Senior Nutrition Program COVID-19 

Response and Recovery Promising Practices Collection 

The National

Resource Center

Nutrition & Aging

R ESP O N SE 

R EC O VE R Y 

This project was supported, in part by grant number 90PPNU0001-03 from 

the U.S. Administration for Community Living, Department of Health and 

Human Services, Washington, D.C. 20201. Grantees undertaking projects 

under government sponsorship are encouraged to express freely their 

fndings and conclusions.   Points of view or opinions do not, therefore, 

necessarily represent offcial Administration for Community Living policy. 
Senior Nutrition Program 

COVID-19 

Response and Recovery Promising 

Practices Collection 

Contents

Introduction 1-2 

RESPOND 3 

Eligibility and Assessment for Home-Delivered Meals 3 

Promoting Health and Well Being 5 

Socialization: Fostering Human Connection 7 

Community Nutrition and Food Source 10 

Program Operations 13 

Nutritional Requirements for Meals 14 

Meal Options/Food Preparation/Food Packaging 14 

Volunteers 16 

Work Environment/Food Safety 17 

Food Delivery/Service 19 

Local Community Coordination 19 

RECOVER 21 

Conclusion 29 

By Linda Netterville, RDN, LD 

Commissioned by the National Resource 

Center on Nutrition and Aging 
Introduction

R ES P O N D 

R EC O VE R Y 
Introduction

The COVID-19 pandemic is a fluid process with federal, state and local governments continually adapting and 

reforming to meet the needs of our nation’s older Americans. The crisis has increased demand for nutrition 

and meal support among seniors while opportunities for social interaction has decreased. Supply chain has 

been challenged with procurement of food, medical equipment and supplies to support these increased needs. 

Even volunteers and paid staff at senior nutrition programs are limited. Buffeted by the swirl of information 

and dynamic change, Senior Nutrition Programs (SNPs) have been resolute yet flexible in solving the challenges 

related to COVID-19.

SNPs under the Older Americans Act (OAA) are administered by each state. Local and state officials, in 

consultation with federal officials as appropriate, make decisions about SNPs based on the scope of the outbreak 

and the severity of illness. These decisions need to be made based on the purposes of the OAA as well health and 

safety requirements.

The purposes of the OAA Nutrition Program are to:

• Reduce hunger, food insecurity and malnutrition,

• Promote socialization, and

• Promote the health and well-being of older adults.

During this pandemic, the Administration for Community Living (ACL) has provided information, guidance, 

technical assistance, and program implementation tips to assist states in meeting the nutritional and social needs 

of seniors. This guidance is updated regularly by ACL through its response link: https://acl.gov/COVID-19 and 

shared through the ACL Updates email service. These resources also have been published on the website 

of the National Resource Center on Nutrition and Aging (NRCNA) https://nutritionandaging.org/covid-19/. ACL 

has created the document Survival Guide: Navigating COVID-19 Guidance for Those Administering Title IIIC 

Programs to support states as they respond to the pandemic. The information on emergency preparedness in 

this report aims to support nutrition providers throughout the nation as we navigate now and the months ahead.

EMERGENCY PREPAREDNESS 101—RESPONSE AND RECOVER

An emergency preparedness plan is the best way to ensure the health and safety of SNP participants and the 

programs that serve them. During most natural disasters like hurricanes or floods, physical safety is a priority in 

planning. For COVID-19 planning, maintaining both health and physical safety of the SNP participants and staff 

are priorities.

Components of the emergency response and recovery process should include:

Identification of participants and prioritization of their risks. This is the first consideration in emergency 

planning and response. This prioritization should include assessing and documenting ADLs/IADLs (Activities of 

Daily Living, Instrumental Activities of Daily Living) chronic health conditions, formal or informal support, food 

security status and access to transportation.

Management of internal program operations. The plan must include protocols with considerations for managing 

food and supply procurement, staff and volunteers, food preparation and delivery. Internal communications 

that include staff, volunteers and clients, and external communications with the local community and support 

organizations must be addressed. The plan should also describe operating procedures for responding to the 

emergency as well as recovering from the emergency using “what if” scenarios.

1 
Coordination with community emergency management office and local organizations. In addressing all aspects 

of the emergency, it becomes a community team approach more than ever. Planning should include coordination 

with municipal leaders, state and local officials, Aging Network organizations, local health departments, and other 

support organizations.

2 
RESPOND

R EC O VE R Y 

R ES P O N D 
Respond

Common concerns in meeting client needs include:

• Congregate dining sites have suspended onsite dining and many have transitioned to drive-through or graband-go options.

• SNP report increased requests from seniors for home-delivered meals.

• Seniors that actively participate and volunteer regularly at congregate sites have become less active and engaged, homebound and/or more socially isolated with the onset of stay-at-home and social distancing

practices.

• Home-delivered meals may not be enough to support the nutritional health of clients and additional community-based nutrition programs may be needed.

Eligibility and Assessment for Home-Delivered Meals 

Background 

Older adults shelter in their homes because of self-isolation due to COVID-19, resulting in a need for senior nutrition programs to shift their approach. For example, a client may now be homebound and demonstrating ADL/

IADL need for nutritional support as well as for home-delivered meals.

To accommodate as many older adults as possible, states have re-evaluated eligibility requirements for meals. 

Eligibility is determined solely by the state and local entity. States establish the requirements for the initial assessment either in-home or by phone. During the COVID-19 crisis, most assessments are being conducted by phone 

to minimize social contact.

When funding for meals is limited, priority should be given to those 60 and older who are in greatest social and 

economic need. Particular attention to low-income older adults, minorities, older adults in rural communities, 

older individuals with limited English proficiency and older adults at risk of institutional care should be given. The 

risk factors should include economic status, access to food supplies, chronic health conditions, ADL/IADLs, and 

social supports that can assist/provide shopping, cooking or safety checks. As the COVID-19 crisis continues and 

the Aging Network is faced with sustaining efforts, assessment is a critical step.

Many states or SNPs already have established criteria for meal prioritization, especially if waiting lists have existed 

in the past. These standards may need to be adjusted to accommodate the inability to leave home to purchase 

food. Please see the NRCNA COVID-19 Suggestions for Senior Nutrition Programs Offering Home-Delivered

Meals. The State Unit on Aging (SUA)/Area Agency on Aging (AAA)/SNPs must have clear written policies and 

procedures to avoid any real or perceived bias or partiality that is not in alignment with the intent of the OAA. 

Please see NRCNA Guide to Prioritizing Clients.

3 
 

• Ohio is allowing an abbreviated assessment to evaluate consumer eligibility. In addition, all assessments are permitted to be conducted telephonically or virtually. To identify consumers at

highest risk, providers are accessing “disaster rankings” used in the Ohio reporting database.

