SECTION 340:105-10-59. Outreach service assessment  


Latest version.
  • (a)   Policy. Each person who desires to receive outreach service completes Form 02AG002E, Older Americans Act Assessment, Part I. Form 02AG002E provides the person information about the outreach service and other Title III of the Older Americans Act (OAA) of 1965 services, and allows staff to obtain necessary information to better serve the needs of the person as a service participant.
    (b)   Procedures.
    (1)   At the initial interview, the outreach worker discusses all aspects of program participation, including the opportunity to contribute to the cost of outreach and other Title III services, as appropriate.
    (2)   The outreach worker does not require written verification of any assessment information gathered to complete Form 02AG002E. Participant assessment information includes:
    (A)   name, address, and telephone number;
    (B)   age, sex, race, and date of birth;
    (C)   name, address, and telephone number of emergency contact(s);
    (D)   name, address, and telephone number of physician;
    (E)   special dietary needs, only when participant is applying for congregate meals or home delivered meals services;
    (F)   diagnosed medical conditions;
    (G)   current medications;
    (H)   accommodations required for disabilities;
    (I)   transportation resources;
    (J)   Title III services requested or needed;
    (K)   reasons for requesting outreach or other Title III services;
    (L)   need for additional community resources;
    (M)   income sources. Income source information is not required to receive OAA Title III services and is only used to assist the participant in determining eligibility for programs with income guidelines; and
    (N)   status related to poverty level.
    (3)   The outreach worker or other appropriate project staff conducts a face-to-face re-assessment interview with the participant. Re-assessments are required every six months for some Title III services, such as home delivered meals.
    (c)   Authority. The authority for this Section is Section 1321.11(a) of Title 45 of the Code of Federal Regulations.
    (d)   Cross references. See OAC 340:105-10-50.1(a)(14), 340:105-10-51, 340:105-10-54(a)(3), 340:105-10-57, 340:105-10-58, and 340:105-10-60.
[Source: Added at 11 Ok Reg 673, eff 11-29-93 (emergency); Added at 11 Ok Reg 2771, eff 6-13-94; Amended at 16 Ok Reg 1983, eff 6-11-99; Amended at 19 Ok Reg 1170, eff 5-13-02; Amended at 23 Ok Reg 1062, eff 7-15-06; Amended at 24 Ok Reg 1325, eff 6-1-07]