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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.

Payment Files 

Non-state Private Hospitals

FFY 2024 Private GME Payment (.xlsx) (Updated 12/21/2023)

FFY 2022 Private GME Payment (.xlsx) (Updated 10/30/2023)

Non-State Public Hospitals

FFY 2024 Non-State Public GME Payment (.xlsx) (Updated 12/21/2023)

Reporting Information

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

Private GME Retroactive Payment Dates (.pdf)

Main payment calendar page