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H H S Department of Health and Human Services
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Resident FTE Assessment

In 2003, the CHGME Payment Program established a comprehensive assessment of the number of resident full-time equivalents (FTEs) claimed by children’s hospitals in their applications for CHGME Payment Program funding to comply with statutory regulations.  Resident FTE counts are based on the average number of residents training at the hospital complex, and certain non-hospital/non-provider settings or sites, throughout the hospital’s fiscal year.  Residents are counted as FTEs based upon their total time necessary to fill a full-time residency slot for the year.

The following presentation, Resident FTE Assessment Program & Documentation Guidance (PPT - 272 KB), provides an in-depth look at the Resident FTE Assessment Program and documentation recommendations in support of resident FTEs claimed by hospitals in their applications for CHGME PP funding. Topics include:

  • Counting & Documenting Resident FTEs
  • Research Time & Non-Provider/Non-Hospital Settings
  • Types & Levels of Review Under the FTE Assessment Program
  • Best Practices for Documenting Information
  • Privacy Act Issues
  • Audit Findings
Did You Know?
  • Public Law 106-310 mandates the HHS Secretary to determine changes to the number of residents reported by a hospital in its (initial) application for the current fiscal year for both direct expense and indirect expense amounts.
  • The Resident FTE Assessment Program builds on work conducted in prior years by CHGME Fiscal Intermediaries and/or Medicare Administrative Contacts (MACs). Any change to resident FTE counts in one children’s hospital’s application affects the distribution of dollars among all eligible children’s hospitals. 
  • There are 3 levels of Assessment: Desk Check; Desk Review and Field Review. The level of assessment depends primarily on whether an assessment has been previously conducted.