Administration on Aging http://www.aoa.gov

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AdministrationonAginghttp//www.aoa.gov

• Edwin L. Walker
• Director, Center for Wellness
• And
• Community-Based Services
• June 3, 2002

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Title III-C, Nutrition Program for the Elderly

• Congregate Nutrition Services (390 m)
• 5 or more days a week
• Congregate setting, including Adult Day Care
• Nutrition Education Counseling
• Home-Delivered Nutrition Services (176.5 m)
• Homebound
• Hot, cold, frozen, dried, canned or supplemental
  meals
• Nutrition Education Counseling

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Older Americans Act, as amended in 2000 -
Nutrition

• Overview of OAA Nutrition Requirements
• Details of Nutrition Services Incentive Program
  (NSIP)

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall
• Solicit the advice of a dietitian or individual
  with comparable expertise in the planning of
  nutritional services

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall ensure that the nutrition project
  provides meals that meet
• Dietary Guidelines for Americans, May, 2000
• Recommended Dietary Allowances (RDAs), 1997 and
  forward

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall ensure that the nutrition project
  shall meet the special dietary needs of
  participants
• Adjust meals to the maximum extent practical to
  meet the special dietary needs of program
  participants

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall ensure that the nutrition project
  shall comply with applicable State or local
  foodservice law FDA Model Code, 1999

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall ensure that the nutrition project
  shall carry out the nutrition project with the
  advice of dietitians, meal participants, and
  other knowledgeable individuals

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall ensure that the nutrition project
  shall provide nutrition services to
• 60 individuals
• Spouses
• Disabled adults in congregate housing where a
  nutrition site is located

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Older Americans Act, as amended in 2000 -
Nutrition

• What has stayed the same
• The State shall ensure that the area agency on
  aging develop policies to offer a meal to
• Volunteers
• Disabled adults who accompany an older adult to a
  site
• Disabled adult who resides with a recipient of a
  home-delivered meal

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Older Americans Act, as amended in 2000 -
Nutrition

• What has changed
• The State shall
• Provide flexibility to local nutrition providers
  in designing meals appealing to program
  participants

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Older Americans Act, as amended in 2000 -
Nutrition

• What has changed
• The State shall
• Encourage providers to enter into contracts to
  limit the amount of time meals must spend in
  transit

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Older Americans Act, as amended in 2000 -
Nutrition

• What has changed
• The State shall
• Ensure that the nutrition project provide
  nutrition screening and, where appropriate, for
  nutrition education and counseling

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Administration on Aging
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AoA Nutritionists By Region

• Joseph Carlin, MS, RD, LDN, FADA
• Floristene Johnson, MS, RD, LD
• Joann Pegues, MPA, RD, LD

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Title III-C, Nutrition ServicesIncentive
Program (NSIP)

• USDA cash allotment changed from reimbursement to
  an incentive program
• Basis of allocation changed from estimate to
  actual number of meals served in prior year
• Lessens administrative burden on States, Tribes
  and local agencies
• Minimizes disruptions in allocations

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Title III-C, Nutrition ServicesIncentive
Program (NSIP)

• Purpose
• Reward effective performance by States and Tribes

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Title III-C, Nutrition ServicesIncentive
Program (NSIP)

• Similarities
• USDA appropriation
• USDA distribution of allocations
• USDA distribution of commodities

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Title III-C, Nutrition ServicesIncentive
Program (NSIP)

• Differences
• Allocation based on number of meals served in
  previous year
• No reimbursement rate, USDA will no longer
  project the number of meals to be served
• States may establish criteria for incentives for
  receipt of NSIP funds

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Title III-C, Nutrition ServicesIncentive
Program (NSIP)

• Differences
• States will be required to report to AoA the
  number of meals served 90 days after the end of
  the federal fiscal year

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Older Americans Act, as amended in 2000
Nutrition

• National Policy and Resource Center on Nutrition
  and Aging
• Web Resources
• Ask the Expert
• Bibliographies
• Resources, including educational, programmatic,
  and operational

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Older Americans Act, as amended in 2000
Nutrition

• National Policy and Resource Center on Nutrition
  and Aging
• Web Resources
• Nutrition and Aging List serve
• Resources for culturally appropriate services
• http//www.fiu.edu/nutreldr

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Presidents FY03 Budget Request

• 2 million Increase for Home-Delivered Meals
• Consolidation of Nutrition Services Funding
• USDA and AoA

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Presidents FY03 Budget Request

• Consolidation of Nutrition Services Funding
• 150 million of USDA funds to be appropriated to
  AoA
• To be allotted to States in the same manner as
  USDA under reauthorized OAA
• of meals served in previous year