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).
Apply for HRSA 23 013

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

1. What is the THCGME Program?

The Teaching Health Center Graduate Medical Education (THCGME) Program is a federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA). It is designed to strengthen the primary care workforce by paying for resident training that occurs in community-based, outpatient (ambulatory) settings.

2. What is the main goal of this grant opportunity?

The program aims to improve access to high-quality primary care by supporting residency training in real-world, community-embedded ambulatory patient care centers, with a clear emphasis on rural and underserved areas. The intent is to help produce clinicians who are prepared to practice in settings with persistent provider shortages and complex population health needs.

3. What types of training settings does THCGME focus on?

THCGME focuses on community-based, outpatient (ambulatory) training environments. These sites are described as ambulatory patient care centers that are embedded in the communities they serve.

4. How does THCGME support the primary care workforce?

THCGME supports the workforce by funding resident Full-Time Equivalent (FTE) training positions in community-based settings. By paying for the costs associated with resident training in these settings, the program supports training capacity that is aligned with practice in underserved and rural communities.

5. What are the two award types available under this opportunity?

This opportunity offers two award types:

  • Expansion awards for existing HRSA-funded THCGME programs that want to increase the number of resident FTE positions they support.
  • New awards to support new resident FTE positions at new Teaching Health Centers (THCs).

6. What is an Expansion award?

An Expansion award is intended for existing HRSA-funded THCGME programs that are seeking to increase the number of resident FTE positions beyond their current funded level. This is meant for programs already participating in THCGME that are ready to train additional residents.

7. What is a New award?

A New award supports new resident FTE positions at new Teaching Health Centers (THCs). The purpose is to bring new THCGME-funded training capacity online at eligible sites that meet the program's definition of "new."

8. How does HRSA define a "new" Teaching Health Center (THC) for this grant?

For 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.

9. If an organization has received THCGME funding before, can it still apply for a New award?

Based on the provided information, the "new" designation applies at the residency program level, meaning the residency program in question must not have received THCGME payment in any prior fiscal year. Applicants should verify how this applies to their specific situation by reviewing the full announcement.

10. What can THCGME funds be used for?

A key constraint is that award dollars may only be used to support the costs associated with resident FTE training. The funding is intended to pay for training capacity (resident FTEs) in community-based, outpatient settings.

11. What can THCGME funds NOT be used for?

THCGME funds are not intended to build a residency program from scratch and cannot be used for residency program development activities. Specifically, they cannot be used for pursuing accreditation or paying for accreditation-related expenses.

12. Does this grant pay for residency program startup or development?

No. The program explicitly excludes costs tied to residency program development. HRSA is paying for resident training capacity, not the foundational work required to create or accredit a residency program.

13. Does THCGME funding cover accreditation costs?

No. The provided information states that funds cannot be used for pursuing accreditation or paying for accreditation-related expenses.

14. What does this funding limitation imply about applicant readiness?

Because the funding cannot be used for development or accreditation, applicants generally need to already have program structure and approvals in place or be able to cover development and accreditation costs through other funding sources.

15. Which federal agency administers this opportunity?

The opportunity is administered by the Health Resources and Services Administration (HRSA), which is part of the U.S. Department of Health and Human Services (HHS).

16. What kind of grant is this?

It is offered as a discretionary grant under HRSA.

17. What is the funding activity category for this program?

The funding activity category is listed as Health.

18. What is the CFDA number for this opportunity?

The CFDA number provided is 93.530.

19. What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is HRSA-23-013.

20. How many awards are expected to be made?

The opportunity record indicates an estimated 28 expected awards.

21. Is there an award ceiling (maximum award amount) listed?

The source data lists the award ceiling as 0. This typically indicates that applicants should 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 maximum shown in the summary field.

22. Who is eligible to apply based on the provided summary?

Eligibility in the source data includes Native American tribal organizations (other than federally recognized tribal governments). The summary also indicates that additional eligible applicants are described in the full eligibility section of the announcement (not included in the excerpt).

23. Where should applicants confirm full eligibility requirements?

Prospective applicants should consult the full opportunity documentation, including the "Additional Information on Eligibility" section referenced in the summary, to confirm whether their organization type and training setting meet HRSA definitions and program requirements.

24. When was this opportunity created?

The opportunity was created on August 19, 2022.

25. What was the original closing date for applications?

The original closing date listed is October 18, 2022.

26. What is the program's priority in terms of geography and communities served?

The program emphasizes improving access to high-quality care in rural and underserved areas by supporting training in community-based outpatient settings embedded in the communities they serve.

27. What is meant by "resident FTE" in the context provided?

Within the provided description, resident Full-Time Equivalent (FTE) refers to funded resident training positions. The grant is specifically described as paying for the costs associated with resident FTE training.

28. Does this opportunity support increasing training capacity in existing THCGME programs?

Yes. The Expansion award type is explicitly intended for existing HRSA-funded THCGME programs that want to increase the number of resident FTE positions supported.

29. Does this opportunity support launching new THCGME-funded training positions?

Yes. The New award type is intended to support new resident FTE positions at new Teaching Health Centers (THCs), as defined by whether the residency program has previously received THCGME payments.

30. What is the simplest way to describe THCGME based on the summary?

THCGME is a targeted workforce and training capacity investment that pays specifically for resident FTE training in community-based primary care environments, prioritizes preparation for practice in underserved and rural settings, supports either expansion of existing THCGME-funded programs or new THCGME-funded training positions, and excludes residency development and accreditation costs.

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