(1) Medicaid will pay only for medical expenses:

(a) incurred by a person eligible for the Medicaid program;

(b) for services provided for and to the extent provided for under the Medicaid program;

(c) for which third party payment is not available;

(d) not used to meet the incurrment requirement at ARM 37.82.1101 and following rules for persons who are medically needy;

(e) which are not the cost sharing provided for in ARM 37.85.204; and

(f) to the extent allowed by Medicaid.