Kentucky Administrative Regulations › Title 910 - CABINET FOR HEALTH AND FAMILY SERVICES - OFFICE OF AGING SERVICES › Chapter 1 - Aging Services › Section 910 KAR 1:170 - Older Americans Act supportive services for the elderly

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				205.201,
				205.203, 205.455-205.465,
				42 U.S.C.
				3001 et seq.
NECESSITY, FUNCTION, AND CONFORMITY:
				42 U.S.C.
				3001 et seq., the Older Americans Act of
				1965, as amended, authorizes grants to states to provide assistance in the
				development of new or improved programs for older persons.
				KRS
				194A.050 requires the secretary for the
				Cabinet for Health and Family Services to promulgate administrative regulations
				necessary to implement programs mandated by federal law, or to qualify for the
				receipt of federal funds.
				KRS
				205.204 designates the Cabinet for Health and
				Family Services as the state agency to administer the Older Americans Act in
				Kentucky. This administrative regulation establishes the standards of operation
				for the Supportive Services Program in Kentucky.
Section 1. Definitions.
(1) "Access" means information and referral
			 services, outreach service and transportation service.
(2) "Agency" means the area agency on aging,
			 an entity designated by the state to administer, at the local level, the
			 programs funded by the Older Americans Act of 1965, as amended.
(3) "Assessment" means the collection and
			 evaluation of information about a person's situation and functioning to
			 determine the applicant or recipient service level and development of a plan of
			 care utilizing a holistic, person centered approach by a qualified independent
			 care coordinator (ICC).
(4)
			 "Assisted transportation" means a one-way trip to accompany an eligible person
			 who requires assistance for safety or protection to or from his physician,
			 dentist, or other necessary service.
(5) "Case management" means a process,
			 coordinated by a case manager, for linking a client to appropriate,
			 comprehensive, and timely home or community based services as identified in the
			 plan of care by:
(a) Planning;
(b) Referring;
(c) Monitoring;
(d) Advocating; and
(e) Following the timeline of the assessment
			 agency to obtain:
1. Service level;
			 and
2. Development of the plan of
			 care.
(6)
			 "Case management supervisor" means an individual meeting the requirements of
			 Section 5(1) and (2) of this administrative regulation and who shall have four
			 (4) years or more experience as a case manager.
(7) "Case manager" means the individual
			 employee responsible for case management including:
(a) Coordinating services and supports from
			 all agencies involved in providing services required by the plan of
			 care;
(b) Ensuring that all service
			 providers have a working knowledge of the plan of care; and
(c) Ensuring that services are delivered as
			 required.
(8)
			 "Community" means a county designated as either urban or rural in accordance
			 with the most current percentage of population listing from the U.S. Census
			 Bureau.
(9) "District" is defined
			 by KRS
			 205.455(4).
(10) "Educational or experiential equivalent"
			 means:
(a) Two (2) semesters totaling at
			 least twenty-four (24) hours of course work; and
(b) At least 400 documented hours of
			 experience assisting aging or disabled individuals through:
1. Practicum placement;
2. Clinicals; or
3. Volunteerism.
(11) "Home modification" means the
			 provision of minor home adaptations, additions, or modifications to enable the
			 elderly to live independently or safely or to facilitate mobility, including
			 emergency summons systems.
(12)
			 "Independent care coordinator" or "ICC" means the individual that completes the
			 initial assessment, plan of care, and reassessment.
(13) "Information and assistance" means a
			 service for individuals that provides current information about services
			 available within the community.
(14) "In-home services" means the performance
			 of heavy housecleaning, yard tasks, and other activities needed to assist a
			 functionally impaired elderly person remain in his own home.
(15) "Legal assistance" means:
(a) Legal advice and representation by an
			 attorney; or
(b) Counseling or
			 other appropriate assistance by a paralegal or law student under the
			 supervision of an attorney.
(16) "Multipurpose senior center" is defined
			 by 42 U.S.C.
			 3002(36).
(17) "Natural supports" means a non-paid
			 person or community resource who can provide, or has historically provided,
			 assistance to the consumer or, due to the familial relationship, would be
			 expected to provide assistance when capable.
(18) "OAA" means the Older Americans Act of
			 1965,
			 42 U.S.C.
			 3001 et seq., as amended.
(19) "Outreach" means interventions with
			 individuals initiated by an agency or organization for the purpose of
			 identifying potential clients or their caregivers and encouraging their use of
			 existing services and benefits.
(20) "Planning and service area" is defined
			 by 42 U.S.C.
			 3002(42).
(21) "Rural" means a community with less than
			 50,000 population as designated by the most current listing from the U.S.
			 Census Bureau.
(22) "Satellite
			 senior center" means a facility that is used to provide services specified in
			 Section 10(3) of this administrative regulation if a multipurpose senior center
			 is not available to provide the services.
(23) "Senior center services" means the
			 provision of activities that foster the health or social well-being of
			 individuals through social interaction and leisure.
(24) "Service level" means the minimum
			 contact required through face-to-face visits and telephone calls by the case
			 manager or social service assistant.
(25) "Social service assistant" means an
			 individual who:
(a) Has at least a high school
			 diploma or equivalent;
(b) Works
			 directly under the direction of the case management supervisor;
(c) Assists the case manager with record
			 keeping, filing, data entry, and phone calls;
(d) Helps determine what type of assistance a
			 client needs;
(e) Assists the
			 client in getting services to carry out the plan of care;
(f) Coordinates services provided to the
			 client;
(g) Assists a client in
			 applying for other services or benefits for which he may qualify; and
(h) Monitors a client to ensure services are
			 provided appropriately.
(26) "Supportive service provider" means an
			 entity that provides supportive services funded by the OAA under an approved
			 area plan.
(27) "Telephone
			 reassurance" means providing a wellness check by phone with the agreement of
			 the individual.
(28)
			 "Transportation" means transporting an individual from one (1) location to
			 another.
(29) "Unit of service"
			 means one (1):
(a) Hour of direct contact with
			 or on behalf of the participant;
(b) Contact for the information and referral
			 service;
(c) Call for the telephone
			 reassurance service;
(d) Contact
			 for the outreach service;
(e)
			 One-way trip for the transportation service; and
(f) Contact for senior center
			 service.
(30) "Urban"
			 means a community with 50,000 or more population as designated by the most
			 current listing from the U.S. Census Bureau.