The Heritage Area Agency on Aging Regional Senior Nutrition Program

1. The Heritage Area Agency on Aging Regional Senior Nutrition Program Bidder’s Conference October 18, 2012

2. The Mission of Heritage The Heritage Area Agency on Aging serves the needs of older adults, caregivers, their families and people with disabilities in the following ways: • Planning: Developing and implementing plans that identify and meet the needs of older adults in our seven-county area. • Funding: Obtaining federal, state, and other (ie; grants) funding for older adult programs. • Advocating: Standing strong for older adults’ needs at the national, state and local levels.

3. The Heritage Region Benton – 5408 Cedar – 4234 Iowa – 3681 Jones – 4821 Johnson – 16,927 Linn – 38,637 Washington – 5090 Total: 78,798 60+ (2010 US Census)

4. Heritage Vision of the Regional Senior Nutrition Program – the program will: • Provide quality meals that are provided by trained individuals who are able to support the needs of frail, at-risk seniors • Provide home delivered and congregate meals 5 days a week • Be efficiently operated and administered with partners that work with Heritage in a cooperative spirit • Demonstrate inclusivity and be free of intimidation and discrimination

5. FY 14 – 15 RFP Process Change Intent • The current process was revised in order to explore partnerships with a more diverse group of providers and expand the opportunity to complete a Heritage Request for Proposal, demonstrate cost effectiveness, and maximize resources for the Nutrition Program. • All providers (existing and those without a current Heritage contract) are encouraged to submit an RFP. • Multiple proposals from the same organization will be accepted for review.

6. A few things the OAA tells us about the Regional Senior Nutrition Program services • Preference must be given to older individuals who have the greatest economic and social need (with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas) residing in such areas • Program cannot be means tested • Nutritional guidelines • Voluntary and confidential contributions • Taxonomy definitions

7. OAA Nutrition Program Requirements • Provide 33 1/3 of DRI’s per meal served. • Menus must be analyzed by a dietician • Provide opportunities for nutrition education and counseling (next RFP cycle) • Must have NAPIS completed on each participant for each service (congregate and home delivered) • Home delivered participants are evaluated every six months for eligibility and to see if their nutritional risk scores have improved • The opportunity to make a voluntary and confidential contribution • Sites are evaluated annually for contract compliance and safety and sanitation by Heritage • Must meet all federal, state and local food codes and regulations.

8. Eligibility Eligibility for congregate nutrition services. 1. Persons who meet at least one of the following criteria will be eligible to participate in the congregate dining program: • Age 60 or above • The spouse or disabled child of an eligible participant who resides with and attends with the eligible participant • An individual providing volunteer service during the meal period, regardless of age • Disabled individuals under the age of 60, who reside in a housing facility occupied primarily by older adults which congregate services are provided. 2. All eligible congregate meal participants must have a full NAPIS registration form completed annually, which includes Nutrition Risk Assessment. Nutrition risk scores for congregate participants must be re-assessed as required by Heritage. 3. Non-eligible individuals may eat at a congregate site, paying the predetermined price of the meal, if that meal does not deprive an eligible participant of a meal. The predetermined price of the meal is determined by Heritage and only reflects a portion of the total cost of the meal. Eligibility for home-delivered meals. 1. Persons who meet at least one of the following criteria will be eligible to participate in the home delivered meal program: • An older adult age 60 or above who is homebound by illness, incapacitating disability, or is otherwise isolated • A spouse residing with an eligible participant • Volunteers delivering home delivered meals regardless of age 2. All eligible home delivered meal participants must have a full NAPIS registration form completed annually, which includes a complete nutrition risk assessment. A “July Only” form will be provided to subcontractors to ease the burden on participants, yet meet documentation requirements for the July monthly billing. This form is only allowable during the month of July. 3. A home delivered meal eligibility assessment must be completed for each client prior to beginning home delivered meal service and submitted to Heritage and attached to the NAPIS form. 4. Continued eligibility and a nutrition risk assessment must be re-assessed every 6 months.

9. Narrative & Compliance Section • Questions?

10. Financial Section • Questions?