(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 youth group home treatment as provided in ARM 37.86.2219;

(f) the therapeutic portion of medically necessary therapeutic family care treatment as provided in ARM 37.86.2221; and

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

(3) Requests for prior authorization must be made in writing to the Department of Public Health and Human Services, Addictive and Mental Disorders Division, Mental Health Program, 555 Fuller Avenue, P.O. Box 202905, Helena, MT 59620-2905, or to the department's designee.