Sept. 7, 2011
To: ADvantage Nutrition Providers
Recently, Oklahoma Department of Human Services (OKDHS) Aging Services Division (ASD) surveyed ADvantage Program Members, case managers and home-delivered meals providers to assess the home delivered meals service option. Great feedback was received, including:
- Communication between providers and case managers is good.
- Majority of ADvantage Members know who to contact if they have a concern about their meal.
- Most providers provide their ADvantage Member a choice of which type of meal they receive.
The surveys also brought some concerns to our attention, including:
- ADvantage Members are picking up their Home Delivered Meal.
ADvantage meals are home delivered meals as defined in the service definition of the Program Service Standards as well as in the waiver document that has been approved by Centers for Medicare and Medicaid. This means that unless the Member or family voluntarily arranges to pick up the meal from the provider, the provider is responsible for delivering that meal to the Member. The receipt of a meal may not be dependent on the Member’s ability to pick it up from the provider.
- There are no drivers to deliver the Home Delivered Meals.
Although we certainly understand the challenges that providers have in retaining drivers, the ADvantage program service standards are clear in mandating that the provider have adequate staff to provide the service. This requirement is for home-delivered meal providers as it is for all other types of ADvantage providers. The provider ensures that it will employ staff in adequate numbers. This can be found in the Conditions of Provider Participation Home Delivered Meals. The Member’s receipt of a meal may not be contingent upon the provider’s ability to secure staff or volunteers to deliver the meal.
- It takes 2-3 weeks for first delivery and 2-3 weeks when changing nutrition providers
When home-delivered meals are approved on a service plan, those meals are deemed necessary to keep the person safe at home. All providers should work as diligently as possible to ensure that meals are provided with as minimal a delay as possible. The home delivered meal standards are clear in the timeframes for deliver. They state: “The provider ensures it will begin services within three (3) working days of receiving an authorized service plan.”
- No openings/Off referral/Members lives on county line there is no service to the Member
In the other programs, service areas are drawn using county lines. Sometimes this arrangement is not conducive to meal delivery in some locations. In some areas of the state a county’s meal provider may actually be further from the member than another provider. OKDHS wants to work with provider to arrive at a method for ensuring that no geographic region is without at least one meal provider
ASD will continue to gather information about the provision of meals and welcomes your input. If you have any questions please contact Tana Parrott.
If you have any questions or concerns regarding the information provided above, please feel free to contact us via email at Provider Questions.