Home Delivered Meals Waiver Workshop

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HOME DELIVERED MEALSWaiver Workshop

• Presented by
• Regional and Local Services (RLS)
• Access and Intake /Area Agency
• on Aging (AI/AAA)

May 27-28, 2009
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HOME DELIVERED MEALSWaiver
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Funding Sources

• Title XIX

• Title XX

• Title III(C)

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Definitions

• Common Provider
• Non-common Provider
• Area Agencies on Aging

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More than Just a Meal
Consumer Focus
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Waiver

• Why does a waiver exist?
• What does a provider agency need to do to request
  a waiver?
• Who files the waiver?

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Waiver (contd)

• When does a provider file Form 2027, Request for
  Waiver?
• Where is the Form 2027 sent?

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Why does a waiver exist?

• Allows consumer to modify meal plan
• Allows providers flexibility

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What does a provider agency need to do?
Complete Form 2027

• There are six sections to Form 2027.

1. Area/Delivery routes
2. Reason for request of waiver
3. Description of meal plan

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What does a provider agency need to do? (contd)

• Plan for consumer food storage
• Notification to consumer
• Regularly scheduled contact

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Completing Form 2027
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Form 2027 Section 1

• Describe the area(s) or delivery route(s) that
  will be affected by this proposed waiver.
• City and county or portion thereof
• Distance from the meal preparation site to
  distribution point(s)
• Other geographical identifying information that
  supports the need for the proposed waiver, e.g.,
  road conditions

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Form 2027 Section 2

• Describe the circumstances necessitating this
  request for a waiver.

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Form 2027 Section 3

• Describe the pattern and type of meal delivery
  under this proposed waiver by including, at a
  minimum, the following information

1. How frequently will a hot meal be delivered to
   each individual at the individuals home?

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Form 2027 Section 3 (contd)

1. For days when a hot meal will not be provided,
   what type of alternate meal (frozen, chilled,
   shelf-stable) will be delivered?
2. How many alternate meals will be provided to the
   individual each time a home delivery is made?
3. Other relevant information

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Form 2027 Section 4

• If one or more individuals are unable to safely
  store and prepare a frozen or shelf-stable meal
  in the area covered by this proposed waiver,
  describe the projects plan to continue service
  to those individuals.

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Form 2027 Section 5
How will the provider notify each individual of
the change in the pattern and type of meals to be
served?

• Notification to each individual in the area
  affected by this proposed waiver must occur at
  least 30 calendar days before initiation of the
  modified meal delivery schedule, unless otherwise
  requested by the provider and approved by DADS.

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Form 2027 Section 6
If delivery of a meal will occur less frequently
than every other day, describe the providers
method(s) for regularly scheduled contact with
individuals receiving alternative meals.

1. What method will the provider use for regularly
   scheduled contact?

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Form 2027 Section 6 (contd)

• How will the provider investigate and report
  significant changes in participants physical or
  mental condition and environment?

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Form 2027 Section 6 (contd)

1. How will the provider implement appropriate
   action within one business day following
   identification of the change?

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Form 2027 Assurances
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Who files Form 2027?

• Common Provider Agency
• Non-Common Provider Agency

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When to file Form 2027

• No later than June 15th for the upcoming fiscal
  year.
• At least 30 calendar days before the proposed
  implementation date

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Where to file Form 2027

• Contract Manager
• Area Agencies on Aging

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Roles

• Contract Manager
• Regional Area Agencies on Aging
• Access and Intake

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Rate Negotiation

• Waiver will affect rate negotiation

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Exercise

• YOU
• BE
• THE
• JUDGE.

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Summary

• Why does a waiver exist?
• What is the process to request a waiver?
• Who files the waiver?
• When does a provider file Form 2027?
• Where is the Form 2027 sent?

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Questions and Answers