The Program shall reimburse for the services specified in Regulations .09—.11 of this chapter, if provided in accordance with the requirements of this chapter, and if the service: Is recommended on the participant’s plan of service as necessary to assure the health and safety of an applicant or participant in the community; Has been preauthorized by the Department in the participant’s plan of service; Is provided to an enrolled participant; Is medically necessary; and Is provided by a Medicaid provider who meets the conditions for participation under this chapter.