Assisted Living Waiver Program

Ohio Department of Aging
Ted Strickland, Governor - Barbara E. Riley, Director
50 W. Broad St./9th Floor, Columbus, OH 43215
1-800-266-4346 - TTY: (614) 466-6191
The Department of Aging is an equal opportunity employer and service provider.

http://www.goldenbuckeye.com/providers/al.html

• Ongoing advocacy and representation with national policymakers
• The Voice bi-monthly electronic newsletter
• Discounts on national training workshops and conferences
• A members-only section of the website
• Discounts on NADSA publication
• Daily clips of newspaper articles from across the country on adult day services and other long term care issues
• FutureAge magazine published by AAHSA
• AAHSA’s Weekly Perspectives a letter from Larry Minnix

NADSA Member Benefits

• Affordable Group Health Insurance Coverage for staff members
• Adult Day Services Letter Discount
• Ongoing advocacy and representation with national policymakers
• The Voice quarterly electronic newsletter
• Discounts on national training workshops and conferences
• Access to the members-only advocacy section of nadsa.org
• Discounts on NADSA publications
• AAHSA's This Week
• National daily clips of newspaper articles highlighting adult day services and other long-term care issues
• futureAge magazine
• Letters from Larry Minnix, AAHSA, CEO, on key issues in aging services

Mission

The mission of the National Institute of Arthritis and Musculoskeletal and Skin Diseases is to support research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases, the training of basic and clinical scientists to carry out this research, and the dissemination of information on research progress in these diseases.

Partners in Active Living is a non-profit organization run by and for people who live with mental illness. We believe that peer support

- mutual support - is the idea behind all of our programs, from one-on-one support, activity groups, and social events to educational opportunities.

Partners in Active Living employs mental health consