PURPOSE: This rule describes the division’s fiscal management responsibilities under Title III of the Older Americans Act.

1. (1) The division in consultation with all Area Agencies on Aging (AAAs) shall develop and use an intrastate funding formula for the allocation of funds received under Title III of the Older Americans Act (the Act) with the exception of Title III funds allocated for Disease Prevention and Health Promotion Services and Title III-B funds utilized for outreach demonstration projects and the ombudsman program.

2. (2) The intrastate funding formula for the state of Missouri shall be established by the proportion of the population in each planning and service area (PSA) as calculated by using the following four (4) factors:

   1. (A) All individuals in each PSA sixty (60) years of age or older;
   2. (B) All individuals in each PSA sixty (60) years of age or older who are low income;
   3. (C) All individuals in each PSA who are sixty (60) years of age or older who are low-income minorities;

   4. (D) All individuals in each PSA who are sixty (60) years of age or older who are in the greatest social need. The basis for this factor shall be determined by the number of individuals who are of the appropriate age—

      1. 1. With a physical or mental disability;
      2. 2. With a language barrier;
      3. 3. Who are geographically isolated; or
      4. 4. Who are culturally or socially isolat-

ed;

1. (E) Data used to compute the area agency on aging allotment percentages for all Fiscal Years preceding 2003 was derived from the 1990 Census of Population and Housing, Summary Tape 3A for the following categories:

   1. 1. Population sixty (60) years of age and

over for funds allocated for the period July 1, 1994 through June 30, 1995;

1. 2. Population sixty (60) years of age and

over, below poverty;

1. 3. Population sixty (60) years of age and

over, minority below poverty;

1. 4. Population sixty (60) years of age and

over, rural or geographically isolated; and

1. 5. Population sixty (60) years of age and

over, minority;

1. (F) Data from the 1990 Census of Population and Housing, Summary Tape File 4A was used for the following categories:

   1. 1. Population sixty (60) years of age and

over with a disability;

1. 2. Population sixty (60) years of age and

over with limited English;

1. (G) Data used to compute the area agency on aging allotment percentages was derived from the 1999 Census Estimates prepared by the Missouri Office of Administration for the population sixty (60) years of age and over for funds allocated for the period July 1, 2001 through June 30, 2002;
2. (H) Data used to compute the area agency on aging allotment percentages was derived 19 CSR 15-4

from the 2000 Census prepared by the Missouri Office of Administration for the population sixty (60) years of age and over for funds allocated for the period July 1, 2002 through June 30, 2003;

1. (I) Based on the factors stated in this rule, the percentages of funds allocated to each PSA for the Fiscal Year 2002 beginning on July 1, 2001 and ending June 30, 2002, are as follows:

   1. 1. Southwest Missouri Office on

Aging—12.93%;

1. 2. Southeast Missouri Area Agency—

10.40%;

1. 3. District III Area Agency—6.56%;
2. 4. Northwest Missouri Area Agency—

6.23%;

1. 5. Northeast Missouri Area Agency—

5.55%;

1. 6. Central Missouri Area Agency—

11.03%;

1. 7. Mid-America Regional Council—

14.53%;

1. 8. Mid-East Area Agency—20.93%;
2. 9. St. Louis Area Agency—8.21%; and
3. 10. Region X Area Agency—3.63%;

and

1. (J) Based on the factors stated in this rule, the percentage of funds allocated to each PSA for Fiscal Year 2003 beginning July 1, 2002 and ending June 30, 2003, are as follows:

   1. 1. Southwest Missouri Office on

Aging—13.16%;

1. 2. Southeast Missouri Area Agency—

10.43%;

1. 3. District III Area Agency—6.60%;
2. 4. Northwest Missouri Area Agency—

6.18%;

1. 5. Northeast Missouri Area Agency—

5.58%;

1. 6. Central Missouri Area Agency—

11.16%;

1. 7. Mid-America Regional Council—

14.41%;

1. 8. Mid-East Area Agency—21.01%;
2. 9. St. Louis Area Agency—7.82%; and
3. 10. Region X Area Agency—3.65%.

