Teaching Health Center Graduate Medical Education (THCGME) Program | HRSA 23 013

Opportunity Information: Apply for HRSA 23 013

The Teaching Health Center Graduate Medical Education (THCGME) Program is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen the primary care workforce by paying for resident training that happens in community-based, outpatient settings. The core idea is to support residency training in ambulatory patient care centers that are embedded in the communities they serve, with a clear emphasis on improving access to high-quality care in rural and underserved areas. By funding training in these real-world, community-focused sites, the program aims to produce clinicians who are comfortable and competent practicing in settings that often face persistent provider shortages and complex population health needs.

This opportunity offers two distinct award types. The first is an Expansion award, intended for existing HRSA-funded THCGME programs that want to increase the number of resident Full-Time Equivalent (FTE) positions they support. In practical terms, this supports programs that already operate as THCGME participants and are ready to train additional residents beyond their current funded level. The second is a New award, which is geared toward supporting new resident FTE positions at new Teaching Health Centers (THCs). For purposes of this grant, a "new" THC refers to an applicant residency program that has never received THCGME payment from HRSA for that specific residency program in any prior fiscal year. This distinction matters because it separates organizations that are scaling an established, previously funded training pipeline from those that are bringing new THCGME-funded training capacity online.

A key constraint in the funding is that award dollars may only be used to support the costs associated with resident FTE training. The funds are not intended to build a residency program from scratch, and they cannot be used for residency program development activities such as pursuing accreditation or paying for accreditation-related expenses. In other words, HRSA is paying for training capacity (resident FTEs) rather than the foundational startup work required to create or accredit a residency program. This shapes how applicants should think about readiness: successful applicants generally need to already have the program structure and approvals in place, or otherwise be able to cover development and accreditation costs through other funding sources.

From an administrative standpoint, the program is offered as a discretionary grant under HRSA, with the funding activity category listed as Health and the CFDA number 93.530. The funding opportunity is titled "Teaching Health Center Graduate Medical Education (THCGME) Program" and is identified by Funding Opportunity Number HRSA-23-013. The opportunity record indicates an estimated 28 expected awards. The award ceiling is listed as 0 in the source data, which typically signals that applicants need to rely on the detailed notice of funding opportunity for the actual budget structure, funding formula, or per-resident payment approach rather than assuming a standard per-award maximum shown in the summary field.

Eligibility, as reflected in the source data, includes Native American tribal organizations (other than federally recognized tribal governments), along with additional eligible applicants described in the full eligibility section of the announcement (not reproduced in the excerpt). Prospective applicants would need to consult the full opportunity documentation to confirm whether their organization type and training setting meet HRSA definitions and program requirements, especially since the summary points to an "Additional Information on Eligibility" section for clarification.

The opportunity was created on August 19, 2022, with an original closing date of October 18, 2022. Overall, THCGME is best understood as a targeted workforce and training capacity investment: it pays specifically for resident FTE training in community-based primary care environments, prioritizes preparation for practice in underserved and rural settings, and supports either growth of existing THCGME-funded programs or the addition of new THCGME-funded training positions at eligible new teaching health centers, while explicitly excluding costs tied to residency program development and accreditation.

• The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Teaching Health Center Graduate Medical Education (THCGME) Program" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.530.
• This funding opportunity was created on Aug 19, 2022.
• Applicants must submit their applications by Oct 18, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• The number of recipients for this funding is limited to 28 candidate(s).
• Eligible applicants include: Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).

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