Graduate Medical Education (GME)

GME Supplemental Funding

Supplemental Award:  $100,000 annually for up to 4 years. Pursuant to Item 288 UU.2b of Chapter 725 of the 2025 Appropriations Act, an enhanced supplemental award of $150,000 annually will be given to OB-GYN and Psychiatry (Adult & Pediatric) residency slots beginning on July 1, 2026. This award is subject to approval by the Centers for Medicare and Medicaid Services (CMS). Supplemental GME payments for primary care and high-need specialty residency slots are contingent on funding. Programs should be aware that the state budget is approved annually.

Specialty Areas for Funding Consideration:

• Addiction Medicine
• Emergency Medicine
• Family Medicine
• General Surgery
• Geriatrics
• Internal Medicine
• Obstetrics and Gynecology
• Pediatrics
• Psychiatry (Adult & Pediatric)
• Application for post-residency high-need fellowships may be considered

Funding Terms: Funding will be available for up to four years if the sponsoring institution maintains the total number of residencies, including the new residency. Payments are made quarterly.

Programs may apply for funding for:

• Track A: Expanding the number of residency positions.
• Track B: Supporting an innovative initiative to support selected residents, who are committed to practice in rural or underserved areas in the Commonwealth, post-graduation.

Eligibility

Applicants must be:

1. ACGME-accredited programs at the time of application
2. Medicaid-enrolled institutions or their clinical site partners
3. Residency or fellowship program based in Virginia
4. Starting all first-year positions on July 1, 2026

Preference will be given to programs:

• In a rural or Health Professional Shortage Area (HPSA) (please see Glossary for definition of rural)
• Serve a high percentage of Medicaid/uninsured patients
• Collaborate with Area Health Education Centers (AHECs)
• Demonstrate a strong recruitment/retention in HPSA's