HomeMy WebLinkAboutS Grant - Home and Community Care Block Grant for Older Adults, Funding FY 2003-200423
DOA-734
~ (revised 1/99)
July 1, 2003 through June 30, 2004
Home and Community Care Block Grant for Older Adults
Community Service Provider
Standard Assurances
int Orange-Chatham Community Action. Inc agrees to provide services through the Home and
(Name of Provider)
Community .Care Block Grant, as specified on the Provider Services Summary (DOA-732) in
accordance with the following:
1. Services shall be provided in accordance with requirements set forth in:
a) The County Funding Plan;
b} The Division of Aging Home and Community Care Block Grant Procedures
Manual for Community Service Providers; and
c) The Division of Aging Services Standazds 1VIanua1, Volumes I through N.
Community service providers shall monitor any contracts with providers of Block
Grant services and take appropriate measures to ensure that services aze provided in
accordance with the aforementioned documents.
2. Priority shall be given to providing services to those older persons with the greatest
economic or social needs, with pazticulaz attention to low-income minority
individuals. The service needs oflow-income minority elderly will be addressed in the
manner specified on the MethodoloQV to Address Service Needs ofLow-Income
Minority Elderly format, (DOA-733).
3. The following service authorization activities will be carried out in conjunction with
all services provided through the Block Grant:
a) Eligibility determination;
b) Client intake/registration;
c) Client assessment/reassessments and quarterly visits, as appropriate;
d) Determining the amount of services to be received by the client; and
e)~ Reviewing cost sharing/voluntary contributions policies with eligible clients.
4. All licenses, permits, bonds, and insurance necessary for carrying out Block Grant
Services will be maintained by the community service provider and any contracted
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DOA-734
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providers.
5. As specified in 45 CFR 92.36(b)(11), community service providers shall have
procedures for settling all contractual and administrative issues arising out of
procurement of services through the Block Grant. Community service providers shall
have procedures governing the evaluation of bids for services and procedures through
which bidders and contracted providers may appeal or dispute a decision made by the
community service provider. .
6. Applicant/Client~appeals shall be addressed as specified in Section 7 of the Division of
Aging Home and Community Care Block Grant Manual for Community Service
Providers, dated February 17, 1997.
7. Community service providers are responsible for providing or arranging for the
provision of required local match, as specified on the Provider Services Summary,
(DOA-732). Local match shall be expended simultaneously with Block Grant .
funding.
8. Providers expending $300,000 or more in federal financial assistance through the
Home and Community Care Block Grant, or in combination with other federal funding
shall receive an annual independent audit which meets the requirements of the
Division of Aging Program Audit Guide for Aging Services, applicable North Carolina
General Statutes and Local Government Commission requirements, and OMB Circular
A-133. For-profit community service providers shall have an annual compliance audit
which meets the requirements of A=133. The audit shall be performed within nine (9)
months of the close of the provider's fiscal year. Upon completion of-the audit, non-
profit and for-profit providers shall provide a copy of the audit report and any opinion
letter simultaneously to the County and the Area Agency. Federal funds will not
reimburse the cost of a single audit if the total of all federal funds expended by the
provider is less than $300,000
9. Compliance with Equal Employment Opportunity and Americans With Disabilities
Act requirements, as specified in paragraph fourteen (14) of the Agreement for the
Provision of County A i~ng-Based Services (DOA-735) shall be maintained.
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DOA-734
(revised 1/99}--
10. Providers In-Home Aide, Home Health, Housing and Home Improvement, and Adult
Day Care or Adult Day Health Care shall sign and return the attached assurance to the
area agency on aging indicating that recipients of these services have been informed of
their client rights, as required in Section 314 of the 1992 Amendments to the Older
Americans Act.
Authorized Signature) (Date)
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Standard Assurance to Comply with Older Americans Act
Requirements Regarding Client Rights
for
Agencies Providing In-Home Services through the
Home and Community Care Block Grant for Older Adults
As a provider of one or more of the services listed below, our agency agrees to notify all
Home and Community Care Block Grant clients receiving any of the below listed services
provided by this agency of the their rights as a service recipient. Services included in this
assurance include: .
-1n-Home Aide
-Home Care (home health) .
-Housing and Home Improvement
-Adult Day Care or Adult Day Health Care
Not cation will include, at a minimum, an oral review of the information outlined below as well
as providing each service recipient with a copy of the information in written form. In addition,
providers of in-home services will establish a procedure to document that client rights
information has been discussed with in-home services clients (e.g. copy of signed Client Bill
of Rights statement). .
Client Rights information to be communicated to service recipients will include, at a minimum,
the right to:
-be fully informed, in advance, about each in-home .
service to be .provided and any change in service(s)
that may affect the well-being of the participate;
-participate in planning and changing any in-home service
provided unless the client is adjudicated incompetent;
-voice a grievance with respect to service that is or fails
to be provided, without discrimination or reprisal as a
result of voicing a grievance;
. -confidentiality of records relating to the individual;
-have property treated with respect; and
-be fully informed both orally and in 'writing, in advance
of receiving an in-home service, of the individual's rights and obligations.
Client Rights will be distributed to, and discussed with, each 'new client receiving one or more
of the above listed services prior to the on-set of service. For all existing clients, the above
information will be provided no later than the next regularly scheduled service reassessment.
Agency Name: Joint Orange-Chatham CommunitX Action 7n
Name of Ageninistrator;~ Sandra 1t. Sanchez
Signature: _
(Please return o your
April 24, 2003
on Aging and retain a copy for your files.)