; or (II) furnished to an individual who is determined to be homebound (as defined for purposes of sections 1814(a)(2)(C) and 1835(a)(2)(A)(i)), including such an individual for whom a certification or recertification described in such section is in effect with respect to home health services. . (b) No originating site facility fee for new sites Section 1834(m)(2)(B) of the Social Security Act ( 42 U.S.C. 1395m(m)(2)(B) ) is amended by inserting after the originating site the following: (other than an additional originating site described in paragraph (4)(C)(iii)) . (c) Application of telecommunication systems definition to critical access hospitals and sole community hospitals The second sentence of section 1834(m)(1) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended by inserting any telehealth services furnished or received at a critical access hospital (as described in paragraph (4)(C)(ii)(II)) or a sole community hospital (as defined in section 1886(d)(5)(D)(iii)) or of after in the case of . (d) Effective date The amendments made by this section shall apply to services furnished on or after January 1, 2018. II Enhancing Medicaid through telehealth 201. Medicaid option for high-risk pregnancies and births (a) In general Title XIX of the Social Security Act is amended by adding at the end the following new section: 1947. State option to provide coordinated care for enrollees with high-risk pregnancies and births (a) In general Notwithstanding section 1902(a)(1) (relating to statewideness), section 1902(a)(10)(B) (relating to comparability), and any other provision of this title for which the Secretary determines it is necessary to waive in order to implement this section, beginning 6 months after the date of the enactment of this section, a State, at its option as a State plan amendment, may provide for medical assistance under this title to eligible individuals for maternal-fetal and neonatal care who select a designated provider (as described under subsection (h)(5)), a team of health care