REQUEST FOR OPERATINGPROPOSALS and STANDARDS …

1 REQUEST FOR PROPOSALS and OPERATING STANDARDS MANUAL. For Social and Nutrition Services Fiscal Years 2017-2019 (October 1, 2016 - September 30, 2019). Our Mission: The Area Agency on Aging 1-B (AAA 1-B) enhances the lives of older adults and adults with disabilities in the communities we serve. The Area Agency on Aging 1-B is funded in part by the federal Older Americans Act and the Michigan Department of Health & Human Services (MDHHS)/Aging and Adult Services Agency (AASA) and complies with the terms and regulations of the Title V of the Civil Rights Act of 1964 as amended, and Section 504 of the Social Rehabilitation Act of 1973 and is an Equal Opportunity Employer program. Reasonable accommodations will be provided upon notification or REQUEST . Tina Abbate Marzolf, Chief Executive Officer Ann Langford, Director, Community & Business Advancement 29100 Northwestern Highway Suite 400, Southfield, Michigan 48034 Toll Free 800-852-7795 website: Page 1 of 134.

2 AAA 1-B. RFP 2017-2019. TABLE OF CONTENTS. SERVICES TO BE FUNDED THROUGH THE 2017-2019 4. INTRODUCTION .. 6. Title III of the Older Americans Act .. 6. Application Materials .. 7. Pre-Contract 7. Contractor Reporting Materials .. 7. CONTRACT STAFF 9. TENTATIVE SCHEDULE OF RFP AND CONTRAT AWARDING ACTIVITIES .. 10. MANDATORY APPLICANT WORKSHOP AND TECHNICAL ASSISTANCE .. 11. LETTERS OF INTENT .. 11. APPLICATION REVIEW, AWARD AND DENIAL PROCESS. Application Review Criteria .. 11. Application Review Tool .. 12. Contract Award .. 13. Contract Assessments .. 14. Denial of Awards .. 14. APPLICATION INFORMATION AND INSTRUCTIONS .. 15. SOCIAL SERVICES BUDGET INSTRUCTIONS .. 19. NUTRITION SERVICES BUDGET INSTRUCTION .. 25. NUTRITION SERVICE DELIVERY CHARTS: 1-6 .. 32. HOLIDAY MEALS ON WHEELS .. 33. REQUIRED POLICIES AND PROCEDURES.

3 34. POLICIES AND PROCEDURES CHECKLIST .. 35. REQUIRED INSURANCES .. 36. AAA 1-B AND AASA OPERATING STANDARDS FOR ALL PROGRAMS .. 37. PROGRAM INCOME/VOLUNTARY DONATIONS/VOLUNTARY COST SHARE a n d P R I V A T E. P A Y PROGRAM POLICIES .. 49. OPERATING STANDARDS UNIQUE TO EACH 51. ACCESS SERVICE STANDARDS AND DEFINITIONS .. 51. Resource Advocacy .. 52. IN-HOME SERVICE STANDARDS AND DEFINITIONS .. 55. Chore .. 60. Home Injury Control .. 64. Adult Day Health Service (ADHS) .. 67. Personal Care for ADHS .. 80. COMMUNITY SERVICE STANDARDS AND DEFINITIONS. Evidence-Based Disease Prevention/Health Promotion Programs .. 86. Assistance for Grandparents Raising Grandchildren .. 88. Assistance to the Hearing Impaired and Deaf .. 90. Legal Assistance .. 91. Long-Term Care Ombudsman .. 94. Page 2 of 134. AAA 1-B. RFP 2017-2019.

4 Prevention of Elder Abuse, Neglect and Exploitation (PEANE) .. 97. Volunteer Caregiver .. 98. NUTRITION SERVICE STANDARDS .. 101. AAA 1-B Board Approved Nutrition Allocation Formula .. 101. GENERAL REQUIREMENTS FOR NUTRITION PROGRAMS .. 104. AASA MEAL PLANNING GUIDELINES .. 111. ESTABLISHING A NUTRITION SERVICES INCENTIVE PROGRAM (NSIP)-ONLY SITE .. 116. HOLIDAY MEALS ON WHEELS STANDARDS AND PROCEDURES .. 117. PROVISION OF MEALS TO ADHS PROGRAMS .. 119. NUTRITION SERVICES DEFNITIONS. Congregate Meals .. 122. Home Delivered 130. Page 3 of 134. AAA 1-B. RFP 2017-2019. SERVICES TO BE FUNDED THROUGH THE 2017-2019 RFP. A structured and supervised day program for older persons with dementia or persons 18 years of age or older and disabled, which Adult Day Health provides engaging, creative and meaningful activities that promote Services (ADHS).

