Revision 14-1; Effective September 19, 2014

A provider agency serves individuals who have been determined eligible by Department of Aging and Disabilities Services (DADS) case managers based on age and functional need criteria described in DADS rules at 40 Texas Administrative Code, Chapter 48, Subchapter H. DADS case managers initiate the Home-Delivered Meals referral process by sending Form 2101, Authorization for Community Care Services, to a provider agency to begin the delivery of eligible meals to eligible individuals. Service authorization is only sent to the provider agency of the individual’s choosing.

Revision 13-0; Effective September 3, 2013

In this section, as well as other sections of this manual, references to one or more relevant rules are cited when no further explanation of the requirement is necessary. 

40 Texas Administrative Code, Section 55.1. 

Additional rules and standards, both federal and state, may apply, as found in food management standards set by the Department of State Health Services and the Monitoring Tool used by Department of Aging and Disability Services contract monitors.

Revision 13-0; Effective September 3, 2013 

40 Texas Administrative Code, Section 55.3. 

Rural county has the meaning established by the United States Department of Agriculture (USDA), which states that a rural county in Texas contains a population of less than 50,000 individuals.

Revision 13-0; Effective September 3, 2013 

2110 Contracting Requirements for Provider Agencies, Rules

Revision 13-0; Effective September 3, 2013 

40 Texas Administrative Code, Section 55.5, Contracting Requirements for Provider Agencies.

40 Texas Administrative Code, Chapter 49, Contracting for Community Services.

2111 List of Excluded Individuals and Entities (LEIE)

Revision 13-0; Effective September 3, 2013

All provider agencies must comply with requirements to identify individuals and entities excluded from participation in federal and state health care programs.;

2112 Subcontracting

Revision 13-0; Effective September 3, 2013 The provider agency is responsible for the performance of the subcontractor. If Texas Health and Human Services Commission (HHSC) determines that the subcontractor is not in compliance with program requirements, DADS will take action against the provider agency, not the subcontractor.

2113 Contract Amendment

Revision 13-0; Effective September 3, 2013

An amendment is a revision to an existing contract. The provider agency may identify a need and initiate an amendment.

A provider agency must submit an amendment request in writing, using company letterhead, and the request must be signed by the authorized signature authority. HHSC will not accept an amendment request that does not meet this requirement. The contract amendment must be completed following the appropriate amendment process. The contracting forms can be found under HHS Forms site. Contact your HHSC contract manager in order to process any contract amendment.

2120 Nutritional Risk Assessment and National Aging Program Information Systems (NAPIS) Reporting

Revision 13-0; Effective September 3, 2013

The Administration on Aging (AoA) requires the Department of Aging and Disability Services (DADS) to report program information in the National Aging Program Information System (NAPIS). A provider agency must collect, compile and report the required NAPIS information identified below to the DADS contract manager.

A provider agency must:

1. Develop a nutritional risk score for each individual to whom it delivers a meal, with the exception of individuals receiving meals under Title XIX (Community Based Alternatives), if the individual is:
   • 60 years of age or older; or
   • the spouse (regardless of age) of an individual 60 years of age or older.

2. Use the Nutritional Risk Assessment which includes the Determine Your Nutritional Health checklist (see links below). Revisions to this form are not allowed. The Nutritional Risk Assessment form is available in both English and Spanish. Each answer on the Nutritional Risk Assessment form is assigned a certain value. The provider agency adds the values to get the nutritional risk score. The nutritional risk score places an individual in a nutritional risk category as follows:

   Nutritional Risk Score	Nutritional Risk Category
   0 - 2	Good Nutritional Health
   3 - 5	Moderate Nutritional Risk
   6 or More	High Nutritional Risk

3. Complete the Nutritional Risk Assessment form for each individual at least annually.
4. Keep the completed Nutritional Risk Assessment on file for each individual.
5. A provider agency must use the Nutritional Risk Assessment form. Revisions to this form are not allowed.
6. The Nutritional Risk Assessment form is available in both English and Spanish. The Nutritional Risk Assessment is used to develop a nutritional risk score for each individual. Each answer on the Nutritional Risk Assessment form is assigned a certain value. The provider agency adds the values to get the nutritional risk score.
7. The provider agency must give the Determine Your Nutritional Health Handout to an individual each time the Nutritional Risk Assessment form is completed. The Determine Your Nutritional Health Handout is also available in Spanish. 
8. The provider agency must encourage each individual to take the appropriate action for his nutritional risk category indicated on the Determine Your Nutritional Health Handout.

