1. (a) Receipt of home-delivered meal service is based on a determination of need or continued need.

2. (b) For each participant, prior to billing for the service, an outreach worker, case manager, or site director shall make a home visit in order to:

   1. (1) Complete and place in participant's file client intake forms, including an HDM needs assessment, which contains:

      1. (A) A determination of why the service is needed, nature and degree of illness, disability, isolation, or nutrition risk, with a statement that the client is homebound (unable to leave the home without the assistance of another person);
      2. (B) Nutrition screening (may use Determine Your Nutritional Health Checklist);
      3. (C) A description of special needs;
      4. (D) A summary of any hearing, chewing, swallowing, vision, and/or mobility problems;
      5. (E) A description of other support available to the participant, such as SNAP benefits;
      6. (F) Emergency contact information;
      7. (G) The estimated length of time service will be needed;
      8. (H) Whether other services may be needed; and
      9. (I) Date of the next reassessment of need for the service;

   2. (2) Discuss program participation, including:

      1. (A)

3. (i) The opportunity to contribute to the cost of the meal.

   1. (ii) Contributions cannot be solicited or accepted from Home and Community-Based Services Medicaid Waiver clients;

      1. (B) Eligibility requirements and limited funding may permit serving only those in greatest need;
      2. (C) How to safely handle the meals after delivery; and
      3. (D) Emergency meal procedures; and

   2. (3)

      1. (A) Perform a reassessment home visit and interview to document continued need at least annually, and more often if the participant's needs may be short-term.
      2. (B) The goal is for the participant to attend the congregate site, if able, to benefit from socialization and physical activity.

Codification Notes: This section as promulgated prior to codification into the Code of Arkansas Rules provided as follows: “1-1-96”