; and (iii) by arranging health care for the descendant from those providers. (B) Health care included Health care arranged under subparagraph (A)(iii) shall include such in-home support as an eligible descendant may need for assistance in completing all activities of daily living. (5) Administrative responsibilities (A) In general A care coordinator assigned under subsection (a) shall ensure, with respect to each eligible descendant to which the care coordinator is assigned, any necessary preauthorizations, payments to providers, and travel reimbursements are completed in a timely manner. (B) Resolution of issues The care coordinator shall work with the eligible descendant and the office of the Department that administers health care and benefits under this chapter to resolve any issues relating to the matters described in subparagraph (A). (6) Assignment of fiduciary If the Under Secretary for Benefits determines that a fiduciary is required for an eligible descendant for purposes of managing compensation provided under section 1814 or 1825 of this title, the care coordinator assigned to the descendant under subsection (a) shall ensure that the descendant has such a fiduciary. (c) Local contract care coordinator (1) In general In the case of an eligible descendant who lives a significant driving distance from a facility of the Department, the care coordinator assigned to the descendant under subsection (a) may arrange for a local contract care coordinator to coordinate care for the descendant from sources other than a facility of the Department. (2) Oversight Each care coordinator who arranges for a local contract care coordinator under paragraph (1) shall oversee the local contract care coordinator, including through home visits required by subsection (b)(3). (d) Performance and effectiveness Each director of a facility of the Department at which a care coordinator assigned under subsection (a) is located shall be responsible for the performance and effectiveness of the care coordinator. 1833. Duration of