; and (2) for a subsequent year, the payment amount specified in subparagraph (1) or this subparagraph for the preceding year increased by the percentage increase in the MEI (as defined in section 1842(i)(3) of the Social Security Act ( 42 U.S.C. 1395u(i)(3) ) for such subsequent year. Digital retinal imaging with remote interpretation shall not be considered a telehealth service for purposes of section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)). (c) Patient education and awareness (1) Annual eye exam recommendation The Secretary of Health and Human Services shall ensure that diabetes outpatient self-management training services described in section 1861(qq) of the Social Security Act ( 42 U.S.C. 1395x(qq) ) educate Medicare beneficiaries regarding the importance of receiving an annual comprehensive eye exam. (2) Patient awareness The Secretary shall undertake efforts to ensure that patients receiving digital retinal imaging with remote interpretation as described in subsection (kkk) of section 1861 of the Social Security Act ( 42 U.S.C. 1395x ), as added by subsection (a), are aware of the availability of and coverage for diabetes outpatient self-management training services under subsection (s)(2)(S) of such section.