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The CRS program only purchases services from providers that comply with the appropriate standards in this manual, applicable federal and state licensing standards, and certification. Each provider is required to undergo an enrollment approval process, and periodic monitoring ensures continued compliance with these standards. A provider who enrolls must demonstrate the ability to deliver all the core services in the service array that the provider has chosen. Services may be delivered to the participant directly or through a third party. Not all services are provided to all participants.