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DOA -734 <br />(revised 03/12) <br />July 1, 2012 through June 30, 2013 <br />Home and Community Care Block Grant for Older Adults <br />Community Service Provider <br />Standard Assurances <br />agrees to provide services through the Home and <br />(Name of Provider) <br />Community Care Block Grant, as specified on the Provider Services Summary (DOA -732) in <br />accordance with the following: <br />Services shall be provided in accordance with requirements set forth in <br />a) The County Funding Plan; <br />b) The Division of Aging Home and Community Care Block Grant Procedures <br />Manual for Community Service Providers; and <br />C) The Division of Aging Services Standards Manual, Volumes I through IV. <br />Community service providers shall monitor any contracts with providers of Block <br />Grant services and take appropriate measures to ensure that services are provided in <br />accordance with the aforementioned documents. <br />2. Priority shall be given to providing services to those older persons with the greatest <br />economic or social needs, with particular attention to low- income minority <br />individuals. The service needs of low- income minority elderly will be addressed in the <br />manner specified on the Methodology to Address Service Needs of Low - Income <br />Minority Elderly format, (DOA -733). <br />The following service authorization activities will be carried out in conjunction with <br />all services provided through the Block Grant: <br />a) Eligibility determination; <br />b) Client intake /registration; <br />C) Client assessment/reassessments and quarterly visits, as appropriate; <br />d) Determining the amount of services to be received by the client; and <br />e) Reviewing cost sharing/voluntary contributions policies with eligible clients. <br />F -3 <br />Attachment number 2 <br />Page 99 <br />