HHS HRSA Grant for Children’s Hospitals Graduate Medical Education Payments

Currently Eligible Hospitals: Includes 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 children’s hospitals must meet the following criteria: 

Participate in an approved GME residency training program;

Have a Medicare provider payment agreement;

Are excluded from the Medicare Inpatient Prospective Payment System (IPPS) under section 1886(d)(1)(B)(iii)[1] of the Social Security Act (SSA) and its accompanying regulations; and

Are “freestanding” children’s hospitals.

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:  

Has a Medicare payment agreement and is excluded from Medicare IPPS pursuant to section 1886(d)(1)(B) of the SSA and its accompanying regulations;

Its inpatients are predominantly individuals under 18 years of age;

Has an approved medical residency training program as defined in section 1886(h)(5)(A) of the SSA;

Is not otherwise qualified to receive payments under this section or section 1886(h) of the SSA. 

For those freestanding children’s hospitals that met the above requirements 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 program payments.

Any public or private nonprofit and for-profit children’s teaching hospital with an accredited residency training program which meets all of the above requirements for either category of eligibility may apply, though final eligibility for receiving funds as