HAR §17-1740.1-18. Billing

(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. [Eff 02/07/05 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: Pub. L. No. 106-554)