Definitions

PURPOSE: This rule defines terms used in this chapter. (1) Area Agency on Aging—The agency designated by the division in a planning and service area to develop and administer a plan and administer available funds for a comprehensive and coordinated system of services for older adults and adults with disabilities who require similar services. (2) Case management—A service which ensures that individuals with chronic or acute care needs are assessed and provided with a comprehensive and coordinated service program designed to meet those assessed needs. (3) Caterer—A restaurant, hospital, school, or commercial organization which prepares meals under contract. (4) Center—Any facility regardless of terminology used, that is, senior center, congregate nutrition center, nutrition site, supportive services center, satellite center or site, or multipurpose senior center, that is utilized to provide one (1) or more services to older adults. (5) Congregate nutrition services—The provision of nutrition services to older adults in a congregate or group setting. (6) Contributions—Money or Supplemental Nutrition Assistance Program (SNAP) (for meals only) given voluntarily and confidentially toward the cost of a service received. (7) Division—The Division of Senior and Disability Services of the Missouri Department of Health and Senior Services. (8) Greatest economic need—The need resulting from an income level at or below the poverty line. (9) Greatest social need—The need caused by non-economic factors, including disability; language barriers; and cultural, social, or geographic isolation, including isolation caused by racial or ethnic status, which restrict the ability of an individual to perform normal daily tasks and/or threatens the capacity of the individual to live independently. (10) Follow-up—Recontacting the inquirer or agency/ organization to whom the referral was made to assure if contact was made or if further services are required. (11) Frail elderly—Older adults having a physical or mental disability, including having Alzheimer’s disease or a related disorder with neurological or organic brain dysfunction, that restricts the ability of the individual to perform normal daily tasks or which threatens the capacity of the individual to live independently. (12) Home and community based services—services offered to eligible adults in a non-institutional setting. (13) Homebound—One who is confined to the home because of illness or incapacitating disability. (14) Home-delivered nutrition services—Nutrition services delivered to eligible recipients in their homes. (15) Low-income—Persons whose annual income is at or below the poverty threshold established by the Office of Management and Budget. (16) Minority—Individuals of the following racial/ethnic compositions: American Indian/Alaskan Native; Asian/Pacific Islander; Black, not of Hispanic origin; or Hispanic. (17) Multipurpose senior center—A community or neighborhood facility for the organization and provision of a broad spectrum of services which shall include but not be limited to provision of health, including mental health, social, nutrition, and educational services, and the provision of facilities for recreational activities for older adults. (18) Nutrition services—Provision of congregate or homedelivered meals, or both. (19) Older adult—A person sixty (60) years of age or older. (20) Outreach—Intervention with individuals initiated by an agency or organization for the purpose of identifying potential participants (or their caregivers) and encouraging their use of existing services and benefits. (21) Participant—An eligible individual who receives one (1) or more services. (22) Public education—Provision of information to the public where seniors gain access to area agency on aging services or the information meets a need of the elderly. (23) Senior center—A facility providing nutrition services and a variety of supportive services to older adults. (24) Service provider—Any agency which contracts with the Missouri Department of Health and Senior Services; Department of Social Services, Missouri Medicaid Audit and Compliance; or an area agency on aging to provide services directly to older adults. (25) Volunteer—A person, other than staff or Senior Community Service Employment Program (SCSEP) enrollees, who contributes personal service. AUTHORITY: section 192.2000, RSMo 2016.* Original rule filed Jan. 6, 1986, effective April 30, 1986. Amended: Filed Feb. 17, 1988, effective June 15, 1988. Amended: Filed June 3, 1991, effective Oct. 31, 1991. Amended: Filed May 12, 2000, effective Nov. 30, 2000. Moved to 19 CSR 15-7.005, effective Aug. 28, 2001. Amended: Filed Feb. 7, 2023, effective Aug. 30, 2023. *Original authority: 192.2000, RSMo 1984, amended 1988, 1992, 1993, 1994, 1995, 2001, 2014.