; and (ii) the supplier of such item must measure the individual and configure, fit, program, adjust, or adapt the item, as appropriate, so that the item is consistent with— (I) an assessment or evaluation of the individual by an appropriate licensed clinician; (II) the written order required under section 1834(s)(2)(B)(i); and (III) medical condition, physical and functional needs and capacities, and body size of the individual who will use the item, the period for which such individual will need such item, and the intended use of such item by such individual. (E) The term qualified individual means an individual who— (i) is enrolled under part B; and (ii) has physical and functional needs and capacities that arise from a medical condition that meet the eligibility criteria established by the Secretary under paragraph (2)(A)(ii) . . 4. Payment rules Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ) is amended by adding at the end the following: (v) Payment for CRT items (1) General rule for payment (A) In general Not later than the date that is one year after the date of the enactment of this subsection, subject to subparagraph (B) , the Secretary shall determine a payment system that shall apply to CRT items— (i) with HCPCS codes that were assigned to the item under section 1861(jjj)(2)(C)(i)(II); (ii) for which no HCPCS code was assigned prior to such date; or (iii) which, prior to such date, was classified under a miscellaneous HCPCS code. (B) Considerations In determining the payment system under subparagraph (A), the Secretary— (i) shall ensure that the payment amounts for CRT items under such system are adequate to provide qualified individuals with access to such items and to encourage innovation, taking into account— (I) the unique needs of qualified individuals for access to CRT items; (II) the unique complexity of CRT items; and (III) the resources and staff needed to provide appropriate individual configuration of CRT items for a qualified individual