Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 10 - Office of the Director › Chapter 3 - General and Family Physician Loan and Training Programs › Section 19 CSR 10-3.050 - Graduate Medical Education Grant Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes guidelines for
				  implementing the Graduate Medical Education Grant Program.
(1) The following definitions shall be used
				in the interpretation and enforcement of this rule:
(A) "Academic year" is the time period
				between July 1 to June 30 of the following year;
(B) "Agreement period" or "grant agreement
				period" is the thirty-seven (37) months, regardless of the length of residency,
				reflecting the three- (3-) consecutive-year period of performance, during which
				first-year residents funded by this program start their residency plus a one
				(1) month period before residents begin during which funding is received;
(C) "Applicant" is an eligible
				entity applying for a Graduate Medical Education (GME) Program's Notice of
				Grant Opportunity (NGO) that meets the specific eligibility requirements set
				forth in this rule;
(D)
				"Commitment" or "commitment period" or "grant commitment period" is the
				duration during which the grantee is expected to fulfill the obligations and
				deliverables specified in the GME NGO and this rule correlating with the signed
				grant agreement. This includes the grant agreement period, plus the remaining
				years for the funded first-year residents to finish their residency, plus two
				(2) additional months to submit the final report.
1. For residencies of three (3) years
				duration, this period is five (5) years and three (3) months.
2. For residencies of four (4) years
				duration, this period is six (6) years and three (3) months;
(E) "Department" is the Missouri
				Department of Health and Senior Services;
(F) "Designated institutional official" is
				the representative from the sponsoring institution who collaborates with their
				internal graduate medical education committee to ensure the sponsoring
				institution's and its program's substantial compliance with the applicable
				Accreditation Council for Graduate Medical Education (ACGME) institutional,
				common, and specialty-specific program requirements;
(G) "Eligible entity" is an entity that
				operates a physician medical residency program in Missouri and is accredited by
				the ACGME;
(H) General primary care
				and psychiatry" includes family medicine, general internal medicine, general
				pediatrics, internal medicine-pediatrics, general obstetrics and gynecology
				(Ob/Gyn), and general psychiatry;
(I) "Graduate medical education" is the
				required training after graduating from medical school in order for a physician
				to be eligible for full licensure and board certification. This training
				includes medical residencies which can last three to four (3-4) years,
				depending on the specialty;
(J)
				"Graduate Medical Education Grant Program" or "Grant Program" or "GME Grant
				Program" is the program established within the department to administer the
				Medical Residency Grant Program Fund, established by section
				191.592, RSMo, to support
				additional medical residency position in existing Missouri medical residency
				programs;
(K) "Grant agreement" is
				the written instrument that sets forth the terms and conditions of
				participation in the Graduate Medical Education Grant Program, including all
				written and executed amendments thereto, between the department and a
				grantee;
(L) "Grantee" is an
				applicant whose application to the Graduate Medical Education Program was
				selected for funding by the department according to the eligibility and
				selection criteria described in this rule and who has a grant agreement signed
				by both parties;
(M) "Health
				Professional Shortage Area" or "HPSA" is a geographic area, population group,
				or health care facility that has been designated by the Health Resources and
				Services Administration (HRSA) as having a shortage of healthcare
				professionals. There are three (3) categories of HPSAs: primary care, dental
				health, and mental health. Primary care and mental health are the only relevant
				HPSAs for the purposes of this rule. HPSA data is available at
https://data.hrsa.gov/tools/shortage-area/hpsa-find
;
(N) "Match" is the National Resident Matching
				Program. This is the process by which residency programs rank their preferred
				candidates, residency applicants rank their preferred programs, and a
				one-to-one (1-to-1) match is generated;
(O) "Medical residency program" or "residency
				program" are those in the general primary care and psychiatry specialties for
				the purposes of this rule;
(P)
				"Residency positions" or "positions" or "residency slots" or "slots" refers to
				the number of residents in a specific medical residency program. This number
				requires approval from ACGME. These terms are often specified in reference to
				either the entire multiyear residency program or to a particular postgraduate
				year (PGY).
1. "Expanded slots" or "awarded
				slots" or "assigned slots" refer to the additional slots added through the
				grant program as described in this rule;
(Q) "Resident" is a physician in an
				accredited graduate medical education program;
(R) "Rural" refers to those counties in
				Missouri that have less than one hundred fifty (150) people per square mile and
				do not contain any part of a central city in a Metropolitan Statistical Area;
				and
(S) "Sponsoring institution" is
				the organization that assumes the financial and academic responsibility for a
				residency program of GME. The sponsoring institution has the primary purpose of
				providing educational programs and/or health care services.