• Maryland has used a Home-Delivered Meals Prioritization Tool developed by the University of

Maryland in collaboration with the Maryland Department of Aging. This tool identifies nutrition risk factors and the level of priority for home-delivered meals. This tool may also inform

alternative or additional support services that could benefit clients. For more information, see

Home-Delivered Meal Prioritization Scale Recommended Guidance

RESOURCES

COVID-19 Suggestions for Senior Nutrition Programs Offering Home-Delivered Meals

Issue Date: March 30, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.acl.gov/senior-nutrition

Overview: Tip sheet offers suggestions for providing home-delivered meals during the COVID-19 

pandemic.

Includes:

• Eligibility for meals under COVID-19 circumstances

• Funded COVID-19 meals eligibility and assessment

• Considerations and solutions for providing home-delivered meals

Senior Nutrition Programs and Sustainability: Guide to Prioritizing Clients 

Issue Date: August 12, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Tip Sheet offers suggestions on the factors a State Unit on Aging (SUA)/Area Agency on Aging 

(AAA)/Local Service Provider (LSP) should consider in creating a prioritizing process.

Includes:

• Eligibility criteria

• Prioritization criteria

• Prioritization tools

• Establishing waiting lists

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CREATIVE SOLUTIONS
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Promoting Health and Well Being 

Background 

Healthy behaviors and lifestyles of older adults during COVID-19 and thereafter requires the promotion of 

a wide range of programs that address physical, mental and behavioral health concerns. From virtual online BINGO to meeting on virtual platforms for lunch or nutrition education to providing evidences-based 

programs, our network’s approach has been and must continue to be creative in meeting these health 

concerns. 

Client education programs support the health and wellness of older adults during the period in which 

many are remaining in their homes. The challenge becomes how to provide meaningful programs in a 

format that is accessible and interesting to clients. New approaches to home-delivered client education or 

refining methods that have been used in the past should be considered. More seniors are now connected 

online. Two methods to deliver client education programs include:

• Video conferencing in a one-on-one or group setting that gives an interactive approach to deliver client education materials.

• Individual telephone calls or teleconferencing for clients not comfortable with online technology.

• The Greater Wisconsin Agency on Aging Resources, Inc. (GWAAR) has developed educational

resources and activities appropriate for use with people who are homebound, although the

activities are not specific to COVID-19. The Conversation Starter Cards can be used to spark con

versation and help individuals plan and discuss ways they can enhance their daily lives, including

nutrition and meals. Visit: https://gwaar.org/nutrition-education-and-activities The Plan and

Shop for Simple Healthy Meals tool provides a sample menu plan, shopping list and grocery tips:

WI-Healthy Meals Sample

• New Jersey Nutrition Programs have begun sending out games, information sheets and other

activities with home-delivered meals. These include coloring pages, word searches, crossword

puzzles, jigsaw puzzles, activity books, information sheets from the Centers for Disease Control

(CDC), nutritional and health information booklets, and resource directories, in large print when

possible.

RESOURCES

Resources for Professionals 

This is a partial listing of available materials for professionals and consumers. 

COVID-19 and Older Adult Malnutrition

Organization: Defeat Malnutrition Today

Website: https://www.defeatmalnutrition.today/covid-19 

Overview: Older adult malnutrition compounds the risk of COVID-19 since poor nutrition is associated 

with decreased immune health. Website addresses FAQs about nutrition support during the pandemic, 

resources available from states, and COVID-19 Check Campaign materials.

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CREATIVE SOLUTIONS
Engage Virtually 

Agency: Administration for Community Living 

Website: https://acl.gov/sites/default/files/oam/2020/EngageVirtually.pdf

Overview: A one-page handout with tips on four topics: Socialize, Explore, Unwind and Connect. 

Tip Sheet: Tele or Virtual Nutrition Education Materials for Older Adults 

Issue Date: August 18, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Information on technology use by older adults, resources for various platforms, and nutrition 

education materials.

Tools for Reaching a Remote Audience 

Organization: National Council on Aging

Website: https://d2mkcg26uvg1cz.cloudfront.net/wp-content/uploads/April-2020-online-tools-and-tips. 

pdf 

Overview: Lists some popular tools to reach and connect to isolated seniors. It includes online platforms, 

pros and cons, and links to learn more about these platforms.

Webinar: Virtual Nutrition Education for Older Adults 

Presented: May 19, 2020

Organization: National Resource Center on Nutrition and Aging

Recording: Virtual Nutrition Education for Older Adults

Slides: www.seniornutrition.acl.gov

Overview: Tips for providing virtual nutrition education programs, including examples and resources.

Resources for Consumers 

How to Keep Your Immune System Healthy

Agency: Academy of Nutrition and Dietetics

Website: https://www.eatright.org/health/wellness/preventing-illness/how-to-keep-your-immunesystem-healthy 

Overview: Guidance on immune-supporting nutrients and the importance of a balanced diet to keep the 

immune system healthy.

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Practical Tips for Meals and Other Package Delivery

Agencies: National Council on Aging, National Resource Center on Nutrition and Aging, and American 

Occupational Therapy Association

Website: https://d2mkcg26uvg1cz.cloudfront.net/wp-content/uploads/Practical-Tips-For-ReducingFalls-Risk-Delivery- Final-042720-1.pdf 

Overview: The resource summarizes at-home falls hazards related to sheltering in place by older adults 

and offers practical tips for the safe receipt of meals and other package delivery items.

Socialization: Fostering Human Connection 

Background 

Providing the social connections for homebound older adults has always been a challenge for SNPs. Social support is now more difficult because previously active congregate program participants are following 

social distancing recommendations and staying at home.

Some programs may have fewer staff and volunteers available due to the pandemic. Other programs may 

have an influx of new volunteers that require screening and training while observing social distancing. 

Programs may be managing additional funding sources, and/or making budgetary decisions to reserve 

financial resources for food and meals as opposed to other activities.

Ways to provide human social connections to seniors who are self-isolating include:

• Wellness Calls. The meal deliverer can provide a wellness check on the meal recipient (observed 

safely through social distancing) and document it to the SNP staff for follow-up on any changes or 

concerns. A good opening to provide supportive information is to ask, “How are you feeling today?”. 

Any physical or mental health, mobility, or self-care issues can be noted as well as personal safety or 

home environmental concerns. Many SNP volunteers and staff are using either tablets or smart 

phones to report any change of condition for follow-up.

• Telephone Comfort Calls. This can be set up with a phone tree or volunteer buddy system. For those 

who do not have online internet access or who are not comfortable with technology, a personal call 

provides needed social connectedness. See NRCNA's Enhancing Socialization Through Making 

Meaningful Volunteer Connections During COVID-19.

• Virtual Programs through video conferencing. Many software programs are free or low cost. Tools 

for Reaching a Remote Audience-NCOA 

• Facebook Closed Groups may engage a person who may not be familiar or comfortable with video 

conferencing. For many older adults who are already familiar with Facebook, the Closed Group platform becomes a way to share information and exchange comments with others.

