Part 430. Policy and Procedures Manual

20 CAR § 430-1004. Policy statement. All service contracts between the area agencies on aging and subcontractors will contain at least the assurances developed by the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services as outlined in this …

20 CAR § 430-1005. Procedural requirements. (a) All contracts with each area agency on aging must contain all of the assurances listed in Appendix I of this subpart. (b) If any of the items contained in the minimum assurances do not apply to a particular contract, the area agency…

20 CAR § 430-101. Generally. (a) The Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services will assess the administrative, financial, and programmatic performance of each area agency on aging as required by the Older Americans Act, 42 U.S.C.…

20 CAR § 430-102. Assessments. (a)(1) A complete on-site assessment of the administrative, financial, and programmatic performance of each area agency on aging will be conducted at least once during each area plan cycle. (2) This does not preclude other forms of monitoring such a…

20 CAR § 430-103. Assessment reporting. (a) Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services staff who conducts the assessment will prepare a complete assessment report using the appropriate area agency on aging assessment instrument. (…

20 CAR § 430-104. Assessment follow-up. (a)(1) If corrective action is required, the area agency on aging will submit to the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services a plan which will specify action to be taken and the timeframe…

20 CAR § 430-105. Assessment of area plan objectives. (a)(1) Area agencies on aging will submit to the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services semiannual progress reports that compare the area agencies on aging’s accomplishment…

20 CAR § 430-1101. Purpose. (a) The purpose of this subpart is to ensure that each area agency on aging and subcontractor provides services to low-income minority individuals in at least the same proportion as the population of low-income minority in the area. (b) Preference must…

20 CAR § 430-1102. Scope. This subpart applies to area agencies on aging and subcontractors.

20 CAR § 430-1103. Policy statement. (a) The area agencies on aging and subcontractors must have effective procedures which result in the identification of older individuals eligible for services funded by the Older Americans Act, 42 U.S.C. § 3001 et seq., and which informs such …

20 CAR § 430-1201. Generally. (a)(1) Each area agency on aging shall, through a comprehensive and coordinated system, provide for nutrition services to older Arkansans in their planning and service area, with particular attention to target groups identified by the Older Americans…

20 CAR § 430-1202. Definitions. As used in this subpart: (1)(A) “Acceptable macronutrient distribution range (AMDR)” means the range of intake for a particular energy source that is associated with reduced risk of chronic disease while providing intakes of essential nutrients. (B…

20 CAR § 430-1203. Responsibilities. Each area agency on agency is responsible for: (1) Determining the nutrition service needs of older individuals within its planning and service area with input from: (A) Participants; (B) Advisory boards; (C) Providers; and (D) The Division of…

20 CAR § 430-1204. Service levels. The area agency on aging and its providers shall not reduce from that approved in the area plan the level of service, days of service, nor open or close a site without prior, written Division of Aging, Adult, and Behavioral Health Services of th…

20 CAR § 430-1205. Awarding contracts. (a)(1) Area agencies on aging will not provide services directly unless specifically authorized by the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services to do so (20 CAR § 430-501 et seq., Title III…

20 CAR § 430-1206. Contributions. (a) Eligible persons will not be denied a meal because they will not or cannot contribute to the cost of this service. (b) All but Home and Community-Based Services Medicaid Waiver clients shall be given an opportunity to voluntarily contribute t…

20 CAR § 430-1207. Outreach. (a) Area agencies on aging shall conduct and assist providers with outreach efforts which will identify unserved individuals eligible for assistance, with emphasis on older individuals: (1) Residing in rural areas; (2) With the greatest economic and s…

20 CAR § 430-1208. Assessments. (a)(1) The area agency on aging shall conduct assessments of each subcontractor meal site at least once a year in accordance with 20 CAR § 430-1301 et seq., Area Agency on Aging Subcontractor Assessments. (2) The area agency on aging shall take app…

20 CAR § 430-1209. Congregate meals eligibility. (a) The primary target group of the congregate meal program is eligible persons with the greatest economic or social needs, particularly low-income minority elderly and those who cannot afford to eat adequately or lack knowledge, s…

20 CAR § 430-1210. Home-delivered meals eligibility. (a)(1) Receipt of home-delivered meal service is based on a determination of need/continued need. (2) The primary target group of the home-delivered meal program is homebound eligible persons with the greatest economic or socia…

20 CAR § 430-1211. Congregate meals participant intake process. The following process must be completed for each participant: (1)(A) The participant or caregiver must be interviewed by the: (i) Outreach worker; (ii) Case manager; or (iii) Site director or trained designee; (B) Th…

20 CAR § 430-1212. Home-delivered meals participant intake process. (a) Receipt of home-delivered meal service is based on a determination of need or continued need. (b) For each participant, prior to billing for the service, an outreach worker, case manager, or site director sha…

20 CAR § 430-1213. Physical facilities/equipment. (a) Each meal provider must secure and maintain adequate facilities and equipment for safe, sanitary, and efficient preparation, service, and delivery of meals. (b) They must meet at least the following applicable requirements rel…

