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apply to a proportionate share payment under this subsection:

(1) to qualify to receive a private hospital proportionate share payment under this subsection, a hospital must

(A) be enrolled as a Medicaid provider of inpatient hospital services;

(B) be located within the state;

(C) be a privately owned facility; and

(D) submit to the department the Medicaid reporting forms for the qualifying year from the Medicaid Hospital and Long-Term Care Facility Reporting Manual, adopted by reference in 7 AAC 160.900;

(2) a qualifying hospital may receive proportionate share payments allocated to one or more of the following private hospital proportionate share classifications, if that hospital meets any additional criteria applicable to that classification, and subject to the limitations set out in (5) — (6) of this subsection:

(A) each qualifying hospital may receive payments for rural hospital assistance (RHA), if the qualifying hospital enters into an agreement with the department to provide support services in accordance with (4) of this subsection through a rural hospital and complies with the requirements of that agreement;

(B) each qualifying hospital may receive payments for rural hospital clinic assistance (RHCA), if the qualifying hospital enters into an agreement with the department to provide support services in accordance with (4) of this subsection through a rural clinic and complies with the requirements of that agreement;

(C) each qualifying hospital may receive payments for mental health clinic assistance (MHCA), if the qualifying hospital enters into an agreement with the department to provide mental health services through a mental health clinic and complies with the requirements of that agreement;

(D) each qualifying hospital may receive payments for single-point-of-entry psychiatric assistance (SPEP), if the qualifying hospital enters into an agreement with the department to provide single-point-of-entry psychiatric services and complies with the requirements of that agreement;

(E) each qualifying hospital may receive payments for designated evaluation and treatment assistance (DET), if the qualifying hospital