Library: Policy

340:105-10-89. Disease prevention and health promotion services

Revised 9-14-24

(a) Policy. The Area Agency on Aging (AAA) awards grants to local entities to provide disease prevention and health promotion services and information at multipurpose senior centers, congregate meal sites, through home delivered meals programs, or other appropriate sites. Disease prevention and health promotion services include:

(1) health risk assessments;

(2) routine health screening, such as hypertension, glaucoma, cholesterol, cancer, vision, hearing, diabetes, bone density, oral health, and nutrition screening;

(3) nutritional counseling and educational services for older persons and their primary caregivers;

(4) health promotion programs, including programs relating to preventing and reducing the effects of chronic disabling conditions, such as osteoporosis or cardiovascular disease; and promoting dental care, alcohol and substance abuse reduction, smoking cessation, weight loss and control, and stress management;

(5) programs regarding physical fitness, group exercise, and music, art, and dance movement therapy, including multigenerational participation programs provided by a:

(A) higher education institution;

(B) local educational agency, as defined in Section 1471 of the Elementary and Secondary Education Act of 1965; or

(6) home injury control services, including high-risk home environment screenings and educational programs on fall, fracture, or other injury prevention;

(7) depression prevention screening, community mental health services coordination, provision of educational activities, and psychiatric and psychological services referral;

(8) educational programs on the availability, benefits, and appropriate use of preventive health services covered under Title XVIII of the Social Security Act;

(9) medication management screening and education to prevent incorrect medication and adverse drug reactions;

(10) information concerning diagnosis, prevention, treatment, and rehabilitation concerning age related diseases and chronic disabling conditions, including osteoporosis, cardiovascular diseases, diabetes, and Alzheimer's disease and related disorders with neurological and organic brain dysfunction;

(11) gerontological counseling; and

(12) social services counseling and follow-up health services based on any of the services described in (1) through (11) of this subsection.

(b) Authority. The authority for this Section is Sections 102(12), 361, and 362 of the Older Americans Act of 1965, as Amended.

(1) receives input from other entities in the planning and service area (PSA) involved with disease prevention and health promotion regarding targeting AAA funds;

(2) considers using funds to expand successful disease prevention and health promotion activities currently funded by Title III-B or other sources in the community, such as annual health fairs or periodic health screenings at nutrition sites;

(3) seeks technical assistance, as appropriate, from Oklahoma Human Services (OKDHS) Community Living, Aging and Protective Services (CAP) staff;

(4) submits a plan to OKDHS CAP to include:

(A) services funded. Services funded do not include those for which payment is made under Titles XVIII and XIX of the Social Security Act;

(B) projected expenditures for each service; and

(C) specific objectives to target services to the medically underserved older persons in the PSA. The definition of medically underserved, which is used to allocate the funding, is stated in the area plan and chosen from:

(i) the definition outlined by the Public Health Service Bureau of Health Care Delivery, Department of Health and Human Services;

(ii) a definition developed by the Oklahoma State Department of Health; or

(iii) any other definition in keeping with the intent of assisting medically underserved older persons; and

(5) ensures Title III-D disease prevention and health promotion programs or services meet the minimum requirements in this paragraph.

(A) The program meets the requirements of the Administration for Community Living Evidence-Based definition including:

(i) demonstrated effectiveness through evaluation in improving health and wellbeing or reducing disease, disability or injury among older adults;

(ii) proven effectiveness with older adult population, using experimental or quasi-experimental design;

(iii) published research results in a peer-reviewed journal;

(iv) full translation in one or more community sites; and

(v) developed dissemination products that are available to the public.

(B) The program is considered an evidenced-based program by any operating division of the United States Department of Health and Human Services and is shown to be effective and appropriate for older adults.

(d) Cross references. See Oklahoma Administrative Code 340:105-10-50.1(a)(15-16) and 340:105-10-51.