Teaching Health Center Graduate Medical Education Payment

 

The objective of the THCGME program is to expand primary care medical and dental residency training programs in community-based ambulatory care settings. The objective of the THCPD program is to establish or expand sustainable primary care residency training programs in community-based residency settings. The objective of the THCPD-TA cooperative agreement is to provide technical assistance to THCPD Program award recipients to support the expansion and establishment of accredited and sustainable community-based residency programs.

Active 93.530 Health Resources and Services Administration, Department of Health and Human Services A - Formula Grants Fiscal Year 2016 In Academic Year 2015-2016, the THCGME program supported 758 primary care residents in training. Approximately 77 percent of residents reported training in medically underserved communities. THCGME residents provided over 590,000 hours of patient care. To date, the THCGME Program has graduated 384 new primary care physicians and dentists, the majority of which have indicated intention to practice in a primary care setting upon graduation (60 percent).
Fiscal Year 2017 In Academic Year 2016-2017, the THCGME program supported a total of 771 primary care residents in training. The majority of THCGME residents (83 percent) spent part of their training in medically underserved and/or rural communities, providing over 795,000 hours of patient care. The THCGME program produced 248 new primary care physicians and dentists. Approximately 61 percent reported intentions to practice in a primary care setting, while 51 percent intended to practice in medically underserved and/or rural communities. Approximately 14 percent of prior year completers are currently practicing in Federally Qualified Health Centers (FQHCs) or look-alikes, and 8 percent are practicing in critical access hospitals.
Fiscal Year 2018 In Academic Year 2017-2018, the THCGME program supported a total of 847 primary care residents in training. The majority of THCGME residents (82 percent) spent part of their training in medically underserved and/or rural communities, providing over 950,000 hours of patient care. The THCGME program produced 248 new primary care physicians and dentists. Approximately 55 percent reported intentions to practice in a primary care setting, while 65 percent intended to practice in medically underserved and/or rural communities. Approximately 19 percent of prior year completers are currently practicing in Federally Qualified Health Centers (FQHCs) or look-alikes, and 8 percent are practicing in rural health clinics.
Fiscal Year 2019 No Current Data Available.
Fiscal Year 2020 Since the THCGME program began in FY 2011, 1,434 new primary care physicians and dentists that represent an expansion over and above current training caps have graduated and entered workforce. Cumulative follow-up data of all graduates since the program began indicate that 65 percent of physicians and dentists are currently practicing in a primary care setting and approximately 56 percent are currently practicing in a medically underserved community (MUC) and/or rural setting.
Fiscal Year 2021 Since the THCGME program began in FY 2011, 1,731 new primary care physicians and dentists that represent an expansion over and above current training caps have graduated and entered workforce. Cumulative follow-up data of all graduates since the program began indicate that 65 percent of physicians and dentists are currently practicing in a primary care setting and approximately 56 percent are currently practicing in a medically underserved community (MUC) and/or rural setting. In Academic Year 2021-2022, THCGME funding is being utilized to support the training of over 790 resident full-time equivalents (FTEs) in 59 primary care residency programs, across 24 states.
Fiscal Year 2022 Since the THCGME program began in FY 2011, 2,027 new primary care physicians and dentists that represent an expansion over and above current training caps have graduated and entered workforce. Cumulative follow-up data of all graduates since the program began indicate that 65 percent of physicians and dentists are currently practicing in a primary care setting and approximately 56 percent are currently practicing in a medically underserved community (MUC) and/or rural setting. In Academic Year 2022-2023, THCGME funding is being utilized to support the training of over 968 resident full-time equivalents (FTEs) in 72 primary care residency programs, across 23 states. During the initial year (FY 22) of THCPD funding, 47 programs were awarded and during the second year (FY 23), 46 programs were awarded. The 2-year funding supports the establishment of community-based residency programs located in underserved and rural communities. The programs, located across 35 states, are developing new accredited primary care residency programs in family medicine, internal medicine, obstetrics/gynecology, pediatrics, psychiatry, general dentistry and pediatric dentistry.  All THCPD grantees are required to collaborate with the THCPD Technical Assistance (TA) Center. During the first two years of the funding, the THCPD TA Center identified and assigned regional advisors to the grantees and implemented a portal of resources to assist THCPD grantees to achieve the Accreditation Council for Graduate Medical Education (ACGME) or American Dental Association’s Commission on Dental Accreditation (CODA) accreditation. (42 U.S.C. 256h), Title Public Health Service Act, Section 340H
(42 U.S.C. 293l–1), Title Public Health Service Act, Section 749A
