Local Educational Agency (LEA) Services.

(a)

Listed in Section 51360;

(b)

Medically necessary as defined in Welfare and Institutions Code, Section 14059.5;

(c)

Provided on an outpatient basis; and

(d)

Provided to an LEA eligible beneficiary, as defined in Section 51190.1; by an LEA practitioner, as defined in Section 51190.3; on or after January 1, 1993.