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CREATIVE SOLUTIONS

• New Jersey congregate centers have begun curbside visits with participants and drive-by parades to remind older adults that their community is there for them. Another provider sends out 

a web link to a private YouTube tutorial where a craft project is shared. Craft supplies are deliv

ered to participants along with their hot meal for that day. Participants (and caregiver) can do the 

craft along with the video and watch the video repeatedly if desired.

• Rhode Island SUA has developed and implemented Project HELLO (Helping Elders Limit Loneli -

ness Outreach) to engage older adults at home during the COVID-19 crisis. The expanded

• tele-buddy programs support social connectedness by matching a volunteer with an older adult 

who wants telephone companionship. Rhode Island Office of Healthy Aging Volunteer Oppor

tunities 

• Wisconsin Dane County Area Agency on Aging has put together a tool to help combat social isolation and loneliness in older adults who are self-isolating or homebound. This guide provides information on providing wellness calls and programs that promote physical activity, brain health, 

music and art, positivity, and social connections. Social Isolation Resource Guide 

RESOURCES

Socialization: Fostering Human Connections 

Caring for Wellbeing of Older Adults During COVID-19: Connecting While Social Distancing 

Agency: Humanitarian Disaster Institute

Website: https://www.wheaton.edu/media/humanitarian-disaster-institute/Tip-Sheet-Caring-forWellbeing-of-Older-Adults-During-COVID-19.pdf 

Overview: A two-page tip sheet that provides social support and connection ideas while people remain 

socially distanced.

Coping with Stress

Agency: Centers for Disease Control and Prevention

Website: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

Overview: Information includes tips to reduce stress, help individuals at high risk for serious illness, and 

understand common reactions to COVID-19. Included are descriptions of emotions that may be present 

coming out of self-isolation. 

Coronavirus Response Campaign 

Agency: Ad Council

Website: http://coronavirus.adcouncilkit.org/ 

Overview: The Ad Council—in partnership with the federal government, public health partners, board 

member companies, major media networks and digital platforms—has developed public service ads 

(PSAs) to educate the public on ways they can protect themselves and others in an effort to slow the 

spread. Includes:

• PSA videos

• Posters

• Print materials 8
engAGED-Resources on COVID-19 

Organization: The National Resource Center for Engaging Older Adults

Website: https://www.engagingolderadults.org/covid19 

Overview: Resources can provide organizations in the Aging Network with information that can help 

them better meet the needs of older adults in their community during these changing times. Includes: 

• Video on enhancing the social engagement of older adults during COVID-19

• Best practices on helping older adults stay engaged

• Flyer highlighting ways to stay connected

• Create connections with or without technology

Enhancing Socialization through Making Meaningful Volunteer Connections during COVID-19

Issue Date: June 3, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Both the nutrition and regular connection that the OAA nutrition programs provide are 

now more important than ever since some form of social distancing interventions will be needed for 

a prolonged period due to COVID-19, which disproportionately impacts older adults. This document 

provides tips for your volunteers to build and strengthen these important connections.

Health, Well-Being, and/or Social Connections in a Remote Environment 

Issue Date: August 31, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Resource outlines different levels of social engagement that can be used to check on older 

adults or to provide a social connection. Many excellent programs exist, and this tip sheet only highlights 

a few. Consider additional resources suggested below demonstrating best practices in the area of 

socialization and well checks. 

Senior Centers Connect—Promoting Social Connection While Practicing Physical Distancing Agency: 

National Council on Aging

Website: https://d2mkcg26uvg1cz.cloudfront.net/wp-content/uploads/Senior-Centers-Connectfinal-03302020.pdf

Overview: Provides practice models and resources from aging service professionals to connect 

participants while Senior Centers are closed. Includes practical tips and programs.

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Social Connectedness for the Homebound 

Agency: Iowa Department on Aging

Website: https://www.iowaaging.gov/sites/default/files/library-documents/Social_Connectedness_for_

the_ Homebound_Resources_2020.03.pdf

Overview: One-page tip sheet with online resources for the homebound.

State of Older Adults COVID-19 Report 

Issue Date: April 2020

Agency: Pennsylvania Council on Aging

Website: https://www.aging.pa.gov/organization/pa-council-on-aging/Pages/default.aspx

Overview: The Pennsylvania Council on Aging (PCoA) conducted a statewide survey of older adults in 

response to the COVID-19 pandemic to identify how often and why older adults are leaving their homes. 

The document provides examples for creating programming to reduce the instances of social isolation 

while older adults are staying home.

Taking Care of Your Behavioral Health

Agency: Substance Abuse and Mental Health Services Administration

Website: https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-01-01-007_2.

pdf 

Overview: Tips for social distancing, quarantine and isolation during an infectious disease outbreak. 

Information includes feelings and thoughts experienced during and after social distancing, quarantine 

and isolation as well as suggestions for behavioral health.

Community Nutrition and Food Source 

Background 

In addition to SNP meals, community food programs help provide meals and nutrition assistance either 

on a temporary or ongoing basis for participants that qualify. Meals provided through the OAA or emergency funding may not be enough to meet an individual’s nutritional needs. During the pandemic, in addition to traditional food assistance sources, faith-based and civic organizations have stepped up to support 

the community demands by providing food pantries and grocery delivery.

In addition to the traditional community food assistance programs, the United States Department of 

Agriculture (USDA), through the Families First Coronavirus Response Act, is purchasing and distributing 

agricultural products to those in need under the Farmers to Families Food Box Program. USDA’s Agricultural Marketing Service (AMS) is partnering with national, regional and local suppliers to purchase up to 

$3 billion in fresh produce, dairy and meat products. Farmers to Families Food Box.

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CREATIVE SOLUTIONS

• Ohio has provided guidelines and FAQs for the Senior Farmers Market Nutrition Program

(SFMNP) during the pandemic: Ohio Senior Farmers Market Nutrition Program. Ohio is also

using Title III-B funds as “emergency services” to provide groceries, meals and/or assistance with

obtaining emergency food boxes.

• AARP Michigan connected the Michigan State Unit on Aging (SUA) to the Food Bank Council of

Michigan in order to assist adults 60+ throughout the state who cannot access food due to the

stay-at-home order. Michigan SUA purchased 10,000 quarantine boxes (Q-boxes) from the

Council, and the Area Agencies on Aging (AAA) distributed the Q-boxes. The Q-boxes provide

approx- imately 22 well-balanced meals to feed recipients for 10 days. The boxes also contain

breakfast, lunch and dinner recipes for seniors who are food insecure.

Initially, the Michigan SUA purchased Q-boxes through the Aging Adult Services Agency

using administrative funds. However, Michigan SUA is now working with the public and

other funders to raise additional dollars. For example, the SUA raised $40,000 through a

virtual food drive and plans to use these funds to make additional Q-boxes available.

