5.__Presumed eligibility.__A person is presumed eligible if:

A.__The person is unconscious, comatose or otherwise unable because of a physical or mental condition to document eligibility or to act in the person's own behalf;

B.__The person is a minor; or

C.__The person is involuntarily committed to an acute psychiatric facility or to a hospital with psychiatric beds.

A participating provider shall provide care to a person presumed eligible as if the person were eligible.__In the event that the person does not otherwise meet the eligibility standards established pursuant to this section, the board shall pay that provider for services provided and shall seek reimbursement from the person served.

6.__Enrollment.__The board shall establish an enrollment procedure to ensure that all eligible persons are aware of their right to health care and are formally enrolled.

§9806.__Provider participation

1.__Participation; charges.__A provider may participate in the plan if the provider is licensed, certified or registered to provide services covered under the plan, has agreed to accept no reimbursement for services offered under the plan other than the reimbursement set pursuant to section 9808 and has agreed to accept other terms of participation established pursuant to section 9808.__A participating provider may not charge a plan member or a 3rd-party for covered health services.__The provider shall charge persons not eligible for enrollment in the plan at the same reimbursement levels established pursuant to section 9808, except for services reimbursed by federally sponsored health plans other than the Federal Employees Health Benefit Plan.

2.__Reimbursement.__The board shall ensure that the administrator establishes a reimbursement system to promptly and appropriately reimburse participating providers for services rendered.

3.__Association; representation.__The board shall recognize professional associations to represent categories of licensed, certified or registered health care professionals in negotiations with the administrator.__Pursuant to rules established by the