Oklahoma Administrative Code › Title 340 - Department of Human Services › Chapter 105 - Aging Services › Subchapter 10 - Policies and Procedures Manual for Title Iii of the Older Americans Act of 1965, as Amended › Part 7 - PROGRAM STANDARDS FOR SERVICES FUNDED UNDER TITLE III OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED › Section 340:105-10-50.1 - Title III services taxonomy

Current through Vol. 41, No. 20, July 1, 2024
(a)
Rule.
Parts B, C, D, and E of Title III of the Older Americans Act
				  (OAA) of 1965, as amended, authorize the development of a variety of services
				  to meet the needs of qualified older participant. A comprehensive list of
				  services that may be funded, service definitions, and service units are
				  included in (1) through (18) of this subsection.
(1) Personal care - one hour; provides
				  personal assistance, stand-by assistance, supervision, or cues.
(2) Homemaker - one hour, or partial hours
				  may be reported to two decimal places, for example 0.25 hours; provides light
				  housekeeping tasks in a qualified older participant's home and possibly other
				  community settings. Tasks may also include preparing meals, shopping for
				  personal items, or using the phone.
(3) Chore - one hour, or partial hours may be
				  reported to two decimal places, for example 0.25 hours; provides heavy
				  housework tasks in a qualified older participant's home and possibly other
				  community settings. Tasks may also include, yard work, or sidewalk
				  maintenance.
(4) Home delivered
				  meal - one meal provided to a participant by a qualified nutrition project
				  provider at his or her residence, served by a program administered by the State
				  Unit on Aging or Area Agency on Aging (AAA), and meeting all OAA and legal
				  requirements. Each meal:
(A) complies with
				  the most recent Dietary Guidelines for Americans published by the Secretaries
				  of the Department of Health and Human Services and the United States Department
				  of Agriculture;
(B) provides, when
				  one meal is served, a minimum of 33 and 1/3 percent of the current dietary
				  reference intakes (DRI) as established by the Food and Nutrition Board of the
				  Institute of Medicine of the National Academy of Sciences;
(C) provides, when two meals are served
				  together, a minimum of 66 and 2/3 percent of the DRI allowances; and
(D) provides, when three meals are served
				  together, 100 percent of the DRI allowances.
(5) Adult day care or adult day health - one
				  hour; provides personal care for dependent adults in a supervised, protective,
				  and congregate setting during some portion of a day. Services offered in
				  conjunction with adult day care or adult day health typically include social
				  and recreational activities, training, counseling, and services, such as
				  rehabilitation, medication assistance, and home health aide services for adult
				  day health.
(6) Case management -
				  one hour; provides assistance either in the form of access or care coordination
				  in circumstances where the participant is experiencing diminished functioning
				  capacities, personal conditions, or other characteristics requiring service
				  provision from formal providers or family caregivers. Case management
				  activities include:
(A) assessing needs;
(B) developing care plans;
(C) authorizing and coordinating
				  services among providers; and
(D)
				  providing follow-up and reassessment, as required.
(7) Congregate meal - one meal provided to a
				  participant by a qualified nutrition project provider in a congregate or group
				  setting, served by a program administered by the State Unit on Aging or Area
				  Agency on Aging (AAA), and meeting all OAA and legal requirements. Each meal:
(A) complies with the most recent Dietary
				  Guidelines for Americans, published by the Secretaries of the Department of
				  Health and Human Services and the United States Department of Agriculture;
(B) provides, when one meal is
				  served, a minimum of 33 and 1/3 percent of the DRI as established by the Food
				  and Nutrition Board of the Institute of Medicine of the National Academy of
				  Sciences;
(C) provides, when two
				  meals are served together, a minimum of 66 and 2/3 percent of the DRI
				  allowances; and
(D) provides, when
				  three meals are served together, 100 percent of the DRI allowances.
(8) Nutrition counseling - one
				  hour, or partial hours may be reported to two decimal places, for example 0.25
				  hours; provides individualized guidance as defined by the Academy of Nutrition
				  and Dietetics (AND) to a participant, or to his or her caregiver, when the
				  qualified person is at nutritional risk because of health or nutrition history,
				  dietary intake, medication use, or chronic illnesses. A registered dietician
				  provides one-on-one counseling and addresses the options and methods for
				  improving nutrition status with a measurable goal.
(9) Assisted transportation - one one-way
				  trip; provides services or activities that provide or arrange for travel,
				  including travel costs for individuals from one location to another. This
				  service includes escort or other appropriate assistance for a qualified older
				  participant who has difficulties, physical or cognitive, using regular
				  vehicular transportation.
(10)
				  Transportation - one one-way trip; provides participants with services or
				  activities that provide or arrange for travel, including travel costs, from one
				  location to another and does not include any other activity.