• Form #AIAAA_NRA_ES 2.0: Nutritional Risk Assessment (English and Spanish PDF)
• Form #AIAAA_NRA_ES 2.0: Nutritional Risk Assessment (English and Spanish Word)
• Form #AIAAA_NRAHH_ES 1.0: Determine Your Nutritional Health Handout (English and Spanish PDF)
• Form #AIAAA_NRAHH_ES 1.0: Determine Your Nutritional Health Handout (English and Spanish Word)

2121 NAPIS Reporting Requirements

Revision 13-0; Effective September 3, 2013 

A common provider and a Title III provider must contact its Area Agency on Aging (AAA) for National Aging Program Information System (NAPIS) reporting requirements.

A provider agency that receives Title XX funding must collect and report the number of Nutritional Services Incentive Program (NSIP) eligible individuals and the following demographic information to its Department of Aging and Disability Services (DADS) contract manager quarterly on an Excel spreadsheet, template provided by DADS. See 4920, Nutrition Services Incentive Program Policies, 4921, Reporting Requirements for NSIP Eligible Meals, 4921.2, Common Providers, 4921.3, DADS Title XX-Only Provider Agencies, and 4922, Other Requirements, for information on NSIP policies and reporting requirements.

The reporting must include the number of:

• males and females, and the number of individuals whose gender information is unavailable;
• individuals who live in a rural county, and the number of individuals whose county information is unavailable;
• individuals living in poverty, and the number of individuals whose poverty (or income) information is unavailable;
  • To determine whether an individual is living in poverty, select HHS Poverty Guidelines for 2023. Refer to Frequently Asked Questions for the official definition of poverty as defined by the Office of Budget and Management;
  • Using the Poverty Guidelines Chart for the 48 contiguous states and the District of Columbia, compare the individual’s annual income to the poverty guideline for persons in family/household of one;
  • For married couples, compare their joint annual income to the poverty guideline for persons in a family/household of two; and
  • Starting with the amount shown, divide by 12 months to determine the monthly amount.
• individuals by ethnicity and the number of individuals whose ethnicity information is unavailable. Ethnicity is defined as:
  • not Hispanic or Latino; or
  • Hispanic or Latino.
• individuals by race or the number of individuals whose race information is unavailable. Race is defined as: 
  • White (alone with no other races) – Non-Hispanic; 
  • White (alone with no other races) – Hispanic; 
  • American Indian or Alaskan Native (alone with no other races); 
  • Asian (alone with no other races); 
  • Black/African American (alone with no other races); 
  • Native Hawaiian or Pacific Islander (alone with no other races); or 
  • Persons reporting some other race. 

A provider agency that receives Title XX funding must: 

• Break down this demographic information by the number of activities of daily living (ADLs) and instrumental activities of daily living (IADLs), and then by age; 
• Not report an individual more than once per federal fiscal year (October 1 through September 30); and 
• Provide the NAPIS report quarterly to its contract manager no later than the due date on the following chart.

Revision 13-0; Effective September 3, 2013

2210 Staff Requirements, Rule

Revision 13-0; Effective September 3, 2013

A common provider must follow the staff requirements according to both 40 TAC Chapter 55 (see link below) and Chapter 85, Implementation of the Older Americans Act. A provider agency should contact its Area Agency on Aging representative for questions related to Title III and Chapter 85.

A provider agency that receives Title XX and/or Title XIX funding must follow the staff requirements according to TAC Title 40 Chapter 55.

40 Texas Administrative Code, Section 55.7.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.9.

Revision 13-0; Effective September 3, 2013 

40 Texas Administrative Code, Section 55.11.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.13.

Revision 13-0; Effective September 3, 2013 

40 Texas Administrative Code, Section 55.15.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.17.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.19.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.21.

