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Teaching Health Center Graduate Medical Education (THCGME) Program

Grants to USA Community Outpatient Care Centers for Programs
to Train Residents in Rural and Disadvantaged Communities

Agency Type:


Funding Source:

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U.S. Department of Health and Human Services (HHS) - Health Resources and Services Administration (HRSA) - Bureau of Health Workforce - Division of Medicine and Dentistry

Conf. Date:


Deadline Date:

09/21/21 11:59 PM ET


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Grants to USA community-based ambulatory patient care centers for programs to train residents in community settings. Interested applicants are advised that required registrations may take several weeks to complete. Funding is intended to support primary care residency training programs that will prepare residents to provide high-quality care, especially in rural and underserved communities. Eligible program areas include family medicine, pediatrics, internal medicine, dentistry, psychiatry, geriatrics, and obstetrics and gynecology.

Two award types are available:

  1. Expansion awards for an expanded number of resident FTE positions at existing HRSA THCGME Programs.
  2. New awards to support new resident FTE positions at new Teaching Health Centers (THCs), as funding permits. New THCs are those applicants that have never received payment under the HRSA THCGME Program for the applicable residency program in any previous fiscal year (FY). Awards made through this announcement may be utilized to support the costs associated with resident FTE training only.

The THCGME Program aims to strengthen the primary care workforce by supporting medical and dental training programs in primary care, community-based settings with an emphasis on improving the distribution of this health workforce in rural and underserved communities. The program focuses on a different model for resident education than most other federally funded models of GME, which are predominantly located in large, urban academic medical centers. This model was developed based on evidence showing that family medicine resident physicians who train in health center settings are nearly three times as likely to practice in underserved settings after graduation when compared to residents who did not train in health centers. There is also evidence that physicians who receive training in community and underserved settings are more likely to practice in similar settings, such as health centers. Thus the THCGME Program is providing a vital supply line to support the primary care health workforce demand.

Expanding the number of primary care residents who train in community-based ambulatory patient care centers will have a direct impact on increasing healthcare providers in rural and underserved areas. It is part of the Administration’s commitment to addressing longstanding health inequities and expanding the pipeline of health care providers serving rural and underserved communities.

Funding Priorities (New THCGME Applicants Only):

  • Priority 1: Health Professional Shortage Area (HPSA)
  • Priority 2: Medically Underserved Community
  • Priority 3: Rural 

For further details on the above priorities, see p. 27 of the Attached File below. 

GrantWatch ID#:

GrantWatch ID#: 197738

Estimated Total Program Funding:


Number of Grants:

Up to 85 awards (35 expansion awards, and 50 new awards)

Term of Contract:

Period of Performance: July 1, 2022 through June 30, 2026 (Four (4) years)

Additional Eligibility Criteria:

An eligible entity is a community-based ambulatory patient care center that:
i. Operates an accredited primary care residency program. (Examples include, but are not limited to, federally qualified health centers, community mental health centers, rural health clinics, health centers operated by the Indian Health serve or Indian tribe or tribal organization, community-based entity receiving funds under Title X of the PHS Act.)
ii. Has collaborated to form a GME consortium that operates an accredited primary care residency program.
In order to satisfy accreditation, academic and administrative responsibilities, a community-based ambulatory patient care center may form a GME consortium with stakeholders (e.g., academic health centers, universities and/or medical schools) where the GME consortium serves as the institutional sponsor of an accredited primary care residency program. For more information, see p. 11 of the Attached File below.

The eligible community-based ambulatory patient care setting, or GME consortium, must be accredited in one of the eligible primary care specialties and must be listed as the institutional sponsor by the relevant accrediting body (i.e., the Accreditation Council for Graduate Medical Education (ACGME) or the American Dental Association’s Commission on Dental Accreditation (CODA)) and named on the program’s relevant accreditation documentation.

Non-community-based ambulatory patient care settings, such as teaching hospitals, health care systems and/or networks, and academic institutions holding the institutional sponsorship of a primary care residency program are not eligible to receive THCGME funding. Teaching hospitals and academic institutions have proven to be successful partners of THCs and members of established GME consortia. In these cases, the GME consortium must serve as the institutional sponsor of the residency program.

