; patient safeguards (A) In general With respect to a ChiPACC, quality assurance and patient safeguards shall be established by the State administering agency or shall be consistent with existing State systems. (B) Construction Nothing in this subsection shall be construed as preventing the Secretary from imposing requirements to ensure the health and safety of individuals enrolled in a ChiPACC under this section that are in addition to those otherwise provided under this section. (4) Cost-sharing waiver A State administering agency may, in the case of a ChiPACC eligible individual enrolled in the State’s ChiPACC, waive deductibles, copayments, coinsurance, or other cost-sharing that would otherwise apply under the State plan under this title. (d) Eligibility determinations (1) In general In determining whether an individual is a ChiPACC eligible individual, the State administering agency shall conduct an independent evaluation and assessment, which shall include at least the following: (A) Consultation with appropriate treating and consulting health and support professionals caring for the individual. (B) An examination of the individual’s relevant history, medical records, and care and support needs, guided by best practices and research on effective strategies that result in improved health and quality of life outcomes. (C) To the extent appropriate, consultation with the individual, individual’s family, guardian, or other responsible individual. (2) Recordkeeping