Revision 13-0; Effective September 3, 2013 

40 Texas Administrative Code, Section 55.23.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.25.

4110 Service Initiation

Revision 13-0; Effective September 3, 2013

The provider agency must initiate services within ten calendar days from the begin date on Form 2101, Authorization for Community Care Services. Form 2101 must be completed and returned to the Department of Aging and Disability Services (DADS) case manager within 21 calendar days from the date of the referral. The DADS case manager will inform the provider agency in the Comment section of Form 2101 of any special circumstances that are relevant to the individual's service provision, such as exceptions to service delivery requirements.

Revision 13-0; Effective September 3, 2013

For information on case manager activities related to enrolling an individual, look in the Case Manager Community Care for Aged and Disabled Handbook.

4500, Meal Services, contains specific information on Home-Delivered Meals program requirements that the Department of Aging and Disability Services case manager completes.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.27.

An HDM provider or subcontractor performing meal delivery must monitor each meal delivery route annually to verify meals are delivered within the required time frames. Documentation of monitoring must include the route name/number, the date of the monitoring, and the times of the first and last meal deliveries.

A DADS HDM provider is required to document, for each meal delivery site, a record of the hot and cold foods served on the last meal delivery day of the last month of the review period. Documentation is to include the date and time each hot or cold food item was removed from temperature control and the temperature of the item when removed from temperature control. Temperature readings are not required on a test meal at the end of the route. However, all meals must be delivered within four hours of removal from temperature control.

When meals for more than one day of service are delivered and the individual becomes ineligible for the HDM program, meals delivered to be consumed past the date of the individual's ineligibility are considered invalid and are not reimbursable.

4310 Waiver Request

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.5(c)(1).

40 Texas Administrative Code, Section 55.21.

40 Texas Administrative Code, Section 55.27.

Provider agencies must submit a waiver request to the Department of Aging and Disability Services (DADS) contract manager during the rate negotiation process if it determines that delivery of frozen or shelf-stable meals is required for certain individuals within its contracted service area. Any waivers granted will be effective for a period not to exceed one fiscal year. The provider agency must not exceed the parameters of the waiver description or implement the waiver of the requirement for delivery of a hot meal five days a week, for delivery of multiple meals fewer than five days per week, or to deliver meals during hours other than the delivery window, prior to the DADS contract manager giving approval of the waiver request.

Effective in each new federal fiscal year (FFY), a provider agency must complete a waiver request during the budget-based rate negotiation process for each service area in which the provider agency has a contract and is planning to implement or continue a waiver. The provider agency submits the completed form to the DADS contract manager with each FFY's budget-based rate negotiation documents.

DADS will consider for approval a waiver only if the provider agency assures it will:

• deliver multiple meals to an individual at least one day per week;
• make contact with the individual at least three days per week, including the day of meal delivery;
• provide continuity of daily hot meal service to an individual who cannot use a frozen or shelf-stable meal;
• notify DADS of a significant change of condition of an individual, as required by rule;
• handle alternate meals safely (e.g., frozen, chilled or shelf-stable);
• provide safe and sanitary storage, thawing and preparation capacity; and
• comply with rules in Texas Administrative Code Section 55.27 regarding temperature control, marking of meals and time in transit.

If approved, DADS incorporates the waiver description for the current FFY into the provider agency contract with the budget amendment for the period. The contract manager will review a provider agency's compliance with the provisions of the waiver as a component of DADS on-site monitoring of the provider agency's program. The DADS contract manager considers whether the waiver reduced the provider agency's HDM operating costs for purposes of the next budget negotiation.

The provider agency may not implement provisions of the proposed waiver description without DADS approval and may not exceed the parameters of the approved waiver description. The provider agency must obtain a new budget waiver to change delivery frequency or meal format after execution of the amendment.

The approval is made during the budget-based rate negotiation process. See 5230, Budget-Based Rate Negotiation, for additional information on budget-based rate negotiation.

Form 2101, Authorization for Community Care Services, to authorize fewer than five hot meals a week for an individual. See 4310, Waiver Request, and 5230, Budget-Based Rate Negotiation, for information about when a waiver request is needed.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.29.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.31.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.33.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.35.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.37.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.39.

4910 Retention of Contract-Related Records, Rule

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 69.158.

4920 Nutrition Services Incentive Program Policies

Revision 13-0; Effective September 3, 2013

The Administration on Aging (AoA) uses Nutritional Services Incentive Program (NSIP) reports to determine the OAA NSIP funds allotted to Texas. These funds are used to purchase additional OAA eligible meals in the following federal fiscal year (FFY).

