Government
  • Nonprofit Organization

A children’s hospital is eligible to apply for CHGME Payment Program funding if it participates in an approved GME program; has a Medicare Provider Agreement; is excluded from the Medicare Inpatient Prospective Payment System (IPPS); and operates as a freestanding children’s teaching hospital. A freestanding children’s teaching hospital does not operate under a Medicare hospital provider number assigned to a larger health care entity that receives Medicare GME payments. A hospital remains eligible for payments as long as it trains residents as a freestanding children’s hospital during the federal fiscal year that HRSA makes CHGME Payment Program payments.

Beneficiaries

  • Health Professional
  • Other

Any public or private nonprofit and profit freestanding children's teaching hospital with an accredited residency training program which meets all eligibility requirements may apply.

How to Apply

Award Procedure

Notification is made in writing (electronic) by a Notice of Award (NoA). Section 340E(a) requires the Secretary of DHHS to make payments for direct and indirect expenses associated with operating approved graduate medical residency training programs for each fiscal year. The two statutory formulas (direct medical education and indirect medical education) outline payments to eligible children's teaching hospitals.

Approximately 120 to 180 days after receipt of applications.

Program details & compliance

Description

The purpose of the CHGME Payment Program is to compensate for the disparity in the level of Federal graduate medical education (GME) funding for freestanding children’s teaching hospitals versus other types of teaching hospitals. Hospitals typically receive GME support GME through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. 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 supports freestanding children’s teaching hospitals that: 1) educate and train future pediatricians, pediatric sub-specialists, and other non-pediatric residents, including residents in dentistry; 2) provide care for vulnerable and underserved children; and 3) conduct innovative and valuable pediatric research. The CHGME Support Reauthorization Act of 2013 contained a provision to establish a quality bonus system (QBS). The goal of the QBS is to recognize and incentivize those CHGME Payment Program awardees with high quality training to meet the pediatric workforce needs of the nation.

Mission Categories

Primary: General Health and Medical

Other categories:
Maternity, Infants, ChildrenDental EducationHealth Education

Use of Funds

Allowed Uses

Funds are restricted to eligible children's hospitals for direct expenses and the other indirect expenses associated with operating approved graduate medical residency programs.

Required Documentation

This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles. Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) issued under this assistance listing for any required proof or certifications which must be submitted with an application package.

Reporting & Compliance

Audit Required
Yes — Not Required
Records Retention
3 years

Formula

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

Contacts

Lisa Flach-Fulcher, MBA, MS, Division of Medicine and Dentistry, Bureau of Health Workforce
301-443-0365
5600 Fishers Lane, Rockville, MD 20857
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-05. Spec v2.0. Last synced: 2026-05-30 02:35:48.