1. (3) The funds allocated to each area agency shall include an identical base amount to each AAA in the state and an amount allotted using the factors in section (2).
2. (4) The division shall use the data from the most recent decennial census in computing allotment percentages. In addition, the division shall revise allotment percentages, at least, biennially in accordance with population estimates made available through the Missouri Office of Administration.
3. (5) The division in consultation with all AAAs shall develop and use an intrastate funding formula for the allocation of Title III funds for Disease Prevention and Health Promotion Services.

4. (6) The intrastate funding formula for the allocation of Title III funds for Disease Prevention and Health Promotion Services shall be established by the proportion of the sum of the factors for each PSA to the total of the factors for the state as calculated by using the following three (3) factors:

   1. (A) Average score of the sum of the following four (4) social and economic need indicators per region:

      1. 1. The proportion of the individuals who

are age sixty (60) and over who are low-income to the total population of individuals who are age sixty (60) and over within each county or the city of St. Louis. A score was assigned to each county or the city of St. Louis based upon the following scale:

1. A. 0.00%—6.00% = 1
2. B. 6.01%—12.00% = 2
3. C. 12.01%—18.00% = 3
4. D. 18.01%—24.00% = 4
5. E. 24.01%—100.00% = 5
6. 2. The proportion of the individuals who

are age sixty (60) and over who are receiving Medicaid assistance to the total population of individuals who are age sixty (60) and over within each county or the city of St. Louis. A score was assigned to each county or the city of St. Louis based upon the following scale:

1. A. 0.00%—6.00% = 1
2. B. 6.01%—12.00% = 2
3. C. 12.01%—18.00% = 3
4. D. 18.01%—24.00% = 4
5. E. 24.01%—100.00% = 5
6. 3. The proportion of the individuals who

are age sixty (60) and over who are minority to the total population of individuals who are age sixty (60) and over within each county or the city of St. Louis. A score was assigned to each county or the city of St. Louis based upon the following scale:

1. A. 0.00%—1.00% = 1
2. B. 1.01%—5.00% = 2
3. C. 5.01%—8.00% = 3
4. D. 8.01%—12.00% = 4
5. E. 12.01%—100.00% = 5
6. 4. The population density expressed as

individuals per square mile within each county or the city of St. Louis. A score was assigned to each county or the city of St. Louis based upon the following scale:

1. A. 0.00—10.00 persons per square mile = 5
2. B. 10.01—15.00 persons per square mile = 4
3. C. 15.01—25.00 persons per square mile = 3
4. D. 25.01—40.00 persons per square mile = 2
5. E. 40.01—100.00 persons per square mile = 1
6. (B) The proportion of individuals who are age sixty (60) and over within each PSA to the total population of individuals who are age sixty (60) and over within the state. This factor is computed by dividing the population sixty (60) and over per PSA by the total population sixty (60) and over within the state; the quotient is then multiplied by one hundred (100);
7. (C) The proportion of individuals who are age sixty (60) and over residing in a designated primary care health professional shortage area (HPSA), as designated by the United States Public Health Service, Office of Shortage Designation, within each PSA to the total population of individuals who are age sixty (60) and over residing in an HPSA within the state. This factor is computed by dividing the population sixty (60) and over residing in an HPSA per PSA by the total population sixty (60) and over residing in an HPSA within the state; the quotient is then multiplied by one hundred (100);

8. (D) Data used for the following categories was derived from the 1990 Census of Population and Housing, Summary Tape File 2A for use in allocating funds for the Fiscal Years preceding 2003:

   1. 1. Population sixty (60) and over;
   2. 2. Population sixty (60) and over minor-

ity;

1. (E) Data used for the following categories was derived from the 2000 Census for use in allocating funds for Fiscal Year 2003;

   1. 1. Population sixty (60) and over;
   2. 2. Population sixty (60) and over minor-

ity;

1. (F) Data used for the population sixty (60) and over below poverty was derived from the 1990 Census of Population and Housing, Summary Tape File 4A;
2. (G) Data used for the population per square mile was derived from the 1990 Census of Population and Housing Unit Counts, Table 4;
3. (H) Data from the Missouri Department of Social Services, Division of Medical Services was used for population sixty (60) and over receiving Medicaid assistance;
4. (I) Data from the Department of Health and Senior Services was used for the population sixty (60) and over residing in HPSAs;

