An Area Agency on Aging shall be responsible for recruiting and employing adequate numbers of staff members to develop and administer its area plan, and to carry out the functions and responsibilities prescribed by the Older Americans Act, Title III regulations and this Manual. The Area Agency on Aging shall develop and implement a staffing plan consistent with Federal and State requirements and the standards listed herein:
Adequate numbers of staff (including members of minority groups), qualified by experience and training, assigned full or part-time to Title III activities; and
Persons knowledgeable-through education and/or experience-in the program area for which they will be responsible (planning, administration, coordination, program activities, etc.).
Area Agency on Aging shall use grants or contracts with service providers to provide all services under this part unless the Department decides that direct provision of a service by the Area Agency on Aging is necessary to assure an adequate supply of the service, or where the service is directly related to the Area Agency on Aging's administrative functions, or where such service of comparable quality can be provided more economically by the Area Agency on Aging.
The Area Agency on Aging may plan, coordinate, and provide services funded under other programs, if it does not use funds under this part for those services, and if it continues to meet all its Area Agency on Aging responsibilities.
At the time when an Area Agency on Aging submits its area plan, it shall include waiver proposal(s) detailing any intent to utilize Title III B monies to directly deliver services. The proposal(s) shall include a description of the service to be provided directly by the Area Agency on Aging, an estimated budget, and an explanation as to how this service will impact Title III B services in general.
For fiscal years, when the Area Agency on Aging is not required to submit an area plan and the Area Agency on Aging intends to utilize Title III B service monies to directly deliver services for any reason, public notice and the opportunity for public comment shall be given prior to submission of the Area Agency on Aging's annual budget to the Department. Acceptable forms of public notice include a public hearing, a public service announcement, a newsletter, an article or public notice announcement in the Area Agency on Aging's newsletter, or any other method of mass public distribution approved by the Department. The notice is to include, at a minimum, a description of the service to be delivered, an estimated budget, and an explanation as to how this service will impact Title III B service in general.
An Area Agency on Aging shall have written procedures for complying with all of its functions as prescribed in the regulations and this Manual. Such written procedures shall either be incorporated in its area plan, or in an Area Agency on Aging Manual on file at the Area Agency on Aging. The manual shall be available to the Department on request.
Such contracts shall require payment by the corporation to the Area Agency on Aging for the provision of such eldercare services, and may be entered into only in strict conformance with the requirements and limitations herein set forth.
These regulations shall be attached to all eldercare contracts as a condition thereof.
An area plan is the document submitted by an Area Agency on Aging to the Department which outlines the work plan of the Area Agency on Aging for the plan period. The Area Plan also functions as the application for Title III funding from the Department.
The area plan shall contain provisions required by the Act and this Manual and commitments that the Area Agency on Aging shall administer activities funded under Title III in accordance with all Federal and State requirements. The area plan also shall contain a detailed statement of the manner in which the Area Agency on Aging is developing a comprehensive and coordinated system throughout the planning and service area for all services authorized under Title III. An Area Agency on Aging may use its Title III funds only for activities in its approved plan. Any deviation from activities or resource allocation in the approved plan requires prior written approval from the Department.
An area plan shall provide that the Area Agency on Aging functional requirements, as specified in appropriate sections of this Manual, are met for:
An area plan shall provide for the development of a comprehensive and coordinated service delivery system for all supportive and nutrition services needed by older persons in the planning and service area. The Area Agency on Aging may accomplish this purpose by entering into new cooperative arrangements with other service planners and providers to:
An area plan shall provide that the service delivery requirements, as specified in appropriate sections of this Manual, are met for:
In providing such services, special attention should be given to utilizing quality staff, meeting basic standards and use of voluntary relationships.
Services associated with access to other services. These services are transportation, outreach, and information and referral;
In-home services. These services include homemaker and home-health aid, visiting and telephone reassurance, chore maintenance, and supportive services to families of elderly victims of Alzheimers's disease and related disorders with neurological and organic brain dysfunction;
Legal Assistance.
An area plan shall specify:
Shall include, but are not limited to, consideration of older persons with greatest economic or social need in the designation of community focal points;
Shall include targeting of low income clients at a prescribed rate as determined by the Department of all clients served for each service category, and targeting of minority clients at a reasonable level, as determined by the Department, not to be less than the level of the prior planning year; at a minimum, minority targets should reflect the proportion of minority elderly persons to the total elderly population in the towns served by the specific program;
May not include use of a means test. A means test is the use of an older person's income or resources to deny or limit that person's receipt of services under the Act.
An Area Agency on Aging shall amend its area plan if:
An Area Agency on Aging shall:
The Area Agency on Aging shall apply the following standards in the conduct of its public hearing(s);
maximum attendance by interested parties, including representatives of the Advisory Council, other local advisory councils to nutrition and other service providers, and older persons; and accessibility to the handicapped;
The Area Agency on Aging may utilize additional mechanisms to obtain the view of older persons in developing and administering its area plan.
