Submitting a Medicare GME Affiliation Agreement

Table of Contents

• Submitting a Medicare GME Affiliation Agreement
  • Jurisdiction K MAC (NGS)
  • Jurisdiction 6 MAC (NGS)

Submitting a Medicare GME Affiliation Agreement

In accordance with 42 CFR, 413.75(b) and 413.79(f), teaching hospitals that wish to be part of a Medicare GME-affiliated group for the purpose of aggregating IME and direct GME FTE resident caps must submit a Medicare GME Affiliation Agreement to CMS and their MAC. They must be submitted by July 1^st for the academic year that begins on that July 1^st and ends June 30^th of the following year. Hospitals have the opportunity to submit amended Medicare GME affiliation agreements so long as they submitted the initial agreement timely. Amended agreements must be filed during the applicable academic period and no later than June 30^th which marks the end of that period.

Note: CMS no longer accepts hard copy submissions. Please submit amendments or new agreements electronically via email to the following. Please include both National Government Services and CMS in one email for support of the submission to both parties:

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Jurisdiction K MAC (NGS)

• Sarah.Starowitz@elevancehealth.com
• Medicare_GME_Affiliation_Agreement@cms.hhs.gov

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Jurisdiction 6 MAC (NGS)

• Madelyn.Turso@elevancehealth.com
• Lamenda.Williams@elevancehealth.com
• Alex.Wilson@elevancehealth.com
• Medicare_GME_Affiliation_Agreement@cms.hhs.gov

Include the following in the subject line of the email: “[Insert Your Hospital Name and CCN#] Amendment to July 1, YYYY–June 30, YYYY Medicare GME Affiliation Agreement” or “[Insert Your Hospital Name and CCN#] New Medicare GME Affiliation Agreement for July 1, YYYY–June 30, YYYY.”

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Revised 4/1/2024