Application for Medicaid Graduate Medical Education Supplemental Payment for New Primary Care and High Need Specialty Residency Slots |
1. General Information
The Virginia Health Workforce Development Authority (VHWDA) invites qualifying, Medicaid-enrolled institutions to apply for Graduate Medical Education (GME) residency slot supplemental payments for the period beginning July 1, 2025.
Supplemental payments shall be made for up to 30 new residency slots in state fiscal year (FY) 2026. The supplemental payment for each new qualifying residency slot will be $100,000 annually and shall be made for up to four (4) years subject to approval by the Centers for Medicare and Medicaid Services. Payments to hospitals will be made quarterly. For any residency program at a facility whose Medicaid payments are capped by the Centers for Medicare and Medicaid Services (CMS), the supplemental payments for each qualifying residency shall be $50,000 from the general fund annually minus any Medicare residency payments for which the residency program is eligible.
Preference will be given for residency slots located in underserved areas that serve Medicaid beneficiaries.
Funding will be available for up to four years as long as the sponsoring institution maintains the total number of residency slots, including the new residency slots. Additional funding may be appropriated for additional cohorts, but additional funding cannot be guaranteed at this time. Application for post-residency high need fellowships may be considered.
Preference will be given for residency slots located in underserved areas that serve Medicaid beneficiaries.
Funding will be available for up to four years as long as the sponsoring institution maintains the total number of residency slots, including the new residency slots. Additional funding may be appropriated for additional cohorts, but additional funding cannot be guaranteed at this time. Application for post-residency high need fellowships may be considered.
Supplemental GME payments for new primary care and high-need specialty residency slots are contingent on funding. Programs should be aware that the state budget is approved annually.