• Connecticut’s Southwestern Agency on Aging developed the Food Connection programs, distributing food, supplies and support to older adults during the coronavirus pandemic. Priority

recipients included older adults with the greatest need due to risk factors associated with

• COVID-19 and the inability to safely procure groceries. Each pre-packaged grocery bag provides

a one-week supply of shelf-stable items as well as fresh produce, eggs, butter, bread and toilet

paper. No-contact drive-through pick-up at a designated location is available in each participating town. Some limited delivery is also available for individuals who meet certain physical and

transportation qualifications.

Consumer One page Grocery Bag program 

RESOURCES

Federal Nutrition Programs and Emergency Food Referral Chart for Older Adults 

Agency: Food Research & Action Center 

Website: https://frac.org/wp-content/uploads/Federal-Nutrition-Programs-and-Emergency-FoodReferral-Chart-for-Older-Adults.pdf 

Overview: Lists federally funded food programs for older adults under the USDA and HHS. Table includes 

eligibility requirements and contact information.

Partnerships with Food Banks and Other U.S. Department of Agriculture (USDA Programs During 

COVID-19 

Issue Date: May 14, 2020

Organization: National Resource Center on Nutrition and Aging 

Website: www.seniornutrition.acl.gov

Overview: Information regarding USDA Food and Nutrition Services programs plus food banks to address 

food insecurity among older adults, especially during the COVID-19 crisis. Addresses specific questions 

regarding USDA programs, including access to SNAP benefits through grocery pick-up or delivery.

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USDA Farmers to Families Food Box Program

Agency: U.S. Department of Agriculture—Agricultural Marketing Service

Website: https://www.ams.usda.gov/selling-food-to-usda/farmers-to-families-food-box

Overview: Provides information on the Farmers to Families Food Box Program, funded under the Families 

First Coronavirus Response Act, to purchase and distribute agricultural products to those in need.

Website contains program information, webinars and other resources to understand the program.

Program Operations

Common Concerns 

Food Service and Delivery 

• Knowing meal requirements by funding source.

• Increased demands for service and ability to meet and sustain efforts.

• Obtaining food and supplies when shortages exist.

• Understanding considerations for delivery options to limit social contacts, including grab-and-go

meals for congregate nutrition program participants.

• Identifying alternative meal providers or services to prepare or deliver meals.

• Recruiting and training new volunteers.

• Maintaining a safe work environment for staff, volunteers and participants.

Technology

• Technology challenges for safe production, packaging and delivery of food for older adults.

• Technology challenges to foster human connection and decrease social isolation.

• Technology challenges of equipment, hardware, software, training for staff and volunteers.

Nutrition, Health, and Social Supports 

• Maintaining nutritional support for health.

• Lost opportunities for health promotion, disease prevention, and disease risk reduction programs.

• Lost opportunities for connections to other services and programs.

• Lost opportunities for social interaction, connections between staff and older adults and older adults

with each other.

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Nutritional Requirements for Meals 

Background 

Nutritious meals that support overall health, boost immune function and manage underlying chronic 

health conditions are especially important during COVID-19 . Meals should remain nutritious even if 

states waive some or part of the nutrition requirements depending on the emergency funding sources 

used. Programs should continue to work with vendors to source available foods and meals that provide 

adequate calories and nutrition and provide medically tailored and ethnic/cultural meals as appropriate 

and feasible.

CREATIVE SOLUTIONS 

• Georgia furnished to its Nutrition Provider network a recommended dietary pattern for meals 

during waived nutrient requirements. This action reinforces the need to continue supplying 

nutritionally adequate meals as feasible.

• Iowa provided to its Area Agencies an Iowa Guide for Menu Planning. The document can be 

used to develop emergency, shelf-stable, grocery and restaurant meals for sack lunches/to-go 

meals. The guide provides an approved Two-Week Shelf-Stable Menu, 10-Meal Grocery Kit, and

20-Meal Shelf-Stable Emergency Response Kit. The AAAs used it to partner with grocery stores to 

assemble their own shelf-stable meals.

RESOURCES

1/3 Calorie Intake Requirement During COVID-19

Issue date: April 29, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Certain emergency funding sources have allowed for the 1/3 DRI and DGA (Dietary Reference 

Intakes and Dietary Guidelines for Americans) requirement for meals to be waived during the pandemic 

crisis. However, it is important to provide nutritious meals with calories that will support energy 

expenditures.

Nutrition Requirements: DRIs/DGAs Under Supplemental Funding Due to COVID-19 Emergency

Issue Date: April 3, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Provides nutritional recommendations for emergency supplemental funding for meals. 

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Meal Options/Food Preparation/Food Packaging

Background 

With increased demand for meals and expanded meal service (breakfast, lunch, weekends), all options 

should be explored. Shelf-stable or frozen meals as an alternative to hot meals allow for a more flexible 

delivery schedule, fewer deliveries and reduced social interactions. Exploring this option may lead to new 

contracts with food vendors or suppliers. A program that had been delivering hot meals daily may deliver 

a combination of hot and a shelf-stable/frozen meal for alternate days. Shelf-stable or frozen meals or a 

combination of shelf-stable and frozen may be provided for a week or multiple weeks in a single delivery, 

depending on the participant’s ability to store and prepare meals.

Considerations for fresh, frozen, or shelf-stable meals for the SNP to bear in mind: 

• Storage—Does the SNP have adequate freezer space available for frozen meals to be stored? For

shelf-stable meals, does the SNP have adequate dry, off-the-floor, ventilated storage? Can the meals

be ordered in quantities that can be safely stored and distributed?

• Delivery—Can the frozen meals be safely delivered and held frozen solid during the delivery process?

If meal packages for frozen or shelf-stable meals are provided or a combination of frozen and

shelf stable, can the meal driver safely load or carry the box or package? Can the delivery vehicle

accommodate the meal packages?

Considerations for fresh, frozen or shelf-stable meals for the participants to bear in mind: 

• Storage—Does the client have sufficient refrigerated or freezer storage? If shelf-stable, can the client

open all the containers safely? Can the client safely reheat the meal? Can the client safely manage

multiple meals delivered at a time?

• Delivery—Is the weight or size of the meal delivery manageable for the client? Can the client safely lift

the package?

Alternate providers such as grocery stores, restaurants, hospitals, nursing homes or schools could be 

contracted to fill the void. SNPs with commissary kitchens located in close proximity for meal transport 

may also have the capacity to fill the need for meals. Many grocery stores have food courts that can 

package meals for takeout. Restaurants or grocery stores can provide additional weekend service for 

SNPs operating on a five-day schedule. The NRCNA has provided an Options for Contracting Meals 

During COVID-19 Tip Sheet. 

CREATIVE SOLUTIONS 

• Florida’s Meals of Love is a partnership with the Senior Resource Alliance, nine non-profit Central Florida partner agencies, local restaurants and the hospitality industry to deliver restaurant 

quality meals to the homes of isolated seniors and disabled adults. In addition to supporting 

seniors and disabled adults, as well as providing opportunities for restaurants, Meals of Love is 

creating new job opportunities for those in need in the community.

