Chapter 2 Community-Based Nutrition Services

TABLE 2.1 cont. Federal Nutrition Programs Medicare/Medicaid

Centers for Medicare & Medicaid Service www.cms.gov

Home- and Community-Based Services www.medicaid.gov/medicaid-chip-program-information/by-topics/long-term-services-and-supports/home-and-community-based-ser- vices/home-and-community-based-services.html

Provide opportunities for Medicaid beneficiaries to receive services in their own home or community. These programs serve a variety of targeted populations, such as people with mental illnesses, intellectual or developmental disabilities, and/or physical disabilities.

1915(c) Home & Community-Based Waivers www.medicaid.gov/medicaid-chip-program-information/by-topics/waivers/home-and-community-based-1915-c-waivers.html

One of many options available to states allowing the provision of long-term care services in home- and community-based settings under Medicaid. Programs can provide a combination of standard medical services and nonmedical services. Nutritional services that are approved include home-delivered meals, nutritional risk-reduction counseling, and supplements as appropriate.

Administration on Aging (AoA)

Nutrition Services www.aoa.acl.gov/AoA_Programs/HPW/Nutrition_Services/

Provide meals and related nutrition services to older individuals in a variety of settings, including congre- gate facilities such as senior centers, or by home delivery to older individuals who are homebound due to illness, disability, or geographic isolation. Services are targeted to those in greatest social and economic need, with particular attention to low-income individuals, minority individuals, those in rural communities, those with limited English proficiency, and those at risk of institutional care.

Eldercare Locator www.eldercare.gov/Eldercare.NET/Public/Index.aspx

A public service of the US Administration on Aging connecting people to services for older adults and their families

The RDN has a role in helping the food-insecure older adult access food programs to maintain or ac quire a healthy diet (12). The nutrition programs discussed below may provide a safety net for older adults, but all programs are being challenged in the following ways:

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demand exceeding allocated resources and lengthy waits for services;

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need to individualize services to address a myriad of chronic conditions;

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increased difficulty finding volunteers to deliver in-home meals; and

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transportation issues, especially access in rural areas (eg, low participation, difficulty hiring staff, and obtaining volunteers).

This chapter will discuss the following home- and community-based services and programs, including

nutrition services, that are administered and/or funded by several federal agencies (16):

● Administration on Aging (AoA) ➤ ➤

Older Americans Act Nutrition Program Nutrition Services Incentive Program

● United States Department of Agriculture (USDA) Child and Adult Care Food Program

➤ ➤ ➤ ➤

Seniors Farmers’ Market Nutrition Program Supplemental Nutrition Assistance Program

Supplemental Nutrition Assistance Program Education

➤ ➤

Commodity Supplemental Food Program Emergency Food Assistance Program

● Medicare and Medicaid Services Affordable Care Act

➤ ➤

Medicaid Home and Community-Based Services (HCBS) waiver program

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