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(a) Subject to all other requirements of 7 AAC 105 — 7 AAC 160, the following types of providers are eligible to enroll with the department and bill directly for services rendered:

(1) a person with an active license under AS 08, or under the laws of the jurisdiction in which the person provides services, to practice as

(A) a physician, including an osteopath;

(B) a podiatrist;

(C) a dentist;

(D) an optometrist;

(E) a chiropractor;

(F) a pharmacist or retail pharmacy;

(G) a physical therapist;

(H) an occupational therapist;

(I) an audiologist;

(J) a speech-language pathologist;

(K) an advanced practice registered nurse;

(L) a direct-entry midwife;

(M) a dietitian;

(N) a nutritionist;

(O) a psychologist;

(P) a hearing aid dealer;

(Q) a registered nurse anesthetist; or

(R) a behavior analyst;

(S) a clinical social worker;

(T) a marital and family therapist;

(U) a licensed professional counselor;

(V) a licensed dental hygienist who holds an advanced practice permit issued by the Board of Dental Examiners under AS 08.32.125;

(2) a facility licensed under AS 47.32, or under the laws of the jurisdiction in which it