RHTP Monitoring and Advisory Services

State agencies implementing the Rural Health Transformation Program (RHTP) face a unique combination of pressure: rapid transformation timelines, continuous federal oversight, and real funding consequences when compliance slips. Programs must show progress early while remaining audit-ready across complex, often capacity-constrained rural networks.

CohnReznick provides RHTP compliance monitoring and advisory services designed to support states, subrecipients, and program participants with oversight and compliance systems that work in real operating environments – without slowing progress or undermining innovation.

Protect funding. Strengthen oversight. Reduce risk. Enhance performance.

A living monitoring approach

CohnReznick approaches RHTP oversight as a continuous cycle that evolves alongside your program as risk, scale, and priorities change.

Define ownership: Establish clear roles, responsibilities, and accountability

Assess risk: Identify vulnerabilities tied to funding and outcomes

Design controls: Embed oversight into workflows and systems

Execute monitoring: Review transactions, validate data, and track corrective actions

Evaluate and adapt: Measure effectiveness, identify trends, and refine approach

RHTP services for state agencies

Focused on defensible spending, documentation, and audit readiness

• Allowable cost guidance

• Subrecipient onboarding and readiness assessments

• Subaward lifecycle management

• Compliance controls and internal control testing

• Audit-ready documentation frameworks

• Financial and performance monitoring

• Corrective Action Plan (CAP) development and tracking
Designed to align monitoring intensity with program risk and partner capacity

• Risk-based monitoring models

• Rural provider/network oversight

• Sampling and multilevel review approaches

• Reporting validation

• Corrective action management

• Capacity-aligned monitoring plans
Supporting accurate, timely, and defensible reporting

• Data governance and reporting standards

• KPI and outcome framework design

• Dashboards and data quality assurance

• Pre-reporting validation

• Quarterly and annual CMS performance reporting
Helping programs remain viable beyond initial implementation

• Sustainability plan pressure-testing

• Workforce compliance and verification

• Rural partner capacity building

• Technology interoperability and oversight

• Cybersecurity and privacy safeguards

• Scalable monitoring and reporting workflows

RHTP services for subrecipients and program participants

• Gap analyses

• Controls and documentation review
• Compliance and reimbursement training

• Allowable cost guidance

• Internal control implementation

• Drawdown and documentation support
• Pre-monitoring preparation

• Corrective action development

• Audit-ready documentation
• Initiative and vendor coordination

• KPI tracking and reporting

• Data validation prior to submission