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Children's Hospitals Graduate Medical Education (CHGME) Payment Program

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FY 2008 Reconciliation Application

Before you can log into the on-line FY 2008 Reconciliation Application, you must complete HRSA Security Training, sign the Rules of Behavior e-mailed to you after you have completed the training, and fax the signed Rules of Behavior to 301-443-1879. Your hospital's temporary user name and password to log in to the on-line FY 2008 Reconciliation Application will be e-mailed to you. The password must be changed the first time you log in.

Affiliation agreements, supporting documentation and Medicare Cost Report (MCR) worksheets may be e-mailed as Acrobat/pdf documents to SLinney@hrsa.gov or sent by mail with HRSA Forms 99 and 99-3, which must be submitted on paper.

Download, complete and mail HRSA Forms 99 and 99-3, with all required attachments and documentation, with a postmark no later than May 1, 2008 to

Children's Hospital GME Payment Program
Parklawn Building Room 9A-05
5600 Fishers Lane
Rockville, MD 20857

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