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Payer Resources


CHA-RI W-9 Form (pdf)
The CHA-RI W-9 required by the IRS.

CHA-RI Transitional FAQs for Payers

Hide details for T1. When will I receive the first CHA-RI invoice?T1. When will I receive the first CHA-RI invoice?
The first CHA-RI invoice will be ready on or around December 1, 2016.
Hide details for T2. When will the first CHA-RI invoice be due?T2. When will the first CHA-RI invoice be due?
The first CHA-RI invoice will be due on December 23, 2016.
Hide details for T3. Are there payment options for the first CHA-RI invoice?T3. Are there payment options for the first CHA-RI invoice?
Yes, upon receipt of the invoice you can pay the invoice in full on the due date. The second option is to pay half of the invoice with your January 30th filing and the other half of the first invoice with your April 30th filing.
Hide details for T4. What will I be billed for on the first CHA-RI invoice?T4. What will I be billed for on the first CHA-RI invoice?
The first CHA-RI invoice includes assessments that were due on July 30th and October 30th for the measuring months of April, May, June and July, August, September, respectively. These assessments will be calculated using the fiscal year 2017 rate.
Hide details for T5. How will I receive the first CHA-RI invoice?T5. How will I receive the first CHA-RI invoice?
The same company representative listed in the Rhode Island Vaccine Assessment Program (RIVAP) self-reporting system will receive the invoice via mail and email with instructions on how to remit payment.
Hide details for T6. How will I receive subsequent CHA-RI invoices?T6. How will I receive subsequent CHA-RI invoices?
Beginning with the January 30, 2017 invoice due date, all CHA-RI invoices will be produced by the same self-reporting system and at the same time as the RIVAP invoices.
Hide details for T7. When will the second CHA-RI invoice be due?T7. When will the second CHA-RI invoice be due?
The second CHA-RI invoice will be due on Jan 30, 2017 at the same time the RIVAP invoice is due. The system will produce the CHA-RI invoice, the same as it does for RIVAP and you will pay according to the methods your company uses for each program.

This assessment and the assessment due on April 30th will be calculated using the fiscal year 2017 rate.
Invoices for FY17
Due Date
Invoice 1 (2 quarters)
30 days after receipt of invoice
(for amounts statutorily due on July 30, 2016 & October 30, 2016)
Invoice 2
January 30, 2017
Invoice 3
April 30, 2017









CHA-RI Tax ID: 05-6000522


Copyright 2016 Rhode Island Childrens Health Account