DADS has elected to receive NSIP cash in lieu of commodities for the state of Texas. All providers who receive either Area Agencies on Aging (AAA) funding or Title XX funding benefit from the NSIP cash DADS receives. Title XX HDM providers are not eligible for NSIP funds if they receive donations from U.S. Department of Agriculture (USDA) commodities and may not solicit funds from meal recipients if food received by the HDM provider include USDA donated food.

NSIP policy requires Title XX HDM providers to ask individuals for voluntary donations towards the cost of the meals. Title XX HDM program rules, 40 Texas Administrative Code §55.41, will be revised to allow for requests for funds from individuals to voluntarily make donations towards the cost of the meal.

Title XIX HDM individuals are not included in the counts for NSIP funds and the HDM provider must not solicit funds from individuals receiving Title XIX funded meals.

4921 Reporting Requirements for NSIP Eligible Meals

Revision 13-0; Effective September 3, 2013

This section contains instructions for common providers and for provider agencies receiving Title XX funding.

To be eligible for Nutritional Services Incentive Program (NSIP) funds:

1. Meals must be served to:
   • A person 60 years of age or older.
   • A spouse (regardless of age) of a person 60 years of age or older who is receiving an NSIP eligible meal.
2. Meals must meet the minimum nutritional requirements:
   • Contain a minimum of 33 1/3% of the dietary reference intakes (DRIs) daily recommended dietary allowances RDA), as stated in Section 339 of the Older Americans Act.
   • Comply with the most recent Dietary Guidelines for Americans, with the most recent DRIs established by the Department of Aging and Disability Services for Texas.
   • Be based on menus that have prior approval by a dietitian licensed by the Texas State Board of Examiners of Dieticians or who has a degree in food and nutrition, dietetics or food service management.
3. The provider agency must not charge a fee to a meal recipient.
4. The provider agency may accept contributions in accordance with rule 40 Texas Administrative Code Section 55.41(b).

4921.1 Title XX Individual Contributions to Meals

Revision 13-0; Effective September 3, 2013

The following procedures are to be used by Title XX HDM providers when requesting donations from Title XX HDM individuals. These same procedures are used by Area Agencies on Aging (AAA) HDM providers.

Title XX HDM providers:

• must provide an individual with an opportunity to donate toward the cost of the meal;
• must not require an individual to donate towards the cost of the meal;
• may provide an individual with a donation schedule that only suggests an amount based on the income range of the program population being served, but may not determine an individual's income using an income test;
• must protect the individual's privacy with respect to the individual's donations;
• must establish appropriate procedures to secure and account for all donations made; and
• must use all of the individual's donations to support or expand services for which the individual donated, in accordance to state and federal laws, rules and regulations.

HDM providers are responsible for ensuring individuals receiving Title XX HDM do not feel pressured or harassed to contribute to the cost of meals. Historically, individuals receiving Title XX HDM have lower incomes and decreased ability to contribute to the cost of services.

4921.2 Common Providers

Revision 13-0; Effective September 3, 2013

Common providers must prepare two separate reports for Nutritional Services Incentive Program (NSIP) eligible meals.

Common providers must report all Title XX meals monthly using the procedures outlined below.

What to Report: The number of Title XX meals provided in the previous month. 
Required Form: Form 2071, Monthly Report of Nutrition Services Incentive Program (NSIP) Eligible Meals and Title XX Meals. 
Report To: DADS contract manager. 
Due Date of Report: 10th of each month. 
Common Providers must report all Area Agency on Aging (AAA) meals and all other NSIP eligible meals using the procedures outlined below. 
What to Report: The number of AAA meals and all other NSIP eligible meals provided in the previous month. 
Required Form: Use the method established by the AAA. 
Report To: Designated AAA contact. 
Due Date of Report: Established by the AAA.

4921.3 DADS Title XX-Only Provider Agencies

Revision 13-0; Effective September 3, 2013

Provider agencies receiving Title XX funds must prepare a single monthly report of Nutritional Services Incentive Program (NSIP) eligible meals. Monthly reporting must include Title XX meals as well as other NSIP eligible meals using the procedures outlined below.

