(1) Services funded through the program may only be provided by or through a provider that:

(a) is enrolled with the department as a Montana Medicaid provider;

(b) meets all the requirements necessary for the receipt of Medicaid monies;

(c) has been determined by the department to be qualified to provide services to youth with serious emotional disturbance in accordance with the criteria set forth in these rules and must be:

(i) a licensed mental health center;

(ii) a therapeutic group home;

(iii) a psychiatric residential treatment facility; or

(iv) a 1915(i) home and community-based state plan provider.

(d) is a legal entity; and

(e) meets all facility and other licensing requirements applicable to the services covered, the service settings provided, and the professionals employed.