SECTION 340:105-10-89. Disease prevention and health promotion services

(a)   Policy. The Area Agency on Aging (AAA) makes grants to local entities to provide disease prevention and health promotion services and information at multipurpose senior centers, congregate meal sites, through home delivered meals programs, or other appropriate sites. Disease prevention and health promotion services include:

(1)   health risk assessments;

(2)   routine health screening, such as hypertension, glaucoma, cholesterol, cancer, vision, hearing, diabetes, bone density, oral health, and nutrition screening;

(3)   nutritional counseling and educational services for older persons and their primary caregivers;

(4)   health promotion programs, including programs relating to prevention and reduction of the effects of chronic disabling conditions, such as osteoporosis; cardiovascular disease; dental care; alcohol and substance abuse reduction; smoking cessation; weight loss and control; and stress management;

(5)   programs regarding physical fitness, group exercise, and music, art, and dance movement therapy, including programs for multigenerational participation provided by:

(A)   an institution of higher education;

(B)   a local educational agency, as defined in Section 1471 of the Elementary and Secondary Education Act of 1965; or

(C)   a community-based organization;

(6)   home injury control services, including screening of high risk home environments and provision of educational programs on injury prevention, such as fall and fracture prevention;

(7)   screening for the prevention of depression, coordination of community mental health services, provision of educational activities, and referral to psychiatric and psychological services;

(8)   educational programs on the availability, benefits, and appropriate use of preventive health services covered under Title XVIII of the Social Security Act;

(9)   medication management screening and education to prevent incorrect medication and adverse drug reactions;

(10)   information concerning diagnosis, prevention, treatment, and rehabilitation concerning age related diseases and chronic disabling conditions, including osteoporosis, cardiovascular diseases, diabetes, and Alzheimer's disease and related disorders with neurological and organic brain dysfunction;

(11)   gerontological counseling; and

(12)   counseling regarding social services and follow-up health services based on any of the services described in (1) through (11) of this subsection.

(b)   Authority. The authority for this Section is Sections 102(12), 361, and 362 of the Older Americans Act of 1965, as amended.

(c)   Procedures. The requirements for implementing this Section are outlined in this subsection. The AAA:

(1)   receives input from other entities in the planning and service area involved with disease prevention and health promotion regarding targeting of funds;

(2)   considers use of funds to expand successful disease prevention and health promotion activities currently funded by Title III-B or other sources in the community, such as annual health fairs or periodic health screenings at nutrition sites;

(3)   seeks technical assistance, as appropriate, from the State Agency staff; and

(4)   submits a plan to the State Agency to include:

(A)   services funded. Services funded do not include those for which payment may be made under Titles XVIII and XIX of the Social Security Act;

(B)   projected expenditures for each service; and

(C)   specific objectives to target services to the medically underserved older persons in the planning and service area (PSA). The definition of medically underserved used to allocate the funding is stated in the Area Plan and chosen from:

(i)   the definition outlined by the Public Health Service Bureau of Health Care Delivery, Department of Health and Human Services;

(ii)   a definition developed by the Oklahoma State Department of Health; or

(iii)   any other definition in keeping with the intent of assisting medically underserved older persons.

(d)   Cross references. See OAC 340:105-10-50.1(a)(15)(C) and 340:105-10-51.

[Source: Added at 11 Ok Reg 673, eff 11-29-93 (emergency); Added at 11 Ok Reg 2771, eff 6-13-94; Amended at 19 Ok Reg 1170, eff 5-13-02; Amended at 21 Ok Reg 898, eff 4-26-04; Amended at 22 Ok Reg 897, eff 5-12-05]