Current through Vol. 42, No. 1, September 16, 2024
(a)
Policy. The Area Agency on
Aging (AAA) awards grants to entities to provide supportive services, including
information and assistance (I & A), counseling, support groups, respite,
and other home and community-based services to families caring for their frail
older members. The National Family Caregiver Support Program (NFCSP) also
recognizes the needs of a grandparent, step-grandparent, or other older person
who is a relative caregiver of a child or person not more than 18 years of age
or who is a person with a disability. NFCSP services include:
(1) caregiver assistance: case
management;
(2) caregiver
assistance: I & A;
(3)
counseling;
(4) information
services;
(5) respite care,
including:
(A) in-home respite;
(B) out-of-home respite; and
(C) out-of-home overnight respite;
and
(6) supplemental
services;
(7) support groups;
and
(8) training.
(b)
Authority. The
authority for this Section is Sections 371 through 374 of the Older Americans
Act of 1965, as amended,
(c)
Procedures. AAA requirements for implementing this Section are
outlined in (1) through (9) of this subsection.
(1) Provisions of this Section are
incorporated into the Title III policies and procedures manual.
(2) Technical assistance is provided to
prospective and funded Title III projects regarding this rule.
(3) AAA monitors Title III project compliance
according to Oklahoma Administrative Code (OAC) 340:105-1043, except on
specific projects where Oklahoma Human Services has agreed with the AAA to
provide a direct service or a direct service waiver and in that case the AAA is
not required to monitor compliance. The project:
(A) gathers information on an approved intake
form, including, at a minimum:
(i) the family
caregiver's identifying information;
(ii) the caregiver's relationship to the care
receiver;
(iii) the care receiver's
identifying information; and
(iv) a
written description of the caregiver's current situation, including the care
receiver's need for assistance due to inability to perform specific activities
of daily living (ADLs) or need for supervision due to Alzheimer's disease or
other neurological and organic brain dysfunction or disability; and
(B) conducts a reassessment of
NFCSP service recipients annually, at minimum, to evaluate service provision
and update participant status;
(C)
ensures participant safety and protection; and
(D) receives in-service training each fiscal
year specifically designed to increase the project's knowledge and
understanding of the programs and participants served.
(4) Services are targeted to caregivers who
are older persons in greatest social and economic need, priority is given to:
(A) family caregivers providing care for
persons with Alzheimer's disease and related disorders with neurological and
organic brain dysfunction; and
(B)
grandparents or older persons who are relative caregivers providing care for a
person or child with a severe disability.
(5) Supportive services may be provided to
caregivers providing care for frail older family members who are 60 years or
older and who have difficulty with ADLs or instrumental activities of daily
living (IADLs) or cognitive or other mental impairment requiring substantial
supervision because the individual behaves in a manner that poses a serious
health or safety hazard to the individual or to another individual.
(A) ADLs include:
(i) dressing;
(ii) bathing;
(iii) eating;
(iv) transferring;
(v) toileting; and
(vi) walking.
(B) IADLs include:
(i) preparing meals;
(ii) shopping for personal items;
(iii) managing medication;
(iv) managing money;
(v) using the telephone;
(vi) doing heavy housework;
(vii) doing light housework; and
(viii) making use of available transportation
without assistance.
(6) supportive services may be provided on a
limited basis to grandparents and older persons who are relative caregivers of
a child who is 18 years of age or younger.
(A)
Child means a person who is not older than 18 years of age or who is a person
with a disability.
(B) Grandparent
or older person who is a relative caregiver means a grandparent or
step-grandparent of a child, or a relative of a child by blood, marriage, or
adoption who is 55 years of age or older and:
(i) lives with the child;
(ii) is the child's primary caregiver because
the biological or adoptive parents are unable or unwilling to serve as the
child's primary caregiver; and
(iii) has a legal relationship to the child,
such as legal custody or guardianship, or is raising the child
informally.
(7)
AAA ensures the cost of carrying out the program meets the requirement of a
minimum non-federal share of 25 percent. The non-federal share is provided from
state and local sources.
(8) Funds
are not used to supplant, replace, or substitute, any funds expended under any
federal, state, or local law for the same purposes, such as Medicaid ADvantage
program, Lifespan Respite, Developmental Disabilities Services respite
program.
(9) AAA considers awarding
funds to expand successful caregiver activities currently in communities, such
as respite providers, support groups, outreach, I amp; A, adult day services,
counseling, and case management.
(d)
Cross references. See OAC
340:105-10-37,
340:105-10-38,
340:105-10-40, 340:10510-41,
340:105-10-43,
340:105-10-44, and
340:105-10-50.1(a)(17).
Added at 18 Ok Reg
2324, eff 5-7-01 (emergency); Added at 19 Ok Reg 1170, eff 5-13-02; Amended at
21 Ok Reg 898, eff 4-26-04; Amended at 22 Ok Reg 897, eff 5-12-05; Amended at
23 Ok Reg 1062, eff 7-15-06; Amended at 25 Ok Reg 1754, eff 6-1-08 (emergency);
Amended at 26 Ok Reg 2221, eff 7-1-09
