Missouri Meal and Nutrition Agency Policy Manual
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The Missouri Meal and Nutrition Agency Policy Manual provides a comprehensive operational framework for agencies delivering meal and nutrition services to older adults, individuals with disabilities, and others in need of nutritional support in Missouri. This manual aligns with the regulations established by the Missouri Department of Health and Senior Services (DHSS) and the Missouri Department of Mental Health (DMH), including applicable sections of the Missouri Medicaid Provider Manual and state licensing standards. 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 Aged and Disabled Waiver, the Independent Living Waiver, and the Comprehensive Waiver. The manual includes policies and procedures covering agency licensing and certification, participant eligibility and assessment, meal planning and preparation, dietary guidelines compliance, food safety and sanitation, meal delivery standards, staff qualifications and training, client rights and protections, emergency preparedness, incident management, documentation and billing, and quality assurance. It promotes the delivery of nutritious, culturally appropriate meals that meet the dietary needs and preferences of program participants, supporting overall health and well-being. This manual serves as a foundational resource for meal and nutrition agencies in Missouri, ensuring the delivery of high-quality, compliant services that reduce food insecurity, promote independent living, and enhance the quality of life for individuals receiving nutritional support.