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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Home-delivered meals

Page posted: 10/1/03

Page reviewed: 11/14/16

Page updated: 11/14/16

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Alternative Care (AC) program (Minn. Stat. §256B.0913)

Definition

Home-delivered meal: An appropriate, nutritionally balanced meal that is delivered to the person’s home.

Eligibility

AC and EW

To receive this service under the AC and EW programs:

  • • The person must be age 18 or older
  • • The service must be the most cost-effective method to provide the person with a nutritionally balanced meal.
  • BI, CAC, CADI and DD

    To receive this service under the BI, CAC, CADI and DD waivers:

  • • The person must be age 18 or older and unable to prepare his or her own meals
  • • The service must be the most cost-effective method to provide the person with a nutritionally balanced meal
  • • No one else is available to prepare the meals.
  • Non-covered services

    If a person receives a meal as part of another service or funding source, he or she cannot receive a home-delivered meal. Examples of other services or funding sources may include:

    Secondary information

    AC/EW and Title IIIC of the Older Americans Act

    A person on the AC or EW program may access home-delivered meals through Title IIIC when the lead agency cannot authorize the service or amount of service the person needs within his or her program budget cap.

    Assessed need

    This service must meet one of the person’s assessed needs and be documented in his or her support plan.

    Examples of how to use this service

    Here are some examples of how to use this service:

  • • A person cannot use this service solely to save money on his or her food budget.
  • • A person may use this service if he or she has a health condition and needs help to prepare meals that meet his or her dietary needs.
  • Service amount

    The person can receive up to one home-delivered meal per day.

    Settings

    A person may choose to receive the home-delivered meal in either:

  • • His or her home
  • • A common dining space separate from his or her apartment if it is located in the building where he or she resides.
  • A person does not need to have a permanent home to receive home-delivered meals.

    Provider standards and qualifications

    Home-delivered meals are DHS enrollment-required services. For more information, see CBSM – Waiver/AC service provider overview.

    Eligible providers

    The following providers may provide home-delivered meals:

  • • Hospitals
  • • Restaurants
  • • Schools
  • • Others that provide home-delivered meals and meet the additional provider requirements below.
  • Additional provider requirements

    A home-delivered meal provider must:

  • • Comply with all state and local health regulations and ordinances related to food preparation, handling and serving, as defined under Minn. R. 4626.0010 to 4626.2025
  • • Use insulated hot and cold containers to assure that food is delivered at appropriate temperatures.
  • A home-delivered meal must:

  • • Contain at least one-third of the current Recommended Dietary Allowance (RDA) as established by the Food and Nutrition Board of the National Academy of Sciences, National Research Council
  • • Be modified, as needed, to meet the person’s dietary requirements.
  • A licensed dietician or licensed nutritionist must review and approve menu plans.

    Authorization, rates and billing

    The lead agency authorizes home-delivered meals at the pre-determined rate. For more information, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

    Additional resources

    CBSM – Waiver general process and procedures (BI, CAC, CADI, DD)
    CBSM – Waiver programs overview

    CBSM – Waiver/AC provider enrollment and standards
    MinnesotaHelp.info

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