• The Kansas Choosing Healthy Appetizing Meal Plan Solutions for Seniors (CHAMPSS) program 

operates in select counties from grocery stores that have a food court/dining option. Participants are taking to-go meals at these locations rather than the dine-in option.

• In Maryland, the Department of Aging’s Innovations in Nutrition Services and Programs grant 

produced and delivered a 12-day shelf-stable meal package that provided 100% Recommended 

Dietary Intake, except for fluids. The meals were medically tailored and included Carbohydrate 

Controlled/Heart Healthy and Enhanced Healing (the latter focused on individuals with increased 

nutrient needs). Meals were highly rated by older adults: 92% of clients felt packages met their nutri

tional needs based on their health condition and 86% felt packages helped them eat healthier food. 

RESOURCES

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RESOURCES

Contracting Tips for Purchasing Meals/Food During COVID-19

Issue Date: April 20, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Provides suggestions for purchasing meals/food during the COVID-19 pandemic. Includes:

Principle of contracting and obtaining food/meals through a distributor or provider

Nutritional requirements of meals based on funding source

COVID-19 Suggestions for Senior Nutrition Programs as of March 30, 2020 

Issue Date: March 30, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Provides creative ideas for congregate program delivery, meal delivery, client contact, and 

other nutrition program essentials.

Frequently Asked Emergency Management Questions: For Aging Services Professionals at the State 

and Local Levels

Issue Date: March 12, 2020

Organization: National Resource Center on Nutrition and Aging with collaboration from the 

Administration for Community Living (ACL) national and regional staff.

Website: www.seniornutrition.acl.gov

Overview: Information on relocation of meal sites during an emergency, emergency meals, Nutrition 

Services Incentive Program (NSIP), and time of service for emergency meals.

Options for Contracting Meals during COVID-19

Issue Date: May 14, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Lists foodservice providers with types and service of meals that may be an option to 

supplement a Nutrition Program’s capacity. Includes an evaluation form for potential meal providers.

15 
Step-by-Step Guide for Senior Nutrition Programs Seeking to Work with Food Retailers 

(Restaurants and Grocery Stores for Meals During the COVID-19 Public Health Emergency

Issue Date: April 17, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Provides steps to developing partnerships with local food retailers to provide meals. Includes: 

Models from the network

• Step-by-step guide to developing contracts/partnerships

• Sample policies and procedures

Volunteers 

Background 

With the COVID-19 pandemic, SNPs are trying to navigate and leverage their organizations’ need for 

volunteers. Many current volunteers are older adults in the high-risk group for COVID-19 susceptibility 

and are electing to stay sheltered at home and limit their exposure. These volunteers may have been 

the ones to deliver meals, package meals for home-delivery, work in food production, or provide clerical 

support. 

Their service is valuable to program operation, and they have to be replaced. As businesses are closed 

or hours limited, it is possible some of their employees may be available to volunteer to fill the void. 

Depending on the business, some of these individuals, such as school employees or teachers, may have 

already had background checks. Local emergency management organizations and first responders may 

be another resource for short-term meal delivery.

Suggestions for volunteer recruitment/training:

• Social media can successfully communicate the need for volunteers.

• Online training for new volunteers will save valuable staff time. Route delivery procedures and important safety precautions can be included.

• Handwashing/sanitizing and delivery with face mask and no physical contact with the participant

should be mandatory.

16
-

-

CREATIVE SOLUTIONS

Volunteer Recruitment

• Get Shift Done has partnered laid-off service industry workers with local nutrition programs in

Texas and the Washington D.C. area. Meals on Wheels, Inc. of Tarrant County Texas received

much needed kitchen help for its food production operations.

• The Iowa Commission on Volunteer Service (Volunteer Iowa) has partnered with the State Unit

on Aging to publicize the need for volunteers through Iowa’s Coronavirus webpage, the Governor’s press conferences and social media pages. Some AAAs are using AmeriCorps Volunteers.

The VolunteerIowa.org website has a link for COVID-19 volunteer opportunities.

• In New Mexico, faith-based organizations have provided volunteer support as well as food donations. Many businesses such as car dealerships have volunteered for meal delivery.

Volunteer Training

• In North Dakota, the ServSafe Food Safety course has been offered at no cost during this time

to train senior nutrition program volunteers and new staff.

• In Massachusetts, the Health & Social Services Consortium (HESSCO), the Aging Services Ac 

cess Point (ASAP) and Area Agency on Aging (AAA) for South Norfolk County developed a You

Tube video that can be used to train new staff or volunteers for meal delivery.

RESOURCES

Volunteer Engagement and Recruitment Resources 

Issue Date: April 20, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Provides various NRCNA-curated resources on volunteering.

Volunteer Opportunities and Civic Engagement

Website: https://acl.gov/programs/volunteer-opportunities-and-civic-engagement 

Agency: Administration for Community Living (ACL)

Overview: ACL’s Office of Integrated Programs provides website resources on promoting volunteerism in 

Older Americans Act programs, the National Resource Center for Engaging Older Adults and other useful 

links for recruiting volunteers.

Work Environment/Food Safety

Background 

Key guidance should be provided on how foods can be prepared/delivered safely to SNP participants. All 

food safety protocols must be maintained and monitored including Time/Temperature Control for Safety 

(TCS). This is especially important if new contracts for food preparation/delivery are being used. These 

contractors may not be familiar with the specific SNP food preparation and delivery protocols. In addition, 

supporting a safe work environment with best practices for employee health, cleaning and sanitizing, and 

personal protective equipment (PPE) will assure continuity of operation through the crisis. 

17 
RESOURCES

Best Practices for Retail Food Stores, Restaurants and Food Pick-Up/Delivery Services During the 

COVID-19 Pandemic 

Agency: Food and Drug Administration 

Website: https://www.fda.gov/food/food-safety-during-emergencies/best-practices-retail-foodstores-restaurants-and-food-pick-updelivery-services-during-covid-19?utm_campaign=Retail_

COVIDretail_04092020&utm_medium=email&utm_source=Eloqua

Overview: Provides best practices to operate retail food stores, restaurants, and associated pick-up and 

delivery services to safeguard workers and consumers. Key considerations include how foods offered at 

retail can be safely handled and delivered, as well as best practices for employee health, cleaning and 

sanitizing, and personal protective equipment (PPE).

Food Safety and the Coronavirus Disease 2019 (COVID-19)

Agency: Food and Drug Administration

Website: https://www.fda.gov/food/food-safety-during-emergencies/food-safety-and-coronavirusdisease-2019-covid-19 

Overview: Resources for industry and consumers on COVID-19 pandemic and food safety. Includes: 

• Information on food supply

• Social distancing, disinfecting and other precautions for the food industry

• Workers testing positive

• FAQs for consumers

• A one-page tip sheet (in English and Spanish) on shopping for food

Glove Use Policy and Procedures

Agency: Meals on Wheels America (MOWA)

Website: https://www.mealsonwheelsamerica.org/docs/default-source/covid-19/policies-andprocedures/covid-glove-use-policy.pdf?sfvrsn=ad93bb3b_2

Overview: One-page guide summarizes the dos and don’ts of appropriate glove use by Meals on Wheels 

drivers (both volunteers and paid drivers) delivering meals to seniors at home.

