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Graduate Medical Education (GME)


Texas Medicaid provides supplemental payments to support teaching hospitals which operate approved medical residency training programs. Medicaid GME payments recognize the higher cost incurred by teaching hospitals. Compared to non-teaching hospitals, teaching hospitals treat patients with more complex conditions and provide patient care that is more intensive and technologically sophisticated.


Reimbursement rules applicable to Graduate Medical Education (GME) are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 4, Rule 8058.

Reporting Information

State Owned Teaching Hospital Supplemental Interim Graduate Medical Education Hospital Quarterly Report Form (.xlsx)

Proposed GME State Timeline for Payments (.pdf)

Proposed GME Non-State Timeline for Payments (.pdf)