Teaching Health Center Graduate Medical Education (THCGME) Program

This notice announces the opportunity to apply for continuation awards to support maintenance of filled resident Full-Time Equivalent (FTE) positions that are funded by HRSA under announcement HRSA-20-011. Note: application through this FY 2024 Notice of Funding Opportunity (NOFO) will extend the period of performance for positions funded under HRSA-20-011 for an additional four (4) years. The purpose of the THCGME opportunity is to provide funding to support the training of residents in primary care residency training programs in community-based ambulatory patient care centers. These residency programs will prepare residents to provide high quality care, particularly in rural and underserved communities, and develop competencies to serve these diverse populations and communities. Funding through this opportunity will support maintenance of approved HRSA-funded resident FTE positions for existing HRSATHCGME Program payment recipients only. Applications seeking support for an expanded number of resident FTE positions and/or establishment of new resident FTE positions will not be considered under this notice. Awards made through this notice may be used to support the costs associated with resident FTE training only. THCGME Program funds may not be used for residency program development (e.g., the costs associated with accreditation). Funds from a THCGME award may not be used to replace or supplant funds that have been provided from a different source (e.g., any Federal, state, local, tribal, non-profit, or for-profit entity) for the same resident FTE’s time. THCGME funds must be used for program activities. Such replacement or supplanting may be grounds for suspension or termination of current and future federal awards, recovery of misused federal funds, and/or other remedies available by law. Organizations applying for continued support for more than one residency program must submit a separate application for each unique program.

An eligible entity is a current THCGME Program payment recipient that was awarded funding under HRSA-20-011 that: i. Operates an accredited primary care 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 [42 U.S.C. 1396d(l)(2)(B)]; • Community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act [42 U.S.C. 1395x(ff)(3)(B)]; • Rural health clinics, as defined in section 1861(aa)(2) of the Social Security Act [42 U.S.C. 1395x(aa)(2)]; • 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 [25 U.S.C. 1603]); and • A community-based entity receiving funds under Title X of the PHS Act. The list of entities above is not exhaustive but does reflect the intent of the program to provide training in settings such as those served by the institutions listed.

Kristin Gordon

(301) 443-0337