medical necessity, and functional level (applicable to prosthetics) of prosthetic devices and orthotics. (B) Orthotics and prosthetics The term orthotics and prosthetics has the meaning given that term in section 1834(h)(4)(C). (C) Orthotist or prosthetist The term orthotist or prosthetist means an individual who is specifically trained and educated in the provision of, and patient care management related to, prosthetics and custom-fabricated or custom-fit orthotics, and— (i) in the case of a State that provides for the licensing of orthotists and prosthetists, is licensed by the State in which the orthotics or prosthetics were supplied