15 Neb. Admin. Code, ch. 4, § 014

Current through September 17, 2024
Section 15-4-014 - HOME DELIVERED MEAL PROGRAM
014.01OPERATIONS. 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.

15 Neb. Admin. Code, ch. 4, § 014

Adopted effective 9/21/2020