What to Report: The number of NSIP eligible Title XX meals and other NSIP eligible meals provided in the previous month. 
Required Form: Form 2071, Monthly Report of Nutrition Services Incentive Program (NSIP) Eligible Meals and Title XX Meals. 
Report To: DADS contract manager 
Due Date of Report: 10th of each month.

DADS collects and aggregates this information in order to comply with OAA reporting requirements.

4922 Other Requirements

Revision 13-0; Effective September 3, 2013

Required Supporting Documentation

A provider agency participating in the NSIP program must maintain eligibility documentation as outlined in Form 2071, Monthly Report of Nutrition Services Incentive Program (NSIP) Eligible Meals and Title XX Meals, including site rosters and documented eligibility for all meals reported.

Department of Aging and Disability Services (DADS) contract management or Area Agency on Aging (AAA) staff, or both, will conduct on-site reviews to verify provider agencies are maintaining the required information. AAA or DADS contract management staff will each reconcile the information on the site roster and supporting documentation with the number of eligible meals reported. If errors are found, the provider agency may need to take corrective action.

Records Maintenance

A provider agency must maintain a copy of all documentation related to eligible meals reported as NSIP eligible, according to the terms of its contract or until all audits, claims or litigation have been resolved.

Revision 13-0; Effective September 3, 2013

5110 Billing and Claims Payment, Rule

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.41.

Rule Section 55.41, regarding reimbursement of two consecutive failed delivery of meals, is applicable unless otherwise stated. See 4300, Service Requirements, Rule, for billing exception.

5120 Claims and Payment Information

Revision 13-0; Effective September 3, 2013

A provider agency may access information about, or request assistance with, claims and payments through the Texas Medicaid and Healthcare Partnership (TMHP) website on the Provider for Long Term Care Web page.

Revision 13-0; Effective September 3, 2013

5210 HHSC Rate Analysis

Revision 13-0; Effective September 3, 2013

A provider agency may access rate information at the Health and Human Services Commission 
(HHSC) Rate Analysis website.

5220 Reimbursement Methodology for Home-Delivered Meals, Rule

Revision 13-0; Effective September 3, 2013

1 Texas Administrative Code Section 355.511.

See Appendix III, Cost Determination Process, for information.

5230 Budget-Based Rate Negotiation

Revision 13-0; Effective September 3, 2013

The Department of Aging and Disability Services (DADS) posts budget-based rate negotiation documents and detailed instructions on the Home-Delivered Meals (HDM) provider page.

A provider agency must use these documents during budget-based rate negotiations with the DADS contract manager to develop a per meal unit rate for the upcoming Federal Fiscal Year (FFY). In addition, a provider agency that is a common provider will be contacted by its Area Agency on Aging (AAA) to negotiate per meal unit rates for those meals. AAAs and DADS continue to jointly negotiate budgets and rates for common providers.

DADS contract managers and provider agencies, as applicable, will review projected expenses for the coming FFY in conjunction with final budget numbers for the most current completed fiscal year and apply cost allocation methodology and cost principles to arrive at the appropriate per meal unit rate for the upcoming FFY. The contract specific rate cannot exceed the unit reimbursement rate established by the Texas Health and Human Services Commission.

For additional information on delivery of fewer than five hot meals per week, see 4310, Waiver Request.

Revision 13-0; Effective September 3, 2013

40 Texas Administrative Code, Section 55.43.

Revision 13-0; Effective September 3, 2013

A complaint is a situation, problem or concern that alleges abuse, neglect or exploitation of an individual, may pose a health or safety threat, may cause harm or that appears to be a violation of state standards, program standards or contract requirements. The complaint may be general or specific, and could involve the provider agency’s staff, beneficiaries, volunteers, physical environment, administration or services.

In accordance with Human Resources Code, Chapter 48, Subchapter B, a person must report to the Texas Department of Family and Protective Services (DFPS) Adult Protective Services (APS) if the person has cause to believe that an elderly or disabled person is in the state of abuse, neglect or exploitation. A provider agency must also report any suspected cases of abuse, neglect or exploitation to DFPS Adult Protective Services.

When the reporter contacts APS to report abuse, neglect or exploitation, the reporter is filing a complaint alleging that harm may be occurring, or may have occurred. If APS determines the harm does not meet its threshold for conducting an investigation, the report is forwarded to the Department of Aging and Disability Services (DADS) Consumer Rights and Services for follow up.

