Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 15 - AGING SERVICES › Chapter 4 - NEBRASKA AGING NUTRITION SERVICES › Section 15-4-014 - HOME DELIVERED MEAL PROGRAM

Current through June 17, 2024
014.01
OPERATIONS.
Each Area Agency on Aging operating a
				home-delivered meal program must:
(A)
				Complete an initial determination of eligibility in person or by
				telephone;
(B) Complete a written
				assessment, including nutrition-related supportive services, within two weeks
				of the individual's first meal service and referrals made as
				necessary;
(C) Provide reassessment
				of need, determined by the Area Agency on Aging, annually or with a change in
				individual status;
(D) Establish a
				waiting list for home-delivered meals when the provider(s) are unable to
				provide meals to all eligible individuals;
(E) Provide contribution statements to
				individuals that clearly state that the amount is a suggested contribution. The
				statements must not include the words bill, requested, required, or other
				language implying that it is not voluntary;
(F) Provide home-delivered meals only to
				persons 60 years of age or older, except a spouse of a homebound eligible
				individual, regardless of age, is eligible to receive a home-delivered meal if
				the provision of the collateral meal supports maintaining the person at home;
				and except an individual with a disability, regardless of age, who resides at
				home with an eligible individual and is dependent on the eligible individual
				for care is eligible to receive a home-delivered meal; and
(G) Prioritize the provision of
				home-delivered meals to eligible individuals with the greatest economic and
				social need, persons who are homebound due to illness, incapacitating
				disability or who are otherwise isolated. Preference must also be given to
				low-income older adults, including low-income minority older adults, older
				adults with limited English proficiency and older adults residing in rural
				areas;
(H) Provide home-delivered
				meals to eligible individuals at nutritional risk who have physical, emotional,
				or behavioral conditions that would make their service at a congregate
				nutrition site inappropriate;
(I)
				Provide home-delivered meals directly to the individual recipient of the
				meal;
(J) While delivering
				home-delivered meals, inform individuals at the residence about any apparent
				health, fire or safety hazards noticed in the home;
(K) Provide home-delivered meals at the
				appropriate temperatures in accordance with the Nebraska Food Code and any
				other applicable law. More than one meal may be delivered for consumption each
				day for different meal times, if proper storage and heating facilities are
				available in the home and the individual is able to consume the second meal
				either alone or with available assistance;
(L) Utilize equipment that maintains the safe
				and sanitary handling of food items during packaging and transport
(M) Provide home-delivered meals in packages
				or containers that are easily opened by eligible individuals; and
(N) Provide written instructions, and when
				feasible, in the language of the majority of the individuals at the residence,
				for proper handling and reheating of the meals.