An area plan shall be submitted to the Department in accordance with the schedules and procedures established by the Department.
The following schedule outlines the process for review and approval of area plans or annual updates:
The Department shall provide notification in writing to the Area Agency on Aging of the final actions taken in either approving, approving with conditions, or disapproving its area plan.
The Department shall provide the Area Agency on Aging with a formal notice of approval of the area plan and the amount of approved funds on an appropriate award document.
The Department may approve an area plan with conditions when necessary.
The conditions shall be stated in writing on the award letter to the Area Agency on Aging.
All conditions placed on an approved area plan shall be consistent with the authority delegated to the Department.
When an area plan is approved with conditions, it shall be the responsibility of the grantee to meet these conditions within the specified time frame. As the conditions are met by the grantee, the Department shall officially notify the grantee that all conditions have been met.
Any area plan which is not in conformity with the Older Americans Act, the Federal regulations or the Department's policies shall be disapproved.
When the Department proposes to disapprove an area plan, it shall notify the Area Agency on Aging in writing of its intention and set forth the reasons for the proposed disapproval. The Department shall:
Issue a letter of intent to disapprove the area plan to the Area Agency on Aging indicating the reasons for the proposed disapproval within sixty day of receipt of the area plan; and
Inform the area Agency on Aging of the opportunity for a hearing on the area plan under the provisions of Section 17b-423-2 -(c) of this Manual and shall carry out those procedures.
If, after providing the Area Agency on Aging with a proper opportunity for a hearing, the Department still finds the area plan unacceptable, the Department shall disapprove the plan, using the following procedures:
The Department shall withhold further payments to the Area Agency on Aging.
If the Department terminates funds under the above provision, it shall notify the assistant secretary in writing of its action; provide a plan for the continuity of services in the affected planning and service area; and designate a new Area Agency on Aging in the planning and service area in a timely manner.
The Department may withdraw the Area Agency on Aging designation whenever the Department, after reasonable notice and opportunity for a hearing, finds that:
If the Department withdraws an Area Agency on Aging's designation under subparagraph A of this subdivision, it shall:
An agency that has had its designation as an Area Agency on Aging withdrawn in accordance with the policies in this Manual shall not be considered for redesignation until such time as it can demonstrate to the satisfaction of the Department that changes have occurred to remove the causes that led to the withdrawal of designation. The criteria for designation as an Area Agency on Aging set forth in Section 17b-423-2(b) of this Manual shall apply in all instances of redesignation.
An Area Agency on Aging shall:
No requirement in this section shall be deemed to supersede statutory or other regulatory restrictions regarding lobbying or political advocacy with Federal funds.
In order to facilitate ready access to services provided under the area plan, an Area Agency on Aging shall designate, if feasible, a focal point for comprehensive service delivery in each community.
Each Area Agency on Aging shall establish a Board of Directors. The Board shall be responsible for:
Board members and officers of private agencies or other community agencies or governmental body may serve on the board of directors, but may not vote, participate in discussions, or in any way influence matters related to the financial or contractual affairs of their agency or body. Area Agency on Aging board members shall sign an annual declaratory statement which discloses all other boards and commissions on which they currently serve, and declare their intent to avoid participation in, discussion of, or in any other way influencing, the vote on any issue affecting one of those boards or commissions.
Those ineligible for Board membership are:
The Area Agency Board of Directors shall hold at least ten (10) monthly meetings annually.
The Area Agency on Aging shall provide staff and assistance to the Board of Directors.
The Area Agency on Aging shall develop and make public bylaws which specify the role and function of the Board of Directors, number of members, procedures for selection of member, terms of membership, and frequency of meetings.
Each Area Agency on Aging shall establish an advisory council in accordance with the requirements of this section. The council shall advise the agency on:
The advisory council shall be made up of:
Older persons with greatest economic or social need; and Participants of Older Americans Act programs;
The Area Agency on Aging Advisory Council shall meet at least quarterly.
The Area Agency on Aging shall provide staff and assistance to the Advisory Council.
The Area Agency on Aging shall develop and make public bylaws which specify the role and function of the Advisory Council, number of members, procedures for selection of members, terms of membership, and frequency of meetings.
All service providers under the Older Americans Act shall follow priorities set by the Area Agency on Aging for serving older persons with greatest economic or social need, with particular attention to low-income minority individuals. Service providers may use methods such as selecting certain locations for providing services and specializing in the types of services most needed by these groups to meet this requirement. Service providers may not use a means test.
Each service provider shall:
A service provider that receives funds under the Act may not deny any older person a service because the older person will not or cannot contribute to the cost of the service.
Contributions made by older persons who are recipients of services are considered program income.
Each service provider under the area plan shall have procedures for obtaining the views of participants about the services they receive.
Conn. Agencies Regs. § 17b-423-4