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H H S Department of Health and Human Services
Health Resources and Services Administration
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Policies & Regulations

Federal Register

08/16/2010 Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-
Term Care Hospital Prospective
Payment System Changes and FY2011
Rates (PDF - 42 MB)
10/22/2003 Final Policies on Withholding and Reconciliation Process and Methodology for Calculating Reconciliation Payments, Use of Wage Index in Calculating Indirect Medical Education Payments, Dissemination of Program Data and Audit; Updates on Calculation of National Per Resident Amount and Government Performance and Results Act Measures (PDF – 57 KB)
11/13/2002 CHGME Notice of Children’s Hospitals GME Payment Program Conference Calls (PDF – 40 KB)
09/25/2002 Proposed Methodology for Calculating Reconciliation Payment, Calculating Indirect Medical Education Payment, Disseminating CHGME Payment Program Data, and Audit and Clarification of Policy on Hospital Eligibility (PDF – 57 KB)
07/20/2001 Final Methodology for Determination of FTE Resident Count, Treatment of New Children’s Teaching Hospitals, and Calculation of Indirect Medication Education Payment (PDF – 57 KB)
03/01/2001 CHGME Payment Program: Final Notice of Eligibility, Funding Criteria, and List of Eligible Hospitals & Proposed Methodology for Determining FTE Resident Count, Treatment of New Children’s Teaching Hospitals, & Calculating Indirect Medical Education Payment (PDF – 57 KB)
06/19/2000 CHGME Policies & Procedures: Proposed Eligibility & Funding Criteria and List of Eligible Hospitals(PDF – 57 KB)
Did You Know?
  • The Healthcare Research and Quality Act of 1999 authorizes the CHGME Payment Program to make both Direct Medical Education (DME) and Indirect Medical Education (IME) payments.
  • Free standing children’s hospitals have seen an increase from 12 million to over 98 million for total DME payments and from 25 million to over 197 million for total IME payments since the start of the program in 2000.