(11) Legal assistance - one hour, or partial
				  hours may be reported to two decimal places, for example 0.25 hours; an
				  attorney provides legal advice and representation to qualified older
				  participants with economic or social needs. Includes, to the extent feasible,
				  counseling or other appropriate assistance by a paralegal or law student under
				  a lawyer's direct supervision, and a non-lawyer's representation or counseling
				  where permitted by law.
(12)
				  Nutrition education - one session per participant; a dietician or an individual
				  with comparable experience oversees a targeted program that promotes better
				  health by providing accurate and culturally sensitive nutrition, physical
				  fitness, or health information consistent with the current Dietary Guidelines
				  for Americans, and provides instruction to participants, caregivers, or both in
				  a group setting. This service:
(A) is
				  approved by a registered dietician who answers participant questions related to
				  nutrition education;
(B) occurs at
				  least once per month;
(C) is
				  provided to congregate and home delivered meal participants; and
(D) is documented on the Dietary Consultant's
				  Report.
(13) Information
				  and assistance - one contact; a one-on-one contact between a service provider
				  and participant, caregiver or person on behalf of participant or caregiver.
				  Activities involving contact with multiple current or potential participants or
				  caregivers, such as publications, publicity campaigns, and other mass media
				  activities are not counted as a unit of service. Internet website hits are
				  counted only when information is requested and supplied. This service for older
				  Oklahomans:
(A) provides current information
				  on opportunities and services available within their communities, including
				  information relating to assistive technology;
(B) assesses the participant's problems and
				  capacities;
(C) links them to
				  available opportunities and services;
(D) ensures, to the maximum extent
				  practicable, qualified older participants receive the services they need, and
				  are aware of the opportunities available to them, by establishing adequate
				  follow-up procedures; and
(E)
				  serves the entire community of older individuals, particularly those
(i) with greatest social need;
(ii) with greatest economic need; and
(iii) at risk for institutional
				  placement.
(14)
				  Outreach - one contact; provides participant with intervention initiated by an
				  agency or organization for the purpose of identifying potential qualified older
				  participants or their caregivers and encouraging their use of existing services
				  and benefits. Outreach is a one-on-one contact between a service provider and a
				  participant or caregiver. Activities involving contact with multiple current or
				  potential participants or caregivers, such as publications, publicity
				  campaigns, and other mass media activities, are not counted as a unit of
				  service.
(15) Health promotion -
				  Evidence Based - one event; Title III-D programs or services are Community
				  Living, Aging and Protective Services (CAP) approved prior to implementation.
				  Title III-D Evidence Based programs and activities meet highest-level criteria
				  and include activities related to:
(A)
				  preventing and mitigating the effects of chronic disease, including:
(i) osteoporosis;
(ii) hypertension;
(iii) obesity;
(iv) diabetes, and
(v) cardiovascular disease; and
(B) alcohol and substance abuse
				  reduction;
(C) smoking cessation;
(D) weight loss and control;
(E) stress management;
(F) falls prevention;
(G) physical activity; and
(H) improved nutrition.
(16) Health promotion non-evidence based one
				  event; activities related to heath promotion and disease prevention that do not
				  meet the Administration on Aging or Administration for Community Living
				  definition for an evidence based program. Activities may include:
(A) health risk assessments;
(B) routine health screening;
(C) nutritional counseling;
(D) programs regarding physical fitness and
				  therapy;
(E) home injury control
				  services;
(F) screening for mental
				  and behavioral health issue prevention;
(G) educational programs on preventive health
				  services;
(H) medication management
				  screening and education;
(I)
				  information concerning age-related diseases and chronic disabling
				  conditions;
(J) gerontological
				  counseling; and
(K)
				  counseling.
(17) National
				  Family Caregiver Support Program service categories are listed in (A) through
				  (H) of this paragraph:
(A) Assistance: case
				  management - one hour, or partial hours may be reported to two decimal places,
				  for example 0.25 hours; a service provided to a caregiver, and at his or her
				  direction. Service is provided by a qualified case manager who delivers and
				  coordinates the services. Caregiver case management includes:
(i) a comprehensive assessment of the
				  caregiver's physical, psychological, and social needs;
(ii) the development and implementation of a
				  service plan to mobilize and monitor the caregiver's formal and informal
				  resources and services to meet the caregiver's identified needs. Caregiver case
				  managers:
(I) coordinate caregiver resources
				  and services with any other plans existing for various formal
				  services;
(II) coordinate caregiver
				  resources and services with the information and assistance services provided
				  under the OAA;
(III) periodically
				  reassess the caregiver's status and revises his or her plan; and
(V) advocates on the caregiver's behalf,
				  according to his or her wishes, for needed services or resources.