Guidance on Preparing Workplaces for COVID-19

Agency: U.S. Department of Labor—Occupational Health and Safety Administration (OSHA)

Website: https://www.osha.gov/Publications/OSHA3990.pdf 

Overview: Provides information for business, staff, clients and the public to reduce the impact of 

COVID-19 outbreaks. For employers who have already thought ahead on influenza pandemics, planning 

for COVID-19 may involve updating to address the specific exposure risks, sources of exposure, routes of 

transmission, and other unique characteristics of COVID-19. Includes: 

• COVID-19 outbreak in the workplace

• Steps employers can take to reduce exposure

• Workplace flexibilities and protections

• Workplace controls

18
Food Delivery/Service 

Background 

Limiting social contacts for meal delivery has been a priority during the COVID-19 crisis. Going forward, 

such patterns in food delivery and service may become the New Normal for Nutrition Programs. ACL has 

provided information on Phased Reopening Guidelines for Senior Nutrition Program Operations During 

the COVID-19 Public Health Emergency. 

For congregate participants, grab-and-go or drive-through models have been initiated in many 

community sites using an online or phone-based reservation system. Pick-up times can be staggered to 

accommodate an orderly and safe transfer of meals from staff to participants. These procedures also 

limit exposure for both congregate participants and the staff/volunteers. 

Establishing designated pick-up zones for the transfer of meals to occur also supports social distancing. 

Participants reserving and not picking up should be contacted and provided additional time. Although 

these newer methods create a safer environment, all food-handling Time/Temperature Control for Safety 

(TCS) protocols should be observed. 

For older adults that are homebound., SNP should explore all food options (see Meals Option Section) to 

limit delivery frequency and social contact.

CREATIVE SOLUTIONS 

• In Iowa, most programs have switched to delivering bulk meals once a week or delivering more 

than one meal per delivery to limit social contact. Some congregate sites have switched to drivethrough delivery, where meals are placed in the open car trunks of clients.

• Ohio nutrition providers have connected with local agencies to provide fresh produce in addition to the meal deliveries. Through the delivery network already established by the SNPs, AAAs 

were contracting with the nutrition providers for grocery delivery assistance.

• Georgia has provided protocols for a contactless delivery in which the meal is placed on the 

porch and the client is called immediately to let them know the meal has arrived and should be 

eaten or refrigerated.

Local Community Coordination

Background 

The ability to provide for the nutritional needs of the participants served lie beyond any one SNP itself. 

Rather, it is working in coordination to reach the broader local and state community agencies and 

organizations. This includes the Aging and Disability Network; local government; first responders (law 

enforcement, fire and Emergency Medical Services); state and local emergency management offices; 

community organizations; churches and religious organizations; social services; healthcare systems; 

public health agencies; and other relevant partners. Businesses become part of the coordination effort, 

both those where a relationship already exists as well as those who have an interest in maintaining 

community support. 

Support can be provided through volunteers, goods and services, or funding. Some SNPs have posted a 

wish list of needed items or volunteer positions on their websites and social media and have received a 

positive response from the community.

Voluntary Organizations Active in Disasters (VOAD) are community-based organizations that have made 

disaster-related work a priority. Such organizations include the American Red Cross, Salvation Army, and 

numerous faith-based organizations like St. Vincent de Paul Society. Citizens Corps is FEMA’s grassroots 

19 
strategy to bring government and community leaders together to involve community members and 

organization in all-hazards planning, preparedness, mitigation, response and recovery.

CREATIVE SOLUTIONS

• In Kansas, Johnson County Area Agency on Aging changed its model from daily hot meal 

with volunteer delivery to frozen meals provided once a week by county staff.

• In Texas, Meals on Wheels Tarrant County received donations from community businesses 

and organizations of hand sanitizer, masks and gloves for volunteers delivering meals. A list 

of re- quested donations is posted on their website.

• In Ohio, Meals on Wheels of Southwest Ohio and Northern Kentucky provides meals to se -

niors through regular meal delivery services, as well as food for pets in its Pet Portions pro -

gram through a partnership with SPCA Cincinnati and the IAMS Corporation.

20
The “Recover” Stage 

R ES P O N D 

R EC O VE R 
 

Recover

RECOVER 

Background 

The bulk of this report has understandably focused on the “Plan and Respond” phases of emergency 

preparedness, in relation to COVID-19. Yet SNPs will need to continue to run well as we continue to 

recover and resume a “New Normal”. We need to address an ever present sense of isolation among 

recipients who may be facing the uncertainty and fear of resuming activities and social interaction

Eventually our country and our SNPs will recover some sense of normalcy, but it will not and should not 

look like the programs we administered before theCOVID-19 public health pandemic. Our recipients and 

our staff are resilient, yet as leaders, we now look ahead to the eventual recovery stage.

Resuming any “New Normal” will require thoughtful planning. Lessons learned in the response phase 

of the emergency should be recorded now and included in the recovery planning. Technology solutions 

should be explored and implemented to continue to reinforce limited social contacts. Some procedures 

that were developed during the pandemic will be continued during the recovery phase, and hybrid 

models may yet evolve. Of course, the nation’s economic situation will affect many factors as well, such as 

funders’ availability to help with SNPs, or an increase in the number of older adults who newly fall into the 

“need help” category.

Recovery will take careful planning, including consultation with local and state health departments and 

local emergency management teams. It is not a one-size-fits-all, but consideration must be included for 

community and health resources, participant needs, and SNP resources.

Phased Reopening Guidelines for Senior Nutrition Program Operations

Suggestions for recovery planning included and are not limited to:

• Follow recommendations of national, state and local governments to assure a safe environment for

clients, staff and volunteers.

• Continue priority for those individuals at a high risk for coronavirus and those at high risk for food

insecurity and isolation.

• Write protocols for cleaning, sanitizing and disinfecting. Communicate them and put into consistent

operation to assure a safe environment, Guidance for Cleaning and Disinfecting-CDC. 

• Identify technology solutions from the response phase that can be continued. Going forward, use

online programs such as volunteer scheduling, client tracking and safety checks, and online document signing.

• Resuming “normal” operations will require that funding is adequate to continue current levels of

service. Certain emergency funding sources with different requirements must be used during the

period designated.

• Maintaining new partnerships established during COVID-19 and identifying additional partnerships as

appropriate.