5. (J) Based upon the factors stated in this rule, the percentages of funds allocated to each PSA for Fiscal Year 2002 are as follows:

   1. 1. Southwest Missouri Office on

Aging—14.27%;

1. 2. Southeast Missouri Area Agency—

12.18%;

1. 3. District III Area Agency—6.46%;
2. 4. Northwest Missouri Area Agency—

7.86%;

1. 5. Northeast Missouri Area Agency—

5.74%;

1. 6. Central Missouri Area Agency—

8.33%;

1. 7. Mid-America Regional Council—

8.45%;

1. 8. Mid-East Area Agency—19.65%;
2. 9. St. Louis Area Agency—11.02%; and
3. 10. Region X Area Agency—6.04%;

and

1. (K) Based upon the factors stated in this rule, the percentages of funds allocated to each PSA for Fiscal Year 2003 are as follows:

   1. 1. Southwest Missouri Office on

Aging—12.31%;

1. 2. Southeast Missouri Area Agency—

10.21%;

1. 3. District III Area Agency—7.03%;
2. 4. Northwest Missouri Area Agency—

7.15%;

1. 5. Northeast Missouri Area Agency—

6.78%;

1. 6. Central Missouri Area Agency—

10.40%;

1. 7. Mid-America Regional Council—

12.54%;

1. 8. Mid-East Area Agency—20.40%;
2. 9. St. Louis Area Agency—7.47%; and
3. 10. Region X Area Agency—5.71%.

1. (7) Area agencies on aging shall have available not more than ten percent (10%) of the total federal Older Americans Act Title III Part B, Part C-1, Part C-2, and Title III Disease Prevention and Health Promotion Services funds for paying such percentage, but not more than seventy-five percent (75%) of the cost of administration of the area plan. The ten percent (10%) administration allowance shall only be taken from amounts made available to the area agencies on aging from federal Older Americans Act Title III Part B, Part C-1, and Part C-2.

AUTHORITY section 660.050, RSMo Supp. 2001.* This rule was previously filed as 13 CSR 15-6.195 and 13 CSR 15-4.050. Original rule filed Jan. 6, 1986, effective April 30, 1986. Amended: Filed Feb. 17, 1988, effective June 15, 1988. Emergency amendment filed June 16, 1992, effective July 1, 1992, expired Oct. 28, 1992. Amended: Filed April 1, 1992, effective Sept. 6, 1992. Emergency amendment filed April 14, 1994, effective April 24, 1994, expired Aug. 21, 1994. Emergency amendment filed April 27, 1994, effective May 13, 1994, expired Sept. 9, 1994. Amended: Filed April 14, 1994, effective Sept. 30, 1994. Emergency amendment filed Aug. 1, 1994, effective Aug. 22, 1994, expired Dec. 19, 1994. Emergency amendment filed Aug. 1, 1994, effective Sept. 11, 1994, expired Jan. 8, 1995. Emergency amendment filed Dec. 19, 1994, effective Jan. 8, 1995, expired May 7, 1995. Emergency amendment filed April 26, 1995, effective May 9, 1995, expired Sept. 5, 1995. Amended: Filed Dec. 20, 1994, effective June 30, 1995. Emergency amendment filed June 22, 1995, effective July 1, 1995, expired Oct. 28, 1995. Amended: Filed July 17, 1995, effective Jan. 30, 1996. Emergency amendment filed Oct. 19, 1995, effective Oct. 29, 1995, expired April 25, 1996. Amended: Filed Dec. 28, 1995, effective June 30, 1996. Amended: Filed Feb. 20, 1997, effective Aug. 30, 1997. Amended: Filed March 16, 1998, effective Sept. 30, 1998. Amended: Filed Feb. 11, 1999, effective Aug. 30, 1999. Amended: Filed Feb. 2, 2000, effective Aug. 30, 2000. Amended: Filed Jan. 16, 2001, effective July 30, 2001. Moved to 19 CSR 15-4.050, effective Aug. 28, 2001. Amended: Filed Feb. 15, 2002, effective Aug. 30, 2002. *Original authority: 660.050, RSMo 1984, amended 1988, 1992, 1993, 1994, 1995, 2001.