; (ii) care coordination, health promotion, and providing access to the full range of pediatric specialty and subspecialty medical services, including early and periodic screening, diagnostic, and treatment services described in section 1905(a)(4)(B) and services from out-of-State providers, as medically necessary; (iii) comprehensive transitional care, including appropriate follow-up, from inpatient to other settings; (iv) working with the family of each child with complex medical conditions assigned to the health home to develop and incorporate ongoing home care, community based pediatric primary care, care from the most medically appropriate or family-preferred children’s hospital, social support services, and local hospital pediatric emergency care into the child’s care plan, to the extent consistent with family choice and the needs of the child; (v) referrals to community and social support services, if relevant; (vi) use of health information technology to link services, as feasible and appropriate; (vii) in the case of a State that, as of the date of the enactment of the ACE Kids Act , provides under the State plan under this title (or a waiver of such plan) for palliative services, palliative services; (viii) efforts to include, with respect to the delivery of care and the development, operation, and evaluation of the health home’s services, the families of children with complex medical conditions; (ix) ensuring that any interactions with each child with complex medical conditions and the child’s family occurs in a culturally and linguistically appropriate manner