(1) Covered services for participants in the HELP Plan, except as otherwise provided in (2), are reimbursed directly by the TPA according to the schedule found at https://medicaidprovider.mt.gov.

(2) The following services received by participants enrolled in the HELP Plan are reimbursed directly through the department:

(a) FQHC;

(b) RHC;

(c) dental;

(d) eyeglasses;

(e) Indian Health Services and tribal health services;

(f) diabetes prevention programs;

(g) transportation;

(h) prescription drugs;

(i) home infusion;

(j) hearing aids; and

(k) audiology.

(3) The services specified in (2) are reimbursed at the established Medicaid reimbursement rates for those services.