PURPOSE: This rule defines terms used in this chapter.

1. (1) Access services—A category of services which facilitates access to and utilization of other services. Access services may include transportation, outreach, care coordination and information and referral.
2. (2) Alternative services—Services offered to the elderly in a noninstitutional setting.
3. (3) Care coordination—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.
4. (4) Caterer—A restaurant, hospital, school or commercial organization which prepares meals under contract (usually a fixed price per meal contract).
5. (5) 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 persons.
6. (6) Congregate nutrition services—The provision of nutrition services to older persons in an approved center.
7. (7) Contributions—Money or food stamps (for meals only) given voluntarily and confidentially toward the cost of a service received.
8. (8) Division—The Division of Aging of the Missouri Department of Social Services.
9. (9) Economic need, greatest—The need resulting from an income level at or below the poverty threshold established by the Office of Management and Budget.
10. (10) Escort—A person designated by the service provider, or the recipient, who gives physical assistance to service recipients with functional impairments.
11. (11) Follow-up—Recontracting the inquirer or agency/organization to whom the referral was made to assure if contact was made or if further services are required.
12. (12) Frail elderly—Older persons 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.
13. (13) Homebound—One who is confined to the home because of illness or incapacitating disability.
14. (14) Home-delivered nutrition services— Nutrition services delivered to homebound or otherwise isolated recipients in their homes.
15. (15) Information and referral—Providing a prompt, accurate and pertinent response to an inquiry, which may include directing the person to the appropriate resource.
16. (16) Low-income—Persons whose annual income is at or below the poverty threshold established by the Office of Management and Budget.
17. (17) Meal pattern—A meal consisting of three (3) ounces of meat or meat alternate, two (2) or three (3) kinds of vegetables and fruits to total one (1) cup serving, one (1) serving of enriched or whole grain bread or alternate, one (1) teaspoon of butter or fortified margarine, one-half (1/2) cup dessert and one (1) cup of milk.
18. (18) Minority—Individuals of the following racial/ethnic compositions: American Indian/Alaskan Native; Asian/Pacific Islander; Black, not of Hispanic origin; or Hispanic.
19. (19) 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 persons.
20. (20) Nutrition services—Provision of congregate or home-delivered meals, or both.
21. (21) Older person—A person sixty (60) years of age or older.
22. (22) Outreach—A service within the access category involving a first time individualized face-to-face contact initiated by the area agency or service provider to identify the unserved elderly population, inform them of available community resources and, if appro- 13 CSR 15-7

priate, assist them in gaining access to needed services.

1. (23) Potentially hazardous food—Any perishable food which consists in whole or in part of milk or milk products, eggs, meat, poultry, fish, shellfish or other ingredients in a form capable of supporting rapid and progressive growth of infectious or toxigenic microorganisms. The term does not include foods which have a pH level of four and six-tenths (4.6) or below.
2. (24) Principles of menu planning—Planning menus to provide variety in food selection, preparation, texture, shape and size of food and compatibility in food flavors and colors.
3. (25) Public information—Provision of information to the public where seniors gain access to area agency services or the information meets a need of the elderly.
4. (26) Senior center—A facility providing nutrition services and a variety of supportive services to older persons.
5. (27) Service provider—Any agency which contracts with the Missouri Division of Aging or an Area Agency on Aging to provide services directly to older persons.
6. (28) Service recipient—An eligible individual who receives one (1) or more services.
7. (29) Social need, greatest—The need caused by noneconomic factors which include physical and mental disabilities, language barriers, and cultural, social or geographical isolation including that caused by racial or ethnic status which restricts an individual’s ability to perform normal daily tasks or which threatens the capacity to live independently.
8. (30) Supportive program—A set of services consisting, at a minimum, of the categories of access, in-home, legal and ombudsman.
9. (31) Supportive service center—A facility providing only activities and supportive services, but no nutrition services.
10. (32) Volunteer—A person, other than staff or Senior Community Service Employment Program (SCSEP) enrollees, who contributes personal service.

AUTHORITY: section 660.050, RSMo 1994.* 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. *Original authority 1984, amended 1988, 1992, 1993.