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DOA -734 <br />(revised 4/10) <br />July 1, 2010 through June 30, 2011 <br />Home and Community Care Block Grant for Older Adults <br />Community Service Provider <br />Standard Assurances <br />Cabar-us County Department of Aging agrees to provide services through the Home and <br />(Name of Provider) <br />Community Care Block Grant, as specified on the Provider Services Summate (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 />3. 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 />4. All licenses, permits, bonds, and insurance necessary for carrying out Block Grant <br />Services will be maintained by the community service provider and any contract0achment number 1 <br />F -1 Page 85 <br />