Eligible Primary Care Residency Programs:
Only specific residency training programs are eligible. “Primary care residency program” (as defined in section 340H(j)(3) of the PHS Act [42 U.S.C. 256h(j)(3)]) refers to an approved graduate medical education residency training program in:
• Family Medicine
• Internal Medicine
• Pediatrics
• Internal Medicine-pediatrics
• Obstetrics and Gynecology
• Psychiatry
• General Dentistry
• Pediatric Dentistry
• Geriatrics

THCGME Program funds may not be used for residency program development (e.g. the costs associated with accreditation).

THCGME funds may not be used for a prospective trainee’s travel costs to or from the recipient organization for the purpose of recruitment. However, other costs incurred in connection with recruitment under training programs, such as advertising, may be allocated to the THCGME project according to the provisions of the applicable cost principles.

Pre-proposal Conference:

Get help with your application
Join the Teaching Health Center Graduate Medical Education (THCGME) NOFO TA Webinar (HRSA-22-105)

Date & Time: Thursday, August 6, 2:00-3:30 PM ET
Meeting ID: 161 028 4827 | Call-in Number: 833.568.8864
Passcode: 17511478

Pre-Application Information:

The due date for applications under this NOFO is September 21, 2021 at 11:59 p.m. ET. HRSA suggests submitting applications to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

HRSA intends to issue approval letters to successful applicants by November 15, 2021 in order to allow programs to recruit residents for the 2022-2023 AY that will begin July 1, 2022. HRSA will issue the Notice of Award (NOA) prior to the start date of July 1, 2022.

The applicant must provide documentation that the residency program is accredited. Applicants that are in the process of obtaining accreditation for their residency program may apply, but they must provide documentation from the appropriate accrediting body demonstrating that the accreditation process has been initiated prior to the September 21, 2021 NOFO application due date. Further, applicants will not receive THCGME program funds if documentation of accreditation is not received by HRSA by November 5, 2021, 11:59pm Eastern. Applicant residency programs must be prepared to begin training residents starting July 1, 2022.

Currently, the registration process requires information in three separate systems:
• Dun and Bradstreet (
• System for Award Management (SAM) (
• (

The registration process with can take up to 4 weeks to complete.

The requirements for SAM (System of Award Management) registration have temporarily changed due to the federal government’s response to the COVID-19 pandemic. To support entities impacted by COVID-19, applicants are not required to have an active SAM registration at the time of submission of the application. If not registered at time of award, HRSA requires the recipient to obtain a unique entity identifier (i.e., DUNS) and complete SAM registration within 30 days of the Federal award date. If you are chosen as a recipient, HRSA would not make an award until you have complied with all applicable DUNS (or UEI) and SAM requirements. if you have not fully complied with the requirements by the time HRSA is ready to make an award, you may be deemed not qualified to receive an award.

The THCGME Program provides to THCs a per-resident payment established by HRSA inclusive of both Direct Medical Education (DME) and Indirect Medical Education (IME) expenses. Award amounts are formula based, calculated from the number of awarded resident full-time equivalents (FTEs). All applicants must designate the number of resident FTEs they are requesting support for under this NOFO. The FY 2022 interim payment rate will be $160,000 per resident FTE. For further details, see p. 5 of the Attached File below ("Program Objectives").

Note: Existing HRSA THCGME Programs applying for resident FTE expansion must submit a new application for the requested additional resident FTEs.

Multiple applications from an organization are allowable. Entities seeking THCGME funding to support multiple residency programs MUST submit a separate application for each individual residency program.

For application instructions, see the Application Guide listed in Supporting Documents below.

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For related documents, press the Package tab (click Preview) on the page above.

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

For additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO, please contact:
Kim Ross, CPA
Grants Management Specialist
HRSA Division of Grants Management Operations, OFAM
5600 Fishers Lane, 10NWH04 (mail drop)
Rockville, Maryland 20857
Telephone: (301) 443-2353

For additional information regarding the overall program issues and/or technical assistance related to this NOFO, contact:
Kristin Gordon
Project Officer, Division of Medicine and Dentistry
Attn: THCGME Program
Bureau of Health Workforce, HRSA
5600 Fishers Lane, Room 15N136B
Rockville, MD 20857
Telephone: (301) 443-0337

For assistance with submitting the application in, contact: Contact Center
Telephone: 1-800-518-4726 (International Callers, please dial 606-545-5035)

CFDA Number:


Funding or Pin Number:


URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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