21 
Resources 

Reopening Guidance 

Businesses and Workplaces-Plan, Prepare, and Respond

Agency: Centers for Disease Control and Prevention

Website: https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/businessesemployers.html 

Overview: Guidance and strategies for employers and businesses to prevent COVID -19 exposure. Also 

provides information for employees in the workplace. Includes:

• Prevention in the workplace resources

• Communications resources and graphics

COVID-19 Reopening Guidance: A Guide for the Restaurant Industry

Issue Date: April 22, 2020

Website: https://restaurant.org/Downloads/PDFs/business/COVID19-Reopen-Guidance.pdf 

Organization: National Restaurant Association

Overview: Provides a framework for best practices for the restaurant and food service industries as 

they reopen. Information includes food safety, cleaning and sanitizing, employee health monitoring and 

personal hygiene and tips for social distancing in restaurants. 

Cleaning and Disinfecting 

Updated: July 22, 2020

Website: https://www.cdc.gov/coronavirus/2019-ncov/community/clean-disinfect/index.html

Overview: Provides CDC/EPA guidance on cleaning and disinfecting of a range of community-based 

settings (workplaces, homes, schools, home and public spaces), in addition to non-emergency vehicles 

and guidance for opening buildings after a shutdown.

Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools and Homes

Agencies: Centers for Disease Control and Prevention and Environmental Protection Agency

Issue Date: April 28, 2020

Website: 

https://www.cdc.gov/coronavirus/2019-ncov/community/pdf/Reopening_America_Guidance.pdf

Overview: Provides steps to develop, implement and revise a plan for cleaning and disinfecting public 

spaces, workplaces, schools and homes.

22 
Phased Reopening Guidelines for Senior Nutrition Program Operations During the COVID-19 Public 

Health Emergency 

Issue Date: May 5, 2020

Agency: U.S. Department of Health and Human Services, Administration for Community Living

Website: https://acl.gov/sites/default/files/common/AoA%20-%20Nutrition%20Reopening-Final%20 -

%205-5-20_1_0.docx

Overview: This resource was developed as a collaborative effort between the National Resource Center 

on Nutrition and Aging, National Association of Nutrition and Aging Services Programs, National Council 

on Aging, and the Administration for Community Living (ACL). It provides some suggestions for senior 

nutrition programs to consider as their states move forward through reopening. Includes:

• Participants’ needs and how best to meet them

• Social isolation of participants

• Home-delivered meal programming

• Congregate meal programming

Workplace Cleaning for COVID-19

Organization: American Industrial Hygiene Association

Website: https://aiha-assets.sfo2.digitaloceanspaces.com/AIHA/resources/Guidance-Documents/ 

Workplace-Cleaning-for-COVID-19-Guidance-Document_FINAL.pdf

Overview: Provides specific recommendations for COVID-19 cleaning, disinfecting and safety in the 

workplace. Non-healthcare workplaces need to implement procedures to reduce the risk of infection 

among workers and other members of the community. 

Emergency Planning 

Business Continuity Plan 

Agency: Department of Homeland Security

Website: https://www.ready.gov/business-continuity-plan 

Overview: A business continuity plan to continue business is essential. Includes four steps: business 

impact analysis, recovery of critical business functions and processes, organizing a team to manage and 

training.

The plan includes: 

• Resources to support recovery

• Planning worksheets

Capacity-Building Toolkit for Including Aging and Disability Networks in Emergency Planning

Organization: U.S. Department of Health and Human Services, Office of the Assistant Secretary for 

Preparedness and Response

Website: https://www.naccho.org/uploads/downloadable-resources/Capacity-Building-Toolkit-forAging-and-Disability-Networks-2-5-19.pdf 

Overview: Resource guides for aging and disability networks to increase their ability to plan for and 

respond to public health emergencies and disasters. The toolkit helps programs support older adults and 

23 
people with disabilities through the emergency planning process of preparedness, response, recovery 

and mitigation activities. The resource was written by the National Association of County & City Health 

Officials and the Association of State and Territorial Health Officials, in partnership with the Office of the 

Assistant Secretary for Preparedness and Response and the Administration for Community Living.

Closing the Gaps: Advancing Disaster Preparedness, Response and Recovery for Older Adults

Issue Date: January 2020

Organization: American Red Cross, American Academy of Nursing

Website: https://www.redcross.org/content/dam/redcross/training-services/scientific-advisorycouncil/253901-03%20BRCR-Older%20Adults%20Whitepaper%20FINAL%201.23.2020.pdf

Overview: Provides an evaluation on disaster preparedness based on literature review, response and 

recovery for older adults. It proposes 25 evidence-informed expert recommendations for intervention 

to reduce adverse outcomes for older adults during and after disasters. Document was released before 

COVID-19 pandemic but provides good information for planning for an older adult population.

Focus on Aging: Federal Partners’ Webinar Series/Supporting Older Adults in Emergencies: 

Preparedness, Response and Recovery

Agency: U.S. Department of Health and Human Services

Webinar recording: https://videocast.nih.gov/watch=37670

Broadcast Date: May 13, 2020

Overview: Joint project of four of the federal agencies that support the health and wellness of older 

adults in the U.S.: the Administration for Community Living (ACL), the Centers for Disease Control and 

Prevention (CDC), the Health Resources and Services Administration, and the National Institute on Aging. 

Helping Older Adults After Disasters: A Guide to Providing Support

Agency: Substance Abuse and Mental Health Services Administration

Website: https://store.samhsa.gov/product/helping-older-adults-after-disasters-a-guide-to-providingsupport/PEP19-01-01-001 

Overview: Outreach workers often work with older adults after disasters. This guide helps to prepare staff

for such encounters by describing common disaster reactions and providing tips and resources.

National Aging Network Organizations Websites Dedicated to COVID-19

National aging organizations provide resources targeted to older adults residing within the community 

during the COVID-19 crisis. These resources provide both consumer and program information that 

include best practice models from the aging network. 

Advancing States: http://www.advancingstates.org/initiatives/covid-19-resources/advancing-statesresources 

National Association of Area Agencies on Aging: https://www.n4a.org/covid19 

National Association of Nutrition and Aging Services Programs: http://nanasp.org/covid-19 

24 
 

National Council on Aging: 

• Resources for Older Adults and Caregivers https://www.ncoa.org/ncoa_acf/covid-19-resources-for-olderadults/

• Resources for Professionals https://www.ncoa.org/ncoa_acf/covid-19-resources-for-professionals/

• Resources for Senior Centers https://www.ncoa.org/news/ncoa-news/national-institute-of-senior-centersnews/covid-19-resources-for-senior-centers/

• Meals On Wheels America https://www.mealsonwheelsamerica.org/

Select State Websites Dedicated to COVID-19 

States have posted on their main web pages information regarding COVID-19. Some states have provided agingspecific websites dedicated to COVID-19. These include information for consumers and service providers with 

necessary links to updated information.

