Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 15 - Division of Senior and Disability Services › Chapter 4 - Older Americans Act › Section 19 CSR 15-4.240 - Nutrition Service Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  statutory authority and adds dietary guidelines requirements.
PURPOSE: This rule establishes the requirements to be
				  met by the area agency on aging to fund, establish, and operate nutrition
				  services for older adults.
(1) The area agency on aging may award
				nutrition services funds to a service provider to provide meals and other
				nutrition services, including outreach and nutrition education, to eligible
				service recipients within the planning and service area (PSA).
(2) The area agency on aging shall assess the
				level of need for congregate and home-delivered meals within the PSA and
				maintain documentation of the method(s) used to assess level of need and how
				the results were used to determine levels of services to meet those
				needs.
(3) The area agency on aging
				may make awards for congregate and home-delivered nutrition services to a
				service provider that furnishes either or both type(s) of service(s). The area
				agency on aging may award federal and state funds to a service provider that
				delivers only home-delivered nutrition services if congregate nutrition
				services are also provided through the area agency on aging.
(4) The area agency on aging shall assure
				that the provisions of nutrition services are contracted for in accordance with
				the standards set forth in
				19 CSR
				15-4.200.
(5) Eligibility of individuals to receive nutrition
				services shall be determined as follows:
(A)
				Any person aged sixty (60) years or over and the spouse of that person
				regardless of age shall be eligible to receive congregate nutrition
				services;
(B) Any person aged sixty
				(60) years or over who is homebound by reason of illness, incapacitating
				disability, or is otherwise isolated shall be determined eligible for
				home-delivered nutrition services. Occasional escorted trips from the home for
				medical or other necessary services will not affect the individual's
				eligibility for home-delivered meals. The following conditions shall be met:
1. The area agency on aging shall require an
				assessment of the individual's eligibility for home-delivered nutrition
				services prior to initiation of the service and assess the individual's need
				for continued service at least annually after that. In emergency situations,
				home-delivered meals may be delivered for a maximum of five (5) days prior to
				the initial assessment of eligibility; and
2. The area agency on aging shall develop
				written criteria by which to determine if the spouse and/or primary caregiver
				who resides in the home, regardless of their age or condition of the spouse,
				may receive a home-delivered meal. The criteria developed shall assure that the
				receipt of the meal by the spouse and/or caregiver is in the best interest of
				the homebound older adult;
(C) Adults with disabilities under sixty (60)
				years of age who reside in housing facilities occupied primarily by older
				adults at which congregate nutrition services are provided may receive
				congregate nutrition services. Any person meeting these requirements also may
				be eligible to receive home-delivered nutrition services provided the
				procedures of paragraph (5)(B)2. are followed; and
(D) Under the Social Services Block Grant
				(SSBG), adults with disabilities under sixty (60) years of age who do not
				reside in housing facilities occupied primarily by older adults may be eligible
				to receive congregate nutrition services. Any person meeting these requirements
				also may be eligible to receive home-delivered nutrition services under SSBG
				provided procedures in paragraph (5)(B)2. are followed.