Form CMS-10790 Draft MEARIS™ Application screen shots

Proposed Collection of Applicant Information for Graduate Medical Education
(GME) Section 4122

Graduate Medical Education (GME) Section
4122 FY 2026
Draft MEARIS™ Application screen shots

Note: The application questions in this appendix are based on CMS’s proposed
policy to implement the provisions of Section 4122 of the Consolidated
Appropriations Act, 2023 as presented in the FY 2025 IPPS/LTCH PPS proposed rule.
These collection questions are subject to change/revision when the final policies are
adopted after consideration of public comments. The application questions for this
collection will be updated, as necessary, as soon as possible after the rule is
finalized.

Welcome page

General Info

DLC Info

DLC 1 Flow

DLC 2 Flow

Application
Info Yes
response

No response

Yes response

No response

Weeks response

Eligibility

Geographic HPSA with Population HPSA for prioritization

Population HPSA

Geographic HPSA

None

Supporting Documents

Attestation