Teaching Health Center Graduate Medical Education Payment

 

Expansion of primary care and dental residency training programs in community based settings.

General information about this opportunity
Last Known Status
Active
Program Number
93.530
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
A - Formula Grants
Program Accomplishments
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.
Authorization
Section 340H of the Public Health Service Act
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
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), American Osteopathic Association (AOA), or the Council on Dental Accreditation (CODA) Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Beneficiary Eligibility
The program supports high-quality primary care residency training in community based settings. 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), American Osteopathic Association (AOA), or the Council on Dental Accreditation (CODA) Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Credentials/Documentation
Applicants should review the individual HRSA Notice of Funding Opportunity issued under this CFDA program for any required proof or certifications that must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
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. 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.
Award Procedure
Notification of award is made in writing (electronic) through a Notice of Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
Approximately 120 - 180 days after receipt of applications.
Appeals
Not applicable.
Renewals
Not applicable.
How are proposals selected?
Payments are for direct and indirect expenses for expansion of existing or establishment of new residency training programs in qualified teaching health centers. This is a formula-based grant payment program, with funds awarded to all eligible entities. THCs must meet all of the eligibility criteria before being considered for program funds and must be training residents during the year for which they are applying for funding. Application review is conducted at HRSA and an independent assessment of residents' count is conducted by fiscal intermediaries.
How may assistance be used?
Funds are restricted to eligible teaching health centers for direct expenses and the other indirect expenses associated with operating approved graduate medical residency programs.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
This program is 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) federal grant funding that a THCGME 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 THC 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.
Records
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.
Other Assistance Considerations
Formula and Matching Requirements
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.
Length and Time Phasing of Assistance
Awards are based on an annual assessment of residency FTE slots. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Tonya Twyman, Division of Medicine and Dentistry, Bureau of Health Workforce
5600 Fishers Lane, Room 15N146A
Rockville , MD 20857 US
ttwyman@hrsa.gov
Phone: 301 443-6535
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Formula Grants) FY 18$119,498,802.00; FY 19 est $121,092,500.00; FY 20 est $120,092,500.00; FY 17$55,860,000.00; FY 16$58,154,988.00; -
Range and Average of Financial Assistance
The current interim payment rate is set at $150,000 per resident FTE.
Regulations, Guidelines and Literature
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.
Examples of Funded Projects
Not applicable.

 



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