Maryland Meal & Nutrition Agency Policy Manual

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The Maryland Meal & Nutrition Agency Policy Manual provides a comprehensive framework for the operation of state-compliant agencies delivering meal and nutrition services to individuals in need of nutritious meals and dietary support in Maryland. This manual aligns with the Code of Maryland Regulations (COMAR), including applicable sections under COMAR 10.09 and regulations established by the Maryland Department of Health (MDH). It also ensures compliance with federal guidelines under the Older Americans Act (OAA), the Supplemental Nutrition Assistance Program (SNAP), and Medicaid waiver programs such as the Community First Choice (CFC) and Community Options Waiver. The manual includes policies and procedures covering agency licensing and certification, nutrition assessment and service planning, meal preparation and delivery standards, dietary guidelines compliance, food safety and sanitation, staff qualifications and training, client rights and protections, emergency preparedness, and quality assurance. It supports person-centered approaches to meal services, accommodating dietary needs, cultural preferences, and medical requirements to promote overall health and well-being. This manual serves as an essential resource for meal and nutrition agencies in Maryland, ensuring the delivery of high-quality, safe, and nutritious meals while maintaining compliance with state and federal regulations. It supports agencies in providing vital nutritional services that enhance the health and independence of clients within their communities.