Childrens Hospitals Graduate Medical Education (CHGME) Payment Program
This federal grant provides financial support to qualifying freestanding children's hospitals for their graduate medical education programs, helping to train resident physicians and dentists.
The Children's Hospitals Graduate Medical Education (CHGME) Payment Program is a federal grant opportunity administered by the Health Resources and Services Administration within the U.S. Department of Health and Human Services. The program is listed under Assistance Listing 93.255, Children's Hospitals Graduate Medical Education Payment Program, and is categorized as a discretionary grant in the Health funding activity category. The opportunity number is HRSA-27-016. The forecast states that the program funds freestanding children's hospitals and supports their graduate medical education programs in training resident physicians and dentists. The forecast anticipates approximately 59 awards and estimated total program funding of $371,000,000. Program funding is specifically directed toward the graduate medical education activities of qualifying freestanding children's hospitals. The source identifies an estimated award range from $32,000 to $28,000,000. No cost sharing or matching requirement applies. The forecast does not provide additional spending restrictions, indirect cost limitations, subaward restrictions, or a detailed period of performance. The estimated project start date is April 1, 2027. Because the available material is a forecast rather than the complete notice of funding opportunity, applicants should not infer additional allowable costs or restrictions beyond the information expressly provided. Eligibility is limited to qualifying freestanding children's hospitals rather than a broad class of organizations. Currently Eligible Hospitals include freestanding children's hospitals meeting the original CHGME payment eligibility requirements described in the March 1, 2001 Federal Register notice and established before the Children's Hospital GME Support Reauthorization Act of 2013. Such hospitals must have a Medicare payment agreement, be excluded from the Medicare Inpatient Prospective Payment System under the applicable Social Security Act provisions, participate in an approved graduate medical education residency training program, and qualify as a freestanding children's hospital. For this purpose, a children's teaching hospital is considered freestanding when it does not operate under a Medicare hospital provider number assigned to a larger health care entity receiving Medicare GME payments. Newly Qualified Hospitals may also qualify for CHGME payments depending on the level of funding appropriated to the program. A newly qualified freestanding hospital must have a Medicare payment agreement, be excluded from Medicare IPPS under the applicable Social Security Act provisions, have inpatients who are predominantly people under 18 years of age, maintain an approved medical residency training program, and not otherwise qualify for payments as a Currently Eligible Hospital under the cited federal provisions. The forecast also addresses certain hospitals that met the Newly Qualified Hospital requirements as of April 7, 2014, where the Secretary had not previously determined an average number of full-time equivalent residents. For those hospitals, the Secretary may establish the FTE resident number used in calculating CHGME Payment Program payments. The opportunity is currently forecasted rather than open for application. The estimated posting date is January 4, 2027, which serves as the earliest stated indication of when the application opportunity is expected to become available. The estimated application deadline is February 3, 2027. Electronically submitted applications must be submitted no later than 11:59 p.m. Eastern Time on that date. The provided forecast does not identify a letter of intent, concept paper, pre-proposal, notice of intent, or other pre-application gating requirement. It also does not provide application forms, narrative questions, required uploads, evaluation criteria, or detailed submission mechanics beyond electronic submission by the stated deadline. The estimated award date is April 1, 2027, and the estimated project start date is also April 1, 2027. The forecast does not state that the opportunity is rolling or that it recurs annually, biennially, quarterly, or on another established schedule, so no recurrence is established from the supplied source. The forecast was dated July 8, 2026 and was last updated September 2, 2026. Because the opportunity remains in forecast status, the dates and funding figures are estimates as presented in the source and may be further defined when the full opportunity is posted. The listed grantor contact is Lisa Flach-Fulcher, MBA, MS, who can be reached by telephone at 301.443.0365 or by email at AFlach-Fulcher@hrsa.gov. No direct NOFO, RFP, guidelines, or other qualifying PDF URL is provided in the supplied material. Applicants should therefore rely on the official opportunity posting when available for the complete application package, required components, evaluation criteria, detailed funding rules, and any additional submission requirements.
Award Range
$32,000 - $28,000,000
Total Program Funding
$371,000,000
Number of Awards
59
Matching Requirement
No
Additional Details
Estimated project start date is April 1, 2027. No detailed performance period, funding tiers, indirect cost caps, or subaward limits are stated in the supplied forecast.
Eligible Applicants
Additional Requirements
Eligibility is limited to qualifying freestanding children's hospitals. Currently Eligible Hospitals must meet the original CHGME requirements, have a Medicare payment agreement, be excluded from Medicare IPPS under the applicable Social Security Act provisions, participate in an approved GME residency training program, and be freestanding. Newly Qualified Hospitals must have a Medicare payment agreement, be excluded from Medicare IPPS, have inpatients who are predominantly people under 18 years of age, have an approved medical residency training program, and not otherwise qualify for payments as a Currently Eligible Hospital under the cited provisions. Eligibility for Newly Qualified Hospitals may depend on the level of funding appropriated to the program.
Geographic Eligibility
All
Application Opens
January 4, 2027
Application Closes
February 3, 2027
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