potential challenges surrounding such transplant. (vii) Delivery of benefits and services in alternative settings, such as the home of the enrolled CKD–EDT individuals, in coordination with the provider or other appropriate stakeholder involved in such delivery serving on an interdisciplinary care team described in clause (i). (viii) Use of patient reminder systems. (ix) Education programs for patients, families, and caregivers. (x) Use of health care advice resources, such as nurse advice lines. (xi) Use of team-based health care delivery models that provide comprehensive and continuous medical care, such as medical homes. (xii) Co-location of providers and services. (xiii) Use of a demonstrated capacity to share electronic health record information across sites of care. (xiv) Use of programs to promote better adherence to recommended treatment regimens by individuals, including by addressing barriers to access to care by such individuals. (xv) Other services, strategies, and approaches identified by the CKD–EDT practitioner to improve care coordination and delivery. (C) Requirements The Secretary may not approve a CKD–EDT integrated care strategy of a CKD–EDT practitioner unless under such strategy the pracitioner— (i) provides services to enrolled CKD–EDT individuals through a comprehensive, multidisciplinary health and social services delivery system which integrates acute and long-term care services pursuant to regulations