Virginia Child Nutrition and Home-Based Services Policy Manual
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The Virginia ADM-1.0 Administration Policy establishes the framework for compliance with federal regulations for child nutrition programs (7 CFR Parts 210, 220, 225, 226) and Virginia’s Home and Community-Based Services (HCBS) regulations (12VAC30-120-900). This policy ensures that providers deliver high-quality, compliant services that promote health, safety, and community integration for children and individuals receiving Medicaid waiver services. It aligns with the Virginia Department of Medical Assistance Services (DMAS), the U.S. Department of Agriculture (USDA), and federal HCBS Final Rule requirements.
For child nutrition programs, providers must adhere to federal standards for meal patterns, nutritional guidelines, and documentation practices. This includes maintaining accurate records of meal components, attendance logs, and nutrient analysis for programs such as the National School Lunch Program (NSLP), School Breakfast Program (SBP), Summer Food Service Program (SFSP), and Child and Adult Care Food Program (CACFP). Providers must ensure meals meet age-appropriate dietary requirements and accommodate special dietary needs while adhering to accessibility standards.
For HCBS services under 12VAC30-120-900, providers must document individualized service plans (ISPs), progress notes, and community integration activities that align with person-centered care principles. Documentation must reflect the individual’s preferences, goals, and outcomes while ensuring compliance with Medicaid waiver requirements for private duty nursing, consumer-directed care, and other waivered services. Providers are required to maintain records securely and retain them for specified periods to support audits and regulatory reviews.
This policy emphasizes the importance of accurate record-keeping to ensure compliance with state and federal regulations while delivering high-quality services. By adhering to 7 CFR Parts 210-226 and 12VAC30-120-900, providers can promote health equity through child nutrition programs and foster independence through person-centered HCBS services in Virginia.