Section 17-1738-7 - Reimbursement for services(a) Payment for targeted case management services shall be based on a rate negotiated by the department.(b) Services shall be reimbursable only for calendar months during which at least one face-to-face or telephone contact is made with the recipient or collaterals.(c) Payment shall not be made for services for which another payer is liable, nor for services for which no payment liability is incurred.(d) Payment shall be made for only one recipient even though more than one recipient may have been serviced during the unit of service.(e) Requests for payments shall be submitted on a form specified by the department and shall include the: (2) Recipient's name and identification number;(3) Name of the provider and person who provided the service;(4) Nature, procedure code, units of service; and[Eff 08/01/94; am 02/10/97; am 12/27/97] (Auth: HRS § 346-14; 42 C.F.R. §431.10 ) (Imp: 42 U.S.C. §1396 n )