Home-Delivered Meal Eligibility Policies and Procedures
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Heidi Robertson, TVI Nutrition Consultant
TVI Webinar
April 8, 2024
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§ 1322.21
Client eligibility for participation
(b) A
Tribal organization
or
Hawaiian Native grantee may develop further eligibility
requirements
for implementation of services for older Native Americans and family
caregivers,
consistent with the Act and all applicable Federal requirements
. Such
requirements
may include
:
(1) Assessment of functional and support needs;
(2) Geographic boundaries;
(3) Limitations on number of persons that may be served;
(4) Limitations on number of units of service that may be provided;
(5) Limitations due to availability of staff/volunteers;
(6) Limitations to avoid duplication of services;
(7) Specification of settings where services shall or may be provided;
(8) Whether to serve Native Americans who have Tribal or Native Hawaiian
membership other than those who are specified in the Tribal organization’s or
Hawaiian Native grantee’s approved application; and
(9) Whether to serve older individuals or family caregivers who are non-Native
Americans but live within the approved service area and are considered members of
the community by the Tribal organization.
§ 1322.23
Client and service priority
The
Tribal organization
or
Hawaiian Native grantee
shall
ensure service
to those
identified as members of
priority groups
through
their assessment
of
local needs
and resources
.
(b) The Tribal organization or Hawaiian Native grantee shall
identify criteria
for
being given
priority
in the
delivery of services
under Title VI, parts A or B,
consistent with the Act and all applicable Federal requirements.
§ 1322.27
Nutrition services
(2)
Home-delivered meals
are meals meeting the Dietary Guidelines for Americans
and Dietary Reference Intakes as set forth in section 339 of the Act (42 U.S.C.
3030g–21) provided by a qualified nutrition service provider to eligible individuals
and consumed at their residence or otherwise outside of a congregate setting, as
organized by a service provider under the Act.
Meals may be provided via home
delivery, pick-up, carry-out or drive-through,
or
through
other service
as
determined by
the
Tribal organization
or
Hawaiian Native grantee
.
(i)
Eligibility criteria
for
home-delivered meals
, as
determined by
the
Tribal
organization or Hawaiian Native grantee
, may include consideration of an
individual’s ability to leave home unassisted, ability to shop for and prepare
nutritious meals, degree of disability, or other relevant factors pertaining to their
need for the service.
Title VI
Eligibility
General Title VI Eligibility
AI/AN/NH Elder
Part A grants (American Indian/Alaska Natives), The tribe
determines the age of eligibility
Usu. 55 years.
Funding based on number of elders aged 60+.
Part B grants (Native Hawaiians), eligibility set at 60 years.
Reside in your designated service area
Elders who are not members of your Tribe, but are
American
Indians/Alaska Natives and live within your service area are
eligible
Note: Title III eligibility is age 60
Others eligible to receive home-delivered meals include:
Spouses, regardless of age
Individuals with disabilities who live with the elder
Volunteers of any age volunteering during mealtime
Caregivers who voluntarily care for the elder during mealtime
You have the ultimate decision
on who you choose to serve.
Just update your policies and procedures…
Tips to
Develop
Policies &
Procedures
Prioritize greatest social & economic need
Assess clients:
•
When beginning a service
•
Annually
•
A significant change occurs
Refer to your needs assessment for information on elders’
health and well-being
Consider the number of people you can serve:
•
Resources: funding, staffing, vehicles, equipment
•
Meal safety: temperature of meal
•
Current length of meal routes
Communicate your decision-making criteria and capacity
with medical professionals, tribal councils, and other
agencies that refer to your services.
T
h
a
n
k
y
o
u
!
Heidi Robertson, TVI Consulting
Heritage Health
Heidi@heritagehealthhi.com
Guidelines and regulations for determining client eligibility and service priority for home-delivered meals for older Native Americans and family caregivers. The policies cover assessment criteria, limitations, settings for service provision, and considerations for non-Native American individuals. Eligibility criteria include factors like ability to shop and prepare meals. Services are based on Dietary Guidelines for Americans and are provided by qualified nutrition service providers.
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Presentation Transcript
Policies & Procedures Policies & Procedures Home Home- -Delivered Meal Eligibility Delivered Meal Eligibility Heidi Robertson, TVI Nutrition Consultant TVI Webinar April 8, 2024
Outline Outline Regulations TVI Home-Delivered Meal Eligibility Accepting new clients/referrals Policy and Procedures Questions
1322.21 Client eligibility for participation (b) A Tribal organization or Hawaiian Native grantee may develop further eligibility requirements for implementation of services for older Native Americans and family caregivers, consistent with the Act and all applicable Federal requirements. Such requirements may include: (1) Assessment of functional and support needs; (2) Geographic boundaries; (3) Limitations on number of persons that may be served; (4) Limitations on number of units of service that may be provided; (5) Limitations due to availability of staff/volunteers; (6) Limitations to avoid duplication of services; (7) Specification of settings where services shall or may be provided; (8) Whether to serve Native Americans who have Tribal or Native Hawaiian membership other than those who are specified in the Tribal organization s or Hawaiian Native grantee s approved application; and (9) Whether to serve older individuals or family caregivers who are non-Native Americans but live within the approved service area and are considered members of the community by the Tribal organization.
1322.23 Client and service priority The Tribal organization or Hawaiian Native grantee shall ensure service to those identified as members of priority groups through their assessment of local needs and resources. (b) The Tribal organization or Hawaiian Native grantee shall identify criteria for being given priority in the delivery of services under Title VI, parts A or B, consistent with the Act and all applicable Federal requirements.
1322.27 Nutrition services (2) Home-delivered meals are meals meeting the Dietary Guidelines for Americans and Dietary Reference Intakes as set forth in section 339 of the Act (42 U.S.C. 3030g 21) provided by a qualified nutrition service provider to eligible individuals and consumed at their residence or otherwise outside of a congregate setting, as organized by a service provider under the Act. Meals may be provided via home delivery, pick-up, carry-out or drive-through, or through other service as determined by the Tribal organization or Hawaiian Native grantee. (i) Eligibility criteria for home-delivered meals, as determined by the Tribal organization or Hawaiian Native grantee, may include consideration of an individual s ability to leave home unassisted, ability to shop for and prepare nutritious meals, degree of disability, or other relevant factors pertaining to their need for the service.
General Title VI Eligibility AI/AN/NH Elder Part A grants (American Indian/Alaska Natives), The tribe determines the age of eligibility Usu. 55 years. Funding based on number of elders aged 60+. Part B grants (Native Hawaiians), eligibility set at 60 years. Title VI Eligibility Reside in your designated service area Elders who are not members of your Tribe, but are American Indians/Alaska Natives and live within your service area are eligible Note: Title III eligibility is age 60 Others eligible to receive home-delivered meals include: Spouses, regardless of age Individuals with disabilities who live with the elder Volunteers of any age volunteering during mealtime Caregivers who voluntarily care for the elder during mealtime
You have the ultimate decision on who you choose to serve. Just update your policies and procedures
Prioritize greatest social & economic need Assess clients: When beginning a service Annually A significant change occurs Tips to Develop Policies & Procedures Refer to your needs assessment for information on elders health and well-being Consider the number of people you can serve: Resources: funding, staffing, vehicles, equipment Meal safety: temperature of meal Current length of meal routes Communicate your decision-making criteria and capacity with medical professionals, tribal councils, and other agencies that refer to your services.
Thank you! Thank you! Heidi Robertson, TVI Consulting Heritage Health Heidi@heritagehealthhi.com