5 Enjoyment and socialization for the participant and an opportunity for respite for the caregiver. Specific household maintenance tasks (non-continuous) are provided with the intention to increase the safety and ability of and person(s). Chore living in the residence to maintain their independence. Common chores include lawn mowing and snow shoveling. Nutritionally sound meals for adults 60 years of age * and older served daily at select community locations with monthly nutrition education Congregate Meals provided in an environment that promotes socialization, health and wellness.* Spouse, dependent adult child or unpaid older adult caregiver may be eligible to receive a meal when they accompany the participant. Assistance to the Education, training, resources, information, and assistance with Deaf and Hearing adjusting lifestyle and living arrangements in response to hearing Impaired impairment and deafness.

6 Assistance for Support, training and information are provided to grandparents who are Grandparents raising their grandchildren. Raising Grandchildren Health and Evidence-based health programs that have been tested and proven to Wellness work in a real-world setting including pain management, chronic disease Programs management, healthy eating, exercise, and fall prevention. Nutritionally balanced meals delivered with monthly nutrition education Home Delivered provided to adults 60 years of age * and older who are unable to Meals prepare meals and are normally unable to leave the home unassisted, (Meals on Wheels). and for whom leaving home takes considerable and taxing effort. Adaptations and devices are installed in homes of older adults in order Home Injury Control to prevent falls and/or minimize the occurrence of injury.

7 Legal advice, information, and representation is provided to older Legal Assistance adults. Page 4 of 134. AAA 1-B. RFP 2017-2019. State-certified Ombudsmen and trained volunteers serve as advocates to current and potential residents of long term care facilities, and their families. Assistance includes resolving complaints, educating on rights, Long Term Care and referring to appropriate community resources. Also includes Ombudsman providing long-term care community education and sharing of best practices with facility management. Prevention of Elder Collaborative programs are developed, strengthened, and implemented Abuse, Neglect and that raise awareness and prevent elder abuse, neglect and exploitation. Exploitation (PEANE). Provide information and access to services to older adults within the community.

8 Resource Advocates seek out, identify and assist older Resource Advocacy adults in need of community services to identify resources that meet their individual needs. Organizations manage, recruit, and match volunteers who provide respite to caregivers of older adults. Volunteers provide Volunteer Caregiver companionship, assistance with instrumental activities of daily living, and/or transportation. Page 5 of 134. AAA 1-B. RFP 2017-2019. INTRODUCTION. The Area Agency on Aging 1-B (AAA 1-B) is a non-profit organization that is responsible for services to more than 663,567 people age 60 and older, in addition to adults with disabilities, residing in Livingston, Macomb, Monroe, Oakland, St. Clair, and Washtenaw counties. AAA. 1-B is dedicated to: 1) allocating federal and state funds for social and nutrition services.

9 2) advocating key issues; 3) developing new programs; 4) coordinating activities with public and private organizations; and 5) assessing the needs of people with disabilities and older adults and linking them with needed community-based long term care services. AAA 1-B. prioritizes activities that allow older adults and adults with disabilities to maintain their independence with dignity and places an emphasis on assistance to frail, low-income, disadvantaged, and minority individuals. AAA 1-B is part of a federal aging network of the Administration on Aging within the Department of Health and Human Services, as established by congressional action through the Older Americans Act of 1965, as amended. The Older Americans Act (OAA) provides that each state is to be divided into planning and service areas (PSAs) and that an AAA is to be designated within each PSA.

10 Area agencies are a major component of the network of agencies intended to implement the provisions of Title III of the Older Americans Act, Grants for State and Community Programs on Aging. The general purpose is to concentrate resources in order to develop greater capacity and foster the development and implementation of comprehensive and coordinated service systems to serve older individuals. Federal Older Americans Act (OAA) and State of Michigan funds are channeled through AAA 1- B for the provision of needed social and nutrition services to adults aged 60 and older. AAA 1-B. allocates federal and state funds in two ways: 1) through contracts awarded to local organizations on a competitive basis; and 2) through Direct Service Purchase (DSP) vendor bid agreements where service is purchased on behalf of individual participants.