In situations where the provider agency receives a complaint regarding services from the individual or the individual’s designated representative, the provider agency must document and investigate the complaint. Title 40 Texas Administrative Code, Section 49.17, defines complaint procedures. If the complaint alleges abuse, neglect or exploitation, the provider agency must submit a report to APS, as previously stated.

The provider agency must send the documented complaint and resolution to the assigned DADS contract manager and must send a copy to the DADS staff if the complaint was submitted by a DADS staff member, who may have reported on behalf or in place of the individual, as applicable.

A contract manager monitors for compliance with this requirement. A contract manager looks for possible violations of contract and program requirements when reviewing the complaint log and the provider agency's investigation of the complaint.

6210 Notification of Rights and Responsibilities and Complaint Procedure

Revision 13-0; Effective September 3, 2013

Notification

A provider agency of Title XIX and Title XX Home-Delivered Meals (HDM) is required by 40 Texas Administrative Code, Section 49.18, to notify, orally and in writing and annually, each individual or authorized representative of the individual’s rights and responsibilities under Texas Human Resources Code, Chapter 102, Rights of the Elderly; and procedures for filing a complaint, including the name, title and telephone number of the person to whom a verbal complaint may be made.

A provider agency may use “Your Rights In a Home and Community-Based Services (HCS) Program (PDF)” booklet to inform an individual or the individual’s representative of this information.

Also, a provider agency may order copies of the booklet by emailing crscomplaints@dads.state.tx.us. The provider agency must note in the subject line of the email that Consumer Rights booklets are being requested, and include the following in the body of the email:

• Name of the Consumer Rights booklet requested;
• Number of booklets requested; and
• Physical address to which the booklets are to be delivered.

Documentation

A provider agency must document delivery of the notification in one of two ways:

• By developing a form for documenting that it has notified an individual or authorized representative of rights and responsibilities and of procedures for filing a complaint; or
• By using Form 3053, Notification of Rights and Responsibilities, Complaint Procedures, and Allegations of Abuse, Neglect or Exploitation.

The provider agency must keep the signed and dated original notification form in the individual’s 
record and must give the individual or authorized representative a copy of the signed and dated form.

Revision 13-0; Effective September 3, 2013

The Department of Aging and Disability Services created a Contract and Fiscal Compliance Monitoring Tool for the Home-Delivered Meals (HDM) Program.

Note: Scroll down the Web page to locate the tool for the HDM program.

A provider agency should direct questions about the tool or requests for additional assistance to its contract manager.

Revision 13-0; Effective September 3, 2013

A provider agency must report suspected waste, fraud or abuse in health and human services programs to the Texas State Auditor's Office at 1-800-TX-AUDIT (1-800-892-8348), and to the HHSC Office of Inspector General at 1-800-436-6184.

Additional reporting resources are:

• DADS Consumer Rights and Services (CRS) Complaint Intake Hotline: 1-800-458-9858;
• DADS contract manager; or
• DADS case manager.

All reports are kept confidential except as required by state or federal law. For further information, visit the site at How Do I Report Suspected Fraud or Misuse of State Resources?.

Revision 13-0; Effective September 3, 2013 

This appendix is available online only at the following website:
http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=4&ti=40&pt=1&ch=49&rl=Y

Revision 13-1; Effective September 13, 2013

The Department of Aging and Disability Services (DADS) deployed the Home-Delivered Meals (HDM) Provider Manual on Sept. 3, 2013. This manual contains all contract guidelines that were formerly found in Information Letters (ILs).

Content in the provider manual supersedes any previous ILs or similar guidance published by DADS. The ILs that were retired are listed below. DADS recommends that providers remove the ILs from their records to ensure they reference the most current information.

If there are questions about the revised HDM provider manual or any of the ILs that were retired, send an email to PDO@dads.state.tx.us.

Revision Notice 15-1; Effective January 16, 2015

Revision Notice 14-1; Effective September 19, 2014

Revision Notice 13-1; Effective September 13, 2013

Revision Notice 13-0; Effective September 3, 2013

The replaces the Contracting to Provide Home-Delivered Meals Handbook.