Washington Meal & Nutrition Agency Policy Manual

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The Washington Meal & Nutrition Agency Policy Manual provides a comprehensive operational framework for agencies delivering meal and nutrition services to older adults, individuals with disabilities, and other nutritionally at-risk populations throughout Washington State. This manual aligns with the regulations established by the Washington State Department of Social and Health Services (DSHS), including the Aging and Long-Term Support Administration (ALTSA), and complies with federal guidelines under the Older Americans Act (OAA), as well as Medicaid Home and Community-Based Services (HCBS) waiver programs. The manual includes policies and procedures governing agency certification and oversight, participant eligibility and nutrition risk screening, person-centered nutrition planning, meal preparation and delivery (home-delivered and congregate), dietary guidelines compliance, food safety and sanitation standards, staff and volunteer training, participant rights and protections, emergency meal planning, incident reporting, documentation and billing, and quality assurance. It promotes the delivery of safe, nutritious, and culturally appropriate meals that support health, independence, and community living. This manual serves as a foundational resource for meal and nutrition providers in Washington, ensuring the delivery of high-quality, compliant services that reduce food insecurity, support chronic disease management, and improve the overall well-being of individuals receiving nutritional support.