Providers authorized to deliver services under the program shall include licensed hospice agencies or home health agencies licensed to provide hospice care or entities with demonstrated expertise in pediatric palliative care and will be subject to further criteria developed by the Department, in consultation with interested stakeholders, for provider participation. At a minimum, the participating provider must house a pediatric interdisciplinary team that includes: (i) a physician, acting as the program medical director, who is board certified or board eligible in pediatrics or hospice and palliative medicine; (ii) a registered nurse; and (iii) a licensed social worker with a background in pediatric care. All members of the pediatric interdisciplinary team must meet criteria the Department may establish by rule, including demonstrated expertise in pediatric palliative care.