New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-E - Former Division of Elderly and Adult Services
Chapter He-E 500 - SOCIAL SERVICES
Part He-E 502 - OLDER AMERICANS ACT SERVICES: TITLE IIIB - SUPPORTIVE SERVICES, TITLE IIIC1 AND C2 - NUTRITION PROGRAM POLICIES, AND TITLE IIID - DISEASE PREVENTION AND HEALTH PROMOTION SERVICES
Section He-E 502.29 - Nutrition Services: Home-Delivered Meals

Universal Citation: NH Admin Rules He-E 502.29

Current through Register No. 40, October 3, 2024

(a) Home-delivered meals shall be provided to individuals who:

(1) Meet the eligibility requirements contained in He-E 502.05; and

(2) Meet one or more of the following requirements:
a. Have limited capacity to prepare meals without assistance;

b. Have limited ability to leave their residence; or

c. Are unable to consume meals at a congregate dining location due to physical, emotional, or mental difficulties or limited desire for social interactions.

(b) Contract agencies providing home-delivered meals shall:

(1) Comply with state and local regulations on the safe and sanitary handling of food, equipment and supplies used in the storage, preparation, service, and delivery of meals as described in He-P 2300; and

(2) Accommodate, to the extent possible, the special dietary needs and preference of the individual, including recommendations from the individual's licensed practitioner, and preferences stemming from the individual's cultural or religious background.

(c) Each meal shall include at least a minimum of 33 1/3 percent of the dietary reference intakes established by the Food and Nutrition Board of the Institute of Medicine, National Academy of Sciences, Engineering and Medicine and comply with the U.S. Department of Agriculture and the U.S. Department of Health and Human Services "Dietary Guidelines for Americans, 2020-2025" (Ninth Edition), available as noted in Appendix B.

(d) In addition to offering home-delivered meals to individuals who meet the eligibility requirements contained in this rule, contract agencies providing this service may also offer meals to:

(1) The spouses of individuals;

(2) Persons providing volunteer service through a volunteer service program such as the Retired and Senior Volunteer Program (RSVP) or Senior Companion Program who are working at the recipient's home during meal hours or volunteering during the service delivery process;

(3) Persons with disabilities who are under the age of 60 who reside at home with an individual who is receiving Title III services; and

(4) Persons with disabilities under the age of 60 who reside in housing facilities occupied primarily by older individuals at which congregate meals are provided.

(e) The contract agency providing home-delivered meals shall at least 3 times per year distribute to all individuals receiving home-delivered meals, educational materials on nutrition and wellness, including, but not limited to, the following:

(1) Printed materials available at no cost from federal, state, or local government sources or from other agencies; or

(2) Information provided by the contract agency through another venue, such as a newsletter.

(f) The contract agency shall provide individuals referrals to other services or programs as necessary.

(g) Contract agencies shall coordinate the provision of home delivered meals to ensure that there is no duplication of services when additional Title III or other services are being provided to the individual, and that the individual is present to receive the meal. Meals that are delivered to an individual's home when the individual is not at home shall not be reimbursed.

(h) Contract agencies providing home-delivered meals shall keep a service provision log of all meals delivered that includes:

(1) The date of the meal;

(2) The name of the person the meal was delivered to; and

(3) Comment on any follow-up service provided or referrals to other services.

(See Revision Note at part heading for He-E 502) #10530, eff 2-28-14

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