The authorization for the THCGME program is Section 340H of the Public Health Service Act (42 U.S.C. 256h). The authorization for the THCPD program and THCPD-TA cooperative agreement is Section 749A of the Public Health Service Act (42 U.S.C. 293l–1) Eligible entities include community-based ambulatory patient care centers that operate a primary care residency program. Specific examples of eligible entities include, but are not limited to: o Federally qualified health centers, as defined in section 1905(l)(2)(B) of the Social Security Act o Community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act o Rural health clinics, as defined in section 1861(aa) of the Social Security Act o Health centers operated by the Indian Health service, an Indian tribe, or tribal organization, or an urban Indian organization, as defined in section 4 of the Indian Health Care Improvement Act o An entity receiving funds under Title X of the Public Health Service Act. In addition, the eligible entity must be listed as the institutional sponsor by the relevant accrediting body, including the Accreditation Council for Graduate Medical Education (ACGME) or the Council on Dental Accreditation (CODA). Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible. Community-based ambulatory patient care centers that operate a primary care residency programs. (THCGME) Community-based ambulatory patient care centers that are establishing newly accredited primary care residency programs. (THCPD) Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) issued under this assistance listing for any required proof or certifications that must be submitted with an application package. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All eligible, qualified new applications will be forwarded to an objective review committee. All applications will be reviewed for eligibility including accreditation status, program approval, qualifications of the Project Director, completeness, accuracy and compliance with the requirements outlined in the Notice of Funding Opportunity. Based on this review, the HRSA program official with delegated authority is responsible for final selection and formula-based funding decisions. Notification is made in writing by a Notice of Award. Notification of award is made in writing (electronic) through a Notice of Award. Contact the headquarters or regional location, as appropriate for application deadlines From 120 to 180 days. Approximately 120 - 180 days after receipt of applications. Not applicable. Not applicable. Applicable to new (competing) programs only: Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria. Funds are restricted to eligible teaching health centers for direct expenses and the other indirect expenses associated with operating approved graduate medical residency programs. Not applicable. The programs are excluded from coverage under 2 CFR 200, Subpart F - Audit Requirements. However, the program may be included in a single audit for other (non-THCGME/THCPD) federal grant funding that a THCGME/THCPD awardee may also receive. DHHS, or any other authorized Federal agency, may conduct an audit to determine whether the applicant has complied with all governing laws and regulations in its application for funding. Any and all information submitted to DHHS by an applicant or participating THCGME/THCPD recipients during or after the award of funds is subject to review in an audit. The THCGME statute provides for a reconciliation process at the end of each budget period, through which overpayments may be recouped and underpayments may be adjusted. (See section 340H (f) of the Public Health Service Act.) The reconciliation process is based on the number of resident FTEs reported by a THC for the academic year. The FTE number determines the final amount payable to the THC for the budget period. Recipients are required to maintain grant accounting records 3 years after the end of the program. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing. THCGME awards are based on an annual assessment of residency FTE slots. THCPD recipients have a 2-year period of performance. The THCPD-TA recipient has a 3-year period of performance. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards. None/Not specified. Kristin Gordon, Division of Medicine and Dentistry, Bureau of Health Workforce
5600 Fishers Lane, Room 15N136B
Rockville , MD 20857 US
kgordan@hrsa.gov
Phone: 301-443-0337 http://www.hrsa.gov 75-0350-0-1-550 (Formula Grants) FY 22$191,113,571.00; FY 23 est $64,216,165.00; FY 24 est $235,040,000.00; FY 21$134,193,694.00; FY 20$126,499,629.00; FY 19$119,719,689.00; FY 18$119,498,802.00; FY 17$55,860,000.00; FY 16$58,154,988.00; - Teaching Health Center Graduate Medical Education (THCGME)(Formula Grants) FY 22$22,852,311.00; FY 23 est $22,895,160.00; FY 24 est $0.00; FY 21$0.00; FY 20$0.00; - Teaching Health Center Planning and Development (THCPD)(Formula Grants (Cooperative Agreements)) FY 22$3,023,532.00; FY 23 est $4,700,000.00; FY 24 est $0.00; FY 21$0.00; FY 20$0.00; - Teaching Health Center Planning and Development Technical Assistance (THCPD-TA) Cooperative Agreement Teaching Health Center Graduate Medical Education (THCGME) FY 22 Range: $160,000 - $9,120,000; Average: $2,152,956 FY 23 est Range: $160,000 - $9,134,864; Average: $2,152,956 FY 24 est Range: $160,000 - $10,560,000; Average: $2,152,956 Teaching Health Center Planning and Development (THCPD) FY 22: Range: actual $466,918 - $500,000; Average: $496,858 FY 23: Range: actual $489,198 - $500,000; Average: $498,175 FY 24: NA Teaching Health Center Planning and Development Technical Assistance (THCPA-TA) Cooperative Agreement FY 22: $3,000,000 FY 23: $4,700,000 FY 24: NA All administrative requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75, with the exception of Sub-part F Audit Requirements. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants/hhsgrantspolicy.pdf. Not applicable.