; and (bb) with respect to an individual described in subclause (iv)(I)(bb) and notwithstanding whether such an individual receives any respite care under part A, any 30-day period. (II) Notwithstanding the limits described in subclause (I), staff-assisted home dialysis may be furnished for as long as the Secretary determines appropriate to an individual who— (aa) is blind; (bb) has a cognitive or neurological impairment (including a stroke, Alzheimer’s, dementia amyotrophic lateral sclerosis, or any other impairment determined by the Secretary); or (cc) has any other illness or injury that reduces mobility (including cerebral palsy, spinal cord injuries, or any other illness or injury determined by the Secretary). (iii) The Secretary shall establish a prospective payment system through regulations to determine the amounts payable to qualified providers for staff-assisted home dialysis. In establishing such system, the Secretary may consider— (I) the costs of furnishing staff-assisted home dialysis; (II) consultations with dialysis providers, dialysis patients, private payers, and MA plans; (III) payment amounts for similar items and services under parts A and B; and (IV) payment amounts established by MA plans under part C, group health plans, and health insurance coverage offered by health insurance issuers. (iv) In this subparagraph: (I) The term new and respite individual means an individual described in subsection (a) who is either— (aa) initiating either peritoneal or home hemodialysis; or (bb) receiving home dialysis and is unable to self-dialyze due to illness, injury, caregiver issues, or other temporary circumstances. (II) The term qualified provider means a trained professional (as determined by the Secretary, including nurses and certified patient technicians) who furnishes renal dialysis services and— (aa) meets requirements (as determined by the Secretary) that ensures competency in patient care and modality usage