Fixed-Fee Package · Custom Engagement Proposal

RHC Biennial Program Evaluation Package

Every Rural Health Clinic must carry out, or arrange for, a biennial evaluation of its total program under 42 C.F.R. § 491.11. The evaluation must review utilization of services, including at least the number of patients served and the volume of services, a representative sample of both active and closed clinical records, and the clinic's health care policies. Staff must consider the findings and take corrective action where needed. In practice, this is one of the requirements most often handled late, too thinly, or without the documentation to show it happened.

This package delivers the complete biennial evaluation as a fixed-fee engagement, set in a custom engagement proposal: methodically executed, fully documented, and finished with a corrective action plan your team can actually run.

Book a Free 15-Minute Fit-Finding Call → Email for a Custom Engagement Proposal →

What Is Included

Utilization review covering patients served, service volume, and appropriateness of utilization (§ 491.11(b)(1), (c)(1))
Representative sample design and structured review of both active and closed clinical records (§ 491.11(b)(2))
Review of the clinic's health care policies against current operations (§ 491.11(b)(3))
Written findings report answering the three questions the regulation asks: was utilization appropriate, were established policies followed, and what changes are needed (§ 491.11(c))
Corrective action plan with owners and timelines, plus the staff-consideration documentation that satisfies § 491.11(d)
A survey-ready evaluation record for your compliance binder
Calendar-tracked re-engagement so your next biennial cycle starts on time, every time

Regulatory Anchor

Built to 42 C.F.R. § 491.11, verified against the live eCFR text, June 2026. Record review is conducted under a Business Associate Agreement and the confidentiality protections named in the engagement letter.

Pricing

Fixed fee per clinic, $4,500 to $7,500 depending on clinic size and record volume. Every engagement is custom-quoted: your exact fixed fee, deliverables, and timeline are set in a written engagement proposal before any work begins. Network and multi-clinic bundles are quoted together. Pairs naturally with mock survey and survey readiness work. Start with the free 15-minute fit-finding call, or email for a proposal directly.

What Your Clinic Provides

The Rural Health Clinic agrees to provide all needed documentation and at least one specific point of contact for all coordination. Timelines in the engagement proposal depend on both.

Delivery and Travel

All work is delivered remotely unless otherwise agreed in the engagement letter. When on-site days are agreed, the proposal names the number of included on-site days so travel never sits open-ended inside a fixed fee. Travel is reimbursed at actual cost, with meals at current federal per diem (GSA) rates.

Who Built This

Tonne McCoy, PhD (ABD), MS, LSS-GB, CRHCP. Behavioral scientist and rural health strategist with 10+ years of direct rural health implementation experience, 250+ invited technical assistance engagements, all 50 State Offices of Rural Health served, direct briefings with CDC, HRSA, SAMHSA, and CMS, and 2025 Idaho Rural Health Hero: Educator of the Year.

How to Start

Two ways in. Book the free 15-minute fit-finding call to talk through your situation, or email and I will reply with a custom engagement proposal. Organizations purchase by purchase order or invoice; no credit card checkout, no self-serve cart.