North Carolina Meal & Nutrition Agency Policy Manual
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The North Carolina Meal & Nutrition Agency Policy Manual provides a comprehensive operational framework for agencies delivering nutrition and meal services to older adults, individuals with disabilities, and other vulnerable populations across the State of North Carolina. This manual aligns with regulations established by the North Carolina Department of Health and Human Services (NCDHHS), including the Division of Aging and Adult Services (DAAS) and the Division of Medical Assistance (NC Medicaid), 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. The manual includes policies and procedures governing agency enrollment and certification, participant eligibility and nutrition risk screening, meal planning and delivery (including home-delivered and congregate meals), compliance with USDA Dietary Guidelines, culturally appropriate and medically tailored meals, food safety and sanitation standards, emergency meal protocols, staff and volunteer training, participant rights and protections, documentation and billing practices, incident reporting, and continuous quality assurance. It emphasizes access to safe, nutritious, and person-centered meals that support health, reduce food insecurity, prevent malnutrition, and promote independence and quality of life—particularly for those aging in place or living with disabilities. This manual serves as a foundational resource for meal and nutrition providers in North Carolina, ensuring the delivery of high-quality, compliant, and inclusive services that meet the diverse needs of the individuals they serve.