Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1740.1 - REIMBURSEMENT OF FEDERALLY QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS
Section 17-1740.1-18 - Billing

Universal Citation: HI Admin Rules 17-1740.1-18

Current through February, 2024

(a) Each FQHC or RHC shall complete and submit to the department's fiscal agent the appropriate claim form for any covered item or service, regardless of whether a claims-based interim payment will result.

(b) The claims shall either be on forms provided by the department or in a format that the department has indicated in advance is acceptable.

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