• Florida Council on Aging: https://fcoa.org/covid_19

• Illinois Department on Aging: https://www2.illinois.gov/aging/coronavirus/Pages/default.aspx

• Iowa: https://coronavirus.iowa.gov/

• Kansas Department for Aging and Disability Services: https://www.kdads.ks.gov/covid-19

• Massachusetts Councils on Aging; https://mcoaonline.com/coronavirus/

• Ohio: https://coronavirus.ohio.gov/wps/portal/gov/covid-19/home

• Pennsylvania Department on Aging: https://www.aging.pa.gov/Pages/covid-guide-for-older-adults.aspx

Administration for Community Living (ACL) Guidelines

Background 

ACL has issued guidelines specific for the aging network in dealing with the COVID-19 pandemic. This is a dynamic 

process as more questions and solutions emerge. Keeping older adults safe while meeting their essential needs 

such as nutrition and social contact are priorities. All guidelines can be found on the dedicated COVID-19 

resource hub. ACL will post or link to updates on this page and share it through ACL Email Updates (click here to 

subscribe). In addition, a routinely updated, comprehensive guide to ACL guidance is also available online.

ACL COVID-19 Response—Questions and Answers from the Meals on Wheels America Town Hall on March 

17, 2020 

Issue Date: March 31, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/COVID19/C19Q%26A-MOWATownHall_2020-03-31.pdf

Overview of topics:

• Eligibility to allow congregate meals to be served in non-congregate setting

• Meal delivery via other delivery methods

• Voluntary contributions

• Sources for meals

25 
Enhancing Socialization through Making Meaningful Volunteer Connections during COVID-19

Issue Date: June 3, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Document for tips for SNPs volunteers to build and strengthen social connections with 

participants.

FAQs—Groceries and the Older Americans Act (OAA) Programs

Issue Date: May 12, 2020

Agency: Administration for Community Living

Website: www.seniornutrition.acl.gov

Overview: Answers to common questions regarding providing groceries through the Older Americans Act 

funding. Topics include:

• Community nutrition and food sources

• Meal options

• Reporting

FAQs Based on Call with ACL and State Unit on Aging Directors on April 1, 2020

Issue Date: April 7, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/common/AoA%20-%20FAQs_CallWithSUAs_April082020_

FINAL.docx

Overview: Addresses questions raised during a call between ACL and the State Unit on Aging Directors. 

Topics include:

• Flexibilities allowed in the CARES Act for Nutrition Services

• Major Disaster Declaration and flexibility allowed for Older Americans Act

• Timeframe for expenditures

FAQs Based on Call with ACL and State Unit on Aging Directors on April 8, 2020

Issue Date: April 14, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/common/AoA%20-%20FAQs_CallWithSUAs_April082020_

FINAL.docx

Overview: Addresses questions raised during a call between ACL and the State Units on Aging Directors. 

Topics:

• Reporting requirements

• Funding/fiscal requirements

26
Fiscal FAQs: COVID-19 Emergency Older Americans Act Funding, Families First Coronavirus 

Response Act (FFCRA), CARES Act, and Older Americans Act Reauthorization of 2020 Updates

Issue Date: April 11, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/common/AoA%20-%20Fiscal%20FAQs%20Updates%20

FINAL%204-8-2020_0.docx

Overview: FAQs about supplemental funding of the FFCRA and the CARES Act for Congregate Meals (Title 

III C1) and Home-Delivered Meals (Title III C2). Topics: 

• Purpose of FFCRA and CARES Act funding

• State Plan and Area Plan Administration

• Funding/fiscal requirements

FAQs Based on Call with ACL and State Unit on Aging Directors on March 23, 2020

Issue Date: March 27, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/COVID19/C19FAQ-ADvancingStatesCallSUAs_2020-03-27.pdf

Overview: FAQs include these topics:

• Extension of State Plans

• Essential services

• Reporting requirements

• Information and referral

• Nutrition

• Social isolation

Health Well-Being Social Connections 

Issue Date: August 31, 2020

Organization: Administration for Community Living/National Resource Center on Nutrition and Aging 

Website: www.seniornutrition.acl.gov

Overview: The resource outlines different levels of social engagement that can be used to check on older 

adults or to provide a social connection. This tip sheet only highlights a few examples that are being 

utilized within the aging network. 

Nutrition Requirements: DRIs/DGAs Under Supplemental Funding Due to COVID-19 Emergency

Issue Date: April 3, 2020

Agency: Administration for Community Living, National Resource Center on Nutrition and Aging 

Overview: Clarifies nutritional requirements for supplemental emergency-funded meals. 

Website:

Topics: www.seniornutrition.acl.gov

• Considerations for the nutrient requirements of emergency meals

• Eating patterns that provide adequate nutrition in line with DGA/DRI requirements 27 
Nutrition Services Incentive Program of the Older Americans Act and States 

Issue Date: March 30, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/common/AoA%20--%20Nutrition%20NSIP.docx

Overview: Summarizes the Nutrition Services Incentive Program (NSIP) and clarifies requirements and 

allocations for funding. 

Older Americans Act COVID-19 Guidance Comprehensive Guidance Reference

Issue Date: July 8, 2020

Agency: Administration for Community Living

Website: https://acl.gov/sites/default/files/common/Posted%20-%20COVID-19%20AoA_Guidance%20

Collections%20from%20ACL%20website_Final_07082020.pdf

Overview: Comprehensive listing of resources with hyperlink for ACL guidance issued to date.

Partnering with USDA Programs During COVID-19

Issue Date: July 22, 2020

Organization: National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: During COVID-19 pandemic with increasing need for meals, food, and other nutrition services, 

SNPs may want to serve additional meals to older adults and partner with USDA programs to enhance 

nutrition programs as well as increase food access and availability to older adults. This document goes 

over questions and answers about working with USDA Programs.

Senior Nutrition Programs and Sustainability Elements for Sustainability: Establishing a Private 

Pay Program 

Issue Date: August 10, 2020

Organization: Administration for Community Living/National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: This brief is intended to assist SNPs with preparation for the future, including fee-for-service 

private pay systems that may be appropriate during times of more limited funding.

Senior Nutrition Program Meal Services Elements for Sustainability: Guide to Prioritizing Clients 

Issue Date: August 12, 2020

Organization: Administration for Community Living/National Resource Center on Nutrition and Aging

Website: www.seniornutrition.acl.gov

Overview: Document describes factors a State Unit on Aging, Area Agency on Aging or SNP should 

consider in creating a prioritizing process for client services.

28
Conclusion

R ES P O N D 

R EC O VE R 
Conclusion

Conclusion 

SNPs will continue to balance efforts to limit exposure to the virus among their staffs and clients, while 

seeking to meet the nutritional needs of the community-dwelling older adults they serve. This is an 

evolving process as more is learned about the COVID-19 virus.

This report is a starting point for implementing a plan to respond, recover, and mitigate the threat of this 

pandemic. As detailed in this report, a wealth of information is available online from federal, state and 

local governments as well as organizations focused on community support. 

As SNPs continue operations in this new and challenging situation, there will be many unknowns to 

address. However, a dedicated network of aging services professionals will continue to innovate, leverage 

current and emerging technologies and establish new strategic partnerships. These efforts will bring forth 

creative, efficient and client-centered solutions to meet this historic challenge.

29 
The National

Resource Center

Nutrition & Aging