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

CHGME Specific Code of Federal Regulations

42 CFR 412.105 Prospective Payment Systems for Inpatient Hospital Services; Special Treatment of Certain Facilities Under the Prospective Payment System for Inpatient Operating Costs. (PDF - 34 KB)
42 CFR 413.65 Principles of Reasonable Cost Reimbursement; Payments to Providers. (PDF - 79 KB)
42 CFR 413.75 Principles of Reasonable Cost Reimbursement; Direct GME payments: General Requirements (PDF - 36 KB)
42 CFR 413.76 Principles of Reasonable Cost Reimbursement; Direct GME payments: Calculation of payments for GME costs. (PDF - 30 KB)
42 CFR 413.77 Principles of Reasonable Cost Reimbursement; Direct GME payments: Determination of per resident amounts. (PDF - 43 KB)
42 CFR 413.78 Principles of Reasonable Cost Reimbursement; Direct GME payments:  Determination of the total number of FTE residents. (PDF - 31 KB)
42 CFR 413.79 Principles of Reasonable Cost Reimbursement; Direct GME payments: Determination of the weighted number of FTE residents. (PDF - 52 KB)
42 CFR 413.80 Principles of Reasonable Cost Reimbursement; Direct GME payments: Determination of weighting factors for foreign medical graduates. (PDF - 28 KB)
42 CFR 413.81 Principles of Reasonable Cost Reimbursement; Direct GME payments: Application of community support and redistribution of costs in determining FTE resident counts. (PDF - 28 KB)
42 CFR 413.82 Principles of Reasonable Cost Reimbursement; Direct GME payments: Special rules for States that formerly had a waiver from Medicare reimbursement principles. (PDF - 28 KB)
42 CFR 413.83 Principles of Reasonable Cost Reimbursement; Direct GME payments: Adjustment of a hospital's target amount or prospective payment hospital-specific rate. (PDF - 32 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.