; (B) home and community-based services described in subsection (c)(4)(B) of section 1915 of the Social Security Act ( 42 U.S.C. 1396n ) (including habilitation services defined in subsection (c)(5) of such section); (C) self-directed home and community-based services described in subsection (i) of section 1915 of the Social Security Act; (D) self-directed personal assistance services (as defined in subsection (j)(4)(A) of section 1915 of the Social Security Act); and (E) home and community-based attendant services and supports described in subsection (k) of section 1915 of the Social Security Act. (17) Any item or service described in any of paragraphs (1) through (16) that is furnished using telehealth, to the extent practicable. (b) Revision The Secretary shall, at least on an annual basis, evaluate whether the benefits package should be improved to promote the health of beneficiaries, account for changes in medical practice or new information from medical research, or respond to other relevant developments in health science, and shall make recommendations to Congress regarding any such improvements. (c) Complementary and integrative medicine (1) In general In carrying out subsection (b), the Secretary shall consult with the persons described in paragraph (2) with respect to— (A) identifying specific complementary and integrative medicine practices that are appropriate to include in the benefits package; and (B) identifying barriers to the effective provision and integration of such practices into the delivery of health care, and identifying mechanisms for overcoming such barriers. (2) Consultation In accordance with paragraph (1), the Secretary shall consult with— (A) the Director of the National Center for Complementary and Integrative Health; (B) the Commissioner of Food and Drugs