; and (C) provides biological parents, relative and kinship caregivers, adoptive parents, foster parents and, as appropriate, other members of such parents or caregivers homes with specialized training and consultation in the management of children with mental illness, other emotional or behavioral disorders, medically fragile conditions, developmental disabilities, the impact of trauma on child and caregiver, including trauma from substance abuse by a child or caregiver, and specific additional training on the needs of each child provided such services. (3) In making coverage determinations in accordance with paragraph (1), a State may employ medical necessity criteria that are similar to the medical necessity criteria applied to coverage determinations for other services and supports under this title. (4) For purposes of subsection (a)(29) and this subsection, therapeutic family care services shall not include reimbursement for any training referred to in paragraph (2)(C). . (b) Effective date The amendments made by subsection (a) shall apply to medical assistance furnished in calendar quarters beginning on or after the date of enactment of this Act. (c) GAO study and report Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall conduct a study and submit a report to Congress evaluating State efforts to ensure foster parents and other caregivers who are eligible for training described in paragraph (2)(C) of section 1905(ee) of the Social Security Act ( 42 U.S.C. 1396d(ee) ) (as added by subsection (a)(2)) through a qualified therapeutic family care program described in such section and for which Federal payments are available under part E of title IV of the Social Security Act ( 42 U.S.C. 670 et seq.) are provided with such training as is necessary and appropriate to meet the individual needs of children placed in their care, consistent with the requirements of sections 471(a)(24) and 477(b)(3)(D) of the Social Security Act ( 42 U.S.C. 671(a)(24) ,