New Hampshire Meal & Nutrition Agency Policy Manual

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The New Hampshire Meal & Nutrition Agency Policy Manual provides a comprehensive operational framework for agencies delivering meal and nutrition services to older adults, individuals with disabilities, and others at nutritional risk across New Hampshire. This manual aligns with the regulations established by the New Hampshire Department of Health and Human Services (DHHS), including the Bureau of Elderly and Adult Services (BEAS), and complies with federal guidelines under the Older Americans Act (OAA), the Supplemental Nutrition Assistance Program (SNAP), and Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Choices for Independence (CFI) Waiver. The manual includes policies and procedures governing agency enrollment and oversight, participant eligibility and nutritional risk screening, individualized nutrition service planning, meal preparation and delivery (including home-delivered and congregate meal services), dietary guidelines and menu approval, food safety and sanitation standards, staff and volunteer training, participant rights and protections, emergency preparedness, documentation and billing, incident reporting, and continuous quality assurance. It promotes access to safe, nutritious, and culturally appropriate meals that support health, reduce food insecurity, and encourage independent living. This manual serves as a foundational resource for meal and nutrition providers in New Hampshire, ensuring the delivery of high-quality, compliant services that enhance well-being, prevent malnutrition, and foster community connection.