(1) EPSDT eligible persons may receive any services otherwise available to persons eligible for Medicaid funded services.

(2) In addition to the services generally available to Medicaid recipients, the following services are available to EPSDT eligible persons:

(a) nutrition services as provided in ARM 37.86.2209;

(b) chiropractic services as provided in ARM 37.86.2211;

(c) outpatient chemical dependency treatment as provided in ARM 37.86.2213;

(d) private duty nursing as provided in ARM 37.86.2217;

(e) the therapeutic portion of medically necessary therapeutic group home (TGH) treatment as provided in ARM Title 37, chapter 87;

(f) the therapeutic portion of medically necessary therapeutic family care (TFC) and therapeutic foster care (TFOC) treatment as provided in ARM 37.87.1023; and

(g) school-based health related services as provided in ARM 37.86.2230.

(3) The therapeutic portion of TGH, TFC, and TFOC must be prior-authorized by the department or their designee before services are provided.

(a) Review of authorization requests by the department or its designee will be made consistent with Children's Mental Health Bureau's (CMHB) Provider Manual and Clinical Guidelines for Utilization Management adopted in ARM 37.87.903. A copy of the CMHB Provider Manual and Clinical Guidelines for Utilization Management can be obtained from the department by a request in writing to the Department of Public Health and Human Services, Developmental Services Division, Children's Mental Health Bureau, 111 Sanders, PO Box 4210, Helena MT 59604-4210.