(1) The services available through the program are limited to those specified in this rule.

(2) The department may determine the particular services of the program to make available to an eligible youth based on, but not limited to, the following criteria: (a) the youth's need for a service generally and specifically;

(b) the suitability of a service for the youth's circumstances and treatment;

(c) the availability of a specific service through the program and any ancillary service necessary to meet the youth's needs;

(d) the availability otherwise of alternative public and private resources and services to meet the youth's need for the service;

(e) the youth's risk of significant harm if not in receipt of the service;

(f) the likelihood of placement into a more restrictive setting if not in receipt of the service; and

(g) the financial costs for and other impacts on the program arising out of the delivery of the service to the youth.

(3) The following services, defined in the Psychiatric Residential Treatment Facility Home and Community Based Services Waiver for Youth with Serious Emotional Disturbance Provider Policy Manual dated October 2011, adopted and incorporated by reference in ARM 37.87.1333, may be provided through the program:

(a) consultative clinical and therapeutic services;

(b) customized goods and services;

(c) education and support services;

(d) home-based therapist;

(e) nonmedical transportation;

(f) respite care;

(g) family support specialist services;

(h) caregiver peer-to-peer support specialist services; and

(i) wraparound facilitation services.

(4) Monies available through the program may not be expended on the following:

(a) services not specified in (3);

(b) room and board; and

(c) special education and related services as defined at 20 USC 1401(16) and (17).

(5) A program service is not reimbursed by the program for a youth if the provision of a payment for that type of service is otherwise available to the youth from another source inclusive of Medicaid state plan services.