; and (iii) is entitled to benefits under part A and enrolled under part B. (D) Enrolled CKD–EDT individual The term enrolled CKD–EDT individual means a CKD–EDT individual who is enrolled to participate in the demonstration program under paragraph (6). (9) Integrated care strategy (A) In general Under the demonstration, a CKD–EDT practitioner, with respect to enrolled CKD–EDT individuals, shall develop and submit for the Secretary’s approval, subject to subparagraphs (B) and (C), a CKD–EDT integrated care strategy. (B) Integrated care strategy In assessing a CKD–EDT integrated care strategy, the Secretary shall consider the extent to which the strategy includes elements, such as the following: (i) Interdisciplinary care teams led by at least one nephrologist, and comprised of registered nurses, social workers, and other representatives from alternative settings described in clause (vi). (ii) Health risk and other assessments to determine the physical, psychosocial, nutrition, language, cultural, and other needs of enrolled CKD–EDT individuals involved. (iii) Development and at least annual updating of individualized care plans that incorporate at least the medical, social, and functional needs, preferences, and care goals of enrolled CKD–EDT individuals. (iv) Coordination and delivery of non-clinical services, such as transportation, aimed at improving the adherence of enrolled CKD–EDT individuals with care recommendations. (v) Services, such as transplant evaluation and vascular access care. (vi) In the case of an individual who, while enrolled in the demonstration, receives confirmation that a kidney transplant is imminent, the provision by an interdisciplinary care team described in clause (i) of counseling services to such individual on preparation for and potential challenges surrounding such transplant. (vii) Delivery of benefits and services in alternative settings, such as the home of the enrolled CKD–EDT individuals, in coordination with the provider or other appropriate stakeholder involved in such