(B)
				  Assistance: information and assistance - one contact - this service:
(i) provides the individuals with current
				  information about opportunities and services available to the individuals
				  within their communities, including information relating to assistive
				  technology;
(ii) assesses the
				  problems and capacities of the individuals;
(iii) links the individuals to the available
				  opportunities and services;
(iv)
				  ensures, to the maximum extent practicable, individuals receive needed services
				  and are aware of available opportunities by establishing adequate follow-up
				  procedures; and
(v) serves the
				  entire community of older individuals.
(vi) refers to individual, one-on-one
				  contacts between a caregiver provider and an older client or caregiver. An
				  activity that involves a contact with several current or potential clients or
				  caregivers is not counted as a unit of information and assistance. Internet
				  website hits are counted only when information is requested and supplied.
(C) Counseling - one
				  hour, or partial hours may be reported to two decimal places, for example 0.25
				  hours; a service designed to support caregivers and assist them in their
				  decision-making and problem solving. Counselors are service providers with
				  degrees or credentials as required by state policy. Counselors are trained to
				  work with older adults and families understanding and addressing complex
				  physical, behavioral, and emotional problems related to caregiver roles.
				  Counseling is a separate function apart from support group activities or
				  training and includes counseling in individual or group sessions.
(D) Information services - per activity - a
				  public and media activity that conveys information to caregivers about
				  available services and can include in-person interactive presentations to the
				  public; a booth or exhibit at a fair, conference, or other public event; and
				  radio, TV, or website events. Information services are activities directed to
				  large audiences of current or potential caregivers, such as disseminating
				  publications, conducting media campaigns, and other similar activities.
(E) Respite care - one hour, or
				  partial hours may be reported to two decimal places, for example 0.25 hours;
				  this service provides temporary, substitute supports or living arrangements for
				  qualified older participants to provide a brief period of caregiver relief or
				  rest. When the specific service units purchased via a direct payment, such as
				  cash or voucher can be tracked or estimated, the service unit is reported by
				  hour or partial hour. Types of respite care include:
(i) in-home respite service provided in the
				  caregiver's or care receiver's home and allows the caregiver time away to do
				  other activities;
(ii) out of home
				  respite service provided in settings other than the caregiver's or care
				  receiver's home, such as in adult day care, a senior center or in other
				  non-residential settings where an overnight stay does not occur; and
(iii) out of home overnight respite service
				  provided in facilities such as nursing homes, assisted living facilities, and
				  adult foster homes;
(F)
				  Supplemental services - units and service in this category are determined by
				  CAP and provides goods and services on a limited basis to complement the care
				  provided by caregivers. The AAA contacts CAP prior to this category's use.
(G) Support groups - per session -
				  a service that is led by a trained individual, moderator, or professional, as
				  required by state policy, to facilitate caregivers to discuss their common
				  experiences and concerns and to develop a mutual support system. Support groups
				  are typically held on a regularly scheduled basis and may be conducted in
				  person, over the telephone, or online.
(H) Training - one hour, or partial hours may
				  be reported to two decimal places, for example 0.25 hours - a service that
				  provides family caregivers with instruction to improve knowledge and
				  performance of specific skills relating to their caregiving roles and
				  responsibilities. Skills may include activities related to health, nutrition,
				  and financial management; providing personal care; and communicating with
				  health care providers and other family members. Training may include using
				  evidence-based programs and is conducted in-person or online in individual or
				  group settings.
(18)
				  Funded "Other" category- unit varies per service - a service provided using OAA
				  funds under Title III-B in whole or in part, that do not fall into previously
				  defined service categories and may include assistive technology, durable
				  equipment, emergency response, consumable supplies, home modifications or
				  repairs, elder abuse prevention, elder rights, health, outreach, public
				  education, socialization, access not reported elsewhere, and others.
(A) Advocacy or representation - one hour;
				  provides action taken on behalf of a participant to secure the person's rights
				  or benefits. Advocacy or representation includes receiving, investigating, and
				  working to resolve disputes or complaints. It does not include services
				  provided by an attorney or person under the supervision of an attorney.
(B) Education or training - one
				  session; provides formal and informal opportunities for participants to acquire
				  knowledge, experience, or skills individually or in group events designed to
				  increase awareness.
(C) Wellness
				  checks - one contact; individualized contact between two people via phone,
				  text, email, webinar, video chat, or other means to provide a well-being check,
				  reassurance, or socialization to a qualified older participant or family
				  caregiver. The provider successfully converses with the older adult is spoken
				  to in order for the contact to be counted, regardless of the length of contact.
(D) Home repair - one job;
				  provides minor repairs, modifications, or maintenance on a home owned and
				  occupied by an eligible participant, up to $250 annually, per participant.
(E) Coordination of services -
				  unit to be determined by CAP; provides for the administration or delivery of a
				  service not directly funded by Title III. The AAA contacts CAP regarding use of
				  this category.