Affordable Care Act - Teaching Health Center Graduate Medical Education (THCGME) Program

This announcement solicits FY 2013 applications for the Teaching Health Center Graduate Medical Education (THCGME) program.

The Affordable Care Act directly appropriates $230 million for Fiscal Years 2011 through 2015 to make payments to qualified teaching health centers to support the expansion


of primary care medical and dental residency training in community-based ambulatory settings.

These community-based settings include, but are not limited to, federally-qualified health centers (FQHCs) and FQHC Look-Alikes, community mental health centers, rural health clinics and health centers operated by the Indian Health Service or an Indian tribe or tribal organization, and entities receiving funds under title X of the Public Health Service (PHS) Act.

This funding opportunity builds on evidence showing that family medicine resident physicians who train in Health Center (HC) settings are nearly three times as likely to practice in underserved settings after graduation when compared to residents who did not train in HCs.

The purpose of this funding opportunity announcement (FOA) is to identify eligible community based primary care residency programs that meet the THCGME eligibility criteria described in Section III.

FOAs for this program will be published annually as funds permit.

All Teaching Health Centers will apply for funding annually.

New applicants as well as existing THCGME awardees who are proposing to further expand the number of new resident FTE slots in FY 2013 beyond those already approved during FY 2012 must apply for the expansion through this funding announcement.

Existing THCGME awardees who will not expand the number of resident FTE slots beyond those already approved in FY 2012 will apply through annual reporting, refer to "Status Reports" (page 25) for further information.

Who's Eligible

Obtain Full Opportunity Text:

Additional Information of Eligibility:
There are five components of THCGME program eligibility.

Applicants must meet all of the following criteria in order to be considered eligible for THCGME funding.

Applicants that fail to meet any eligibility criteria will not be considered for funding under this announcement.


Eligible Entities An eligible entity is a community-based ambulatory patient care center that operates a primary care medical or dental (general or pediatric) residency program.

Specific examples of eligible outpatient settings 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) (2)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); and • An entity receiving funds under title X of the Public Health Service Act.

The THCGME program will support high-quality primary care residency training in high-need, underserved communities.

The list of entities above is not exclusive, but does reflect the intent of the program to provide training in settings such as those served by the institutions listed.

Community-based ambulatory patient care centers that collaborate with stakeholders (e.g., academic health centers, universities and/or medical schools) to form a GME consortium that operates an accredited primary care residency program may also be an eligible THC.

The GME consortium must be listed as the institutional sponsor by the accrediting body.

Within the consortium, the community-based ambulatory care center is expected to play an integral role in the academic, financial and administrative operations of the residency.

THCGME payments must directly support the THC ambulatory training site.


Eligible Primary Care Residency Programs Only specific residency training programs are eligible.

According to the statute, “Primary care residency program” refers to an accredited graduate medical education residency training program in: • Family medicine; • Internal medicine; • Pediatrics; • Internal medicine-pediatrics; • Obstetrics and gynecology; • Psychiatry; • General dentistry; • Pediatric dentistry; or • Geriatrics.

Full Opportunity Web Address:


Agency Email Description:
Contact HRSA Contact Center at 877-Go4-HRSA/877-464-4772 or email

Agency Email:

Date Posted:

Application Due Date:

Archive Date:

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