; and (iii) on an annual basis, completes at least 10 hours of continuing education specific to the assembly, fitting, programming, service, and repair of CRT items. (D) Qualified individual The term qualified individual has the meaning given such term in section 1861(iii)(3)(E). (E) Qualified ordering practitioner The term qualified ordering practitioner means a physician (as defined in section 1861(r)), a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1861(aa)(5)). (F) Qualified licensed clinician The term qualified licensed clinician means a licensed physical therapist or occupational therapist or physician who possesses specialized training and experience in providing seating and mobility services and the skills to perform all aspects of the evaluation described in paragraph (2)(B)(i)(II). . 5. Conforming amendments (a) Exclusion from the in-Home use limitation for DME Section 1861(n) of the Social Security Act ( 42 U.S.C. 1395x(n) ) is amended by adding at the end the following: For 2018 and subsequent years, such term does not include complex rehabilitation technologies (as defined in subsection (jjj)). . (b) Exemption from competitive acquisition Section 1847(a)(7) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(7) ) is amended by adding at the end the following new subparagraph: (C) CRT items For 2018 and subsequent years, complex rehabilitation technology items (as defined in section 1861(iii)). . (c) Exemption from SNF consolidated billing Section 1888(e)(2)(A)(iii) of the Social Security Act ( 42 U.S.C. 1395yy(e)(2)(A)(iii) ) is amended by adding at the end the following: (VI) Complex rehabilitation technology items (as defined in section 1861(jjj)) if delivered to an inpatient for use during the stay in the skilled nursing facility as part of the plan of care to allow the transition of such qualified individuals from the skilled nursing facility setting to the home and community. . (d) Payment exclusions Section 1834(a) of the Social