20 CAR § 430-1214. Volunteers. (a) The use of volunteers is encouraged whenever possible. (b) The Older Americans Act, 42 U.S.C. § 3001 et seq., requires that projects solicit the expertise of a dietitian or other individual with equivalent education in nutrition science, or if s…

20 CAR § 430-1215. Menu planning. Title III of the Older Americans Act, 42 U.S.C. § 3021 et seq., requires a nutrition project to provide meals that: (1) Comply with the most recent Dietary Guidelines for Americans published by the United States Secretary of Health and Human Serv…

20 CAR § 430-1216. Guidelines and procedures. (a) To ensure meals meet the federal requirements, the Standard Meal Pattern must be used in conjunction with Nutrient Requirements and Values for Analysis. (b)(1) The Standard Meal Pattern must be used. (2) A meal pattern is a menu­p…

20 CAR § 430-1217. Food service operations. (a) All stages of food service operations must comply with federal, state, and local fire, health, sanitation, safety and building codes, regulations, rules, and licensing requirements. (b) Required permits and records. (1)(A) A current…

20 CAR § 430-1218. Emergency procedures. (a) The area agencies on aging and providers shall develop a written plan for a variety of possible emergency situations such as participant illness, injury, or choking, and weather-related emergencies, such as tornado, ice, snow, extreme …

20 CAR § 430-1219. Education. (a) Nutrition education activities should be conducted on an ongoing basis, at least semiannually. (b)(1) Information and instruction should be given to participants and caregivers in a group or individual setting overseen by a dietitian or other ind…

20 CAR § 430-1220. Nutrition Services Incentive Program. (a) The Administration on Aging administers NSIP in compliance with the requirements of Section 311 of the Older Americans Act, 42 U.S.C. § 3030a. (b) State units on aging, such as the Division of Aging, Adult, and Behavior…

20 CAR § 430-1301. Purpose. The purpose of this subpart is to ensure that services are provided in accordance with all applicable federal and state requirements and Department of Human Services and Division of Aging, Adult, and Behavioral Health Services of the Department of Huma…

20 CAR § 430-1302. Scope. This subpart applies to all area agencies on aging throughout the state.

20 CAR § 430-1303. Policy statement. (a) Area agencies on aging must assess annually the administrative and service delivery procedures of subcontractors to ensure clients are receiving services in an appropriate manner and the program is operating with full accountability. (b) T…

20 CAR § 430-1401. Purpose. The purpose of this subpart is to: (1) Ensure that services to older Arkansans are accurately reported; (2) Make it possible to relate services to specific populations; and (3) Identify areas where older individuals may be underserved and to fulfill st…

20 CAR § 430-1402. Scope. This subpart applies to: (1) The Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services; (2) Area agencies on aging; and (3) Contracted service providers.

20 CAR § 430-1403. Policy statement. (a) The Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services, the area agencies on aging, and the contracted service providers shall comply with all reporting requirements of: (1) The Older Americans Act…

20 CAR § 430-1404. Taxonomy service and unit descriptions. (a) Adult day care. (1) An adult day care is a group program designed to provide care and supervision to meet the needs of four (4) or more functionally impaired adults for periods of less than twenty-four (24) hours but …

20 CAR § 430-1501. Purpose. Comprehensive area plans are required by the Older Americans Act, 42 U.S.C. § 3001 et seq., and are necessary to the development and provision of a comprehensive and coordinated system of services for older Arkansans.

20 CAR § 430-1502. Scope. This subpart applies to all Arkansas area agencies on aging.

20 CAR § 430-1503. Policy statement. (a) Each area agency on aging shall submit to the Division of Aging, Adult, and Behavioral Health Services of the Department of Human Services an area plan, with annual adjustments, for providing in its planning and service area a comprehensiv…

20 CAR § 430-1601. Purpose. The purpose of this subpart is to ensure that multipurpose senior centers are provided in accordance with the Older Americans Act, 42 U.S.C. § 3001 et seq., and federal and state requirements.

20 CAR § 430-1602. Scope. This subpart applies to Title III B funded multipurpose senior centers throughout the state.

20 CAR § 430-1603. Policy statement. (a) Area agencies on aging must establish systematic procedures for the award and administration of contracts for the acquisition, alteration, renovation, or construction of multipurpose senior centers. (b) Procedures must include monitoring a…

20 CAR § 430-1604. Definitions. As used in this subpart: (1) “Acquiring” means obtaining ownership of an existing facility in fee simple or by lease for ten (10) years or more for use as a multipurpose senior center; (2)(A) “Altering/renovating” means making modifications to an e…

20 CAR § 430-1605. Procedural requirements. (a)(1) Funds may be awarded to a public or private nonprofit organization for the purpose of acquiring, renovating, altering, equipping, or staffing a facility which meets federal, state, and local regulations, rules, and/or ordinances …

20 CAR § 430-1606. Multipurpose senior center requirements. Multipurpose senior centers requirements: (1) A center must comply with all applicable state and local health, fire, safety, building, zoning, and sanitation laws, ordinances, or codes; (2) A center must install, in cons…

20 CAR § 430-1607. Recapture of payments. (a) For acquired or constructed facilities, the United States Government is entitled to recapture a portion of federal funds from the owner of a facility if within ten (10) years after acquisition or twenty (20) years after completion of …