Teaching Health Center Graduate Medical Education Payment


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

http://www.hrsa.gov




Selected Recipients for this Program


RecipientAmount Start DateEnd Date
University Of Arkansas System $ 30,000   2020-07-012021-06-30
Valley Consortium For Medical Education $ 130,000   2020-07-012021-06-30
Osteopathic Medical Education Consortium Of Oklahoma, Inc $ 120,000   2020-07-012021-06-30
Osteopathic Medical Education Consortium Of Oklahoma, Inc $ 120,000   2020-07-012021-06-30
Umpqua Community Health Center, Inc. $ 40,000   2020-07-012021-06-30
Community Health Systems, Inc. $ 120,000   2020-07-012021-06-30
Osteopathic Medical Education Consortium Of Oklahoma, Inc $ 90,000   2020-07-012021-06-30
Detroit Wayne County Health Authority $ 180,700   2020-07-012021-06-30
Greater Lawrence Family Health Center, Inc. $ 80,000   2020-07-012021-06-30
Hidalgo Medical Services $ 60,000   2020-07-012021-06-30



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: No Current Data Available. Fiscal Year 2018: No Current Data Available

Uses and Use Restrictions

Payments are for direct and indirect expenses for expansion of existing or establishment of new residency training programs in qualified teaching health centers.

Eligible residencies include family medicine, internal medicine, pediatrics, med-peds, ob/gyn, psychiatry, general and pediatric dentistry, geriatrics.

THCGME (Teaching Health Center Graduate Medical Education Program) payments cannot duplicate payments from other GME funding such as Children?s Hospital GME and payments from the Centers for Medicare and Medicaid Services.

Eligibility Requirements

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: ? Federally qualified health centers, as defined in section 1905(l)(2)(B) of the Social Security Act ? Community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act ? Rural health clinics, as defined in section 1861(aa) of the Social Security Act ? 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 ? 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.

Credentials/Documentation

Applicants should review the individual HRSA Notice of Funding Opportunity issued under this CFDA program for any required proof or certifications which must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

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 Procedures

Notification of award is made in writing (electronic) through a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Section 340H of the Public Health Service Act, as added by Section 5508 of the Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148); Medicare Access and CHIP Reauthorization Act of 2015 (Public Law 114-10).

Range of Approval/Disapproval Time

Approximately 120 - 180 days after receipt of applications.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory Formula: Until the Secretary approves the THCGME payment formula an interim payment will be paid to eligible entities. Matching requirements are not applicable to this program. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Awards are based on an annual assessment of residency FTE slots. See the following for information on how assistance is awarded/released: Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Both program and financial reports are required: The awardee must submit an annual progress report, a performance data report, and complete reconciliation at the end of each budget period.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA?s Application Guide.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award.

Expenditure reports are not applicable.

Performance monitoring is not applicable.

Audits

This program is excluded from coverage under 2 CFR 200, Subpart F - Audit Requirements. This program is excluded from coverage under 2 CFR 200 (45 CFR 75), Subpart F - Audit Requirements as THCGME statute gives the Secretary audit authority. Therefore, this program is not subject to the single audit. 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.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Formula Grants) FY 16 $58,154,988; FY 17 est $55,860,000; and FY 18 est $60,000,000

Range and Average of Financial Assistance

The annual FTE payment rate is determined by the availability of funds.

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.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Marshala Lee, Marshala Lee, Division of Medicine and Dentistry, Bureau of Health Workforce 5600 Fishers Lane, Room 15N142, Rockville , Maryland 20857 Email: Mlee1@hrsa.gov Phone: (301) 443-6190

Criteria for Selecting Proposals

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.



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