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(A) psychiatrist licensed under AS 08.64;

(B) psychologist licensed under AS 08.86 who has a doctorate degree in clinical psychology and a physician licensed under AS 08.64 to practice medicine or osteopathy; or

(C) physician licensed under AS 08.64 to practice medicine who has specialized training and experience in the diagnosis and treatment of mental diseases and a psychological associate licensed under AS 08.86;

(2) a representative of the office of the Department of Family and Community Services responsible for children’s services if the child is in that office’s custody, or an appropriate representative of the division of the Department of Family and Community Services responsible for juvenile justice if the child is in that division’s custody;

(3) a clinical social worker licensed under AS 08.95;

(4) a registered nurse licensed under AS 08.68 who has specialized training or one year’s experience in treating mentally ill patients; and

(5) depending upon the needs of the recipient, either

(A) an occupational therapist licensed under AS 08.84 who has specialized training or one year’s experience in treating mentally ill patients; or

(B) a psychological associate licensed under AS 08.86 who has a master’s degree in clinical psychology. (e) Upon the admission of a recipient under 21 years of age to an RPTC, the RPTC shall arrange for appropriate EPSDT screening services, in accordance with 7 AAC 110.200 — 7 AAC 110.210. The RPTC must ensure that a child has received EPSDT screening

(1) no more than the 60 days immediately preceding the date of admission; or

(2) no more than five days after the date of admission. (f) Members of the interdisciplinary team of an out-of-state RPTC must be licensed by the jurisdiction in which the RPTC is located. (g) The department will issue a prior authorization required under this section in accordance with the State of Alaska, Department of Health, Behavioral Health Inpatient Psychiatric Review Provider Manual, adopted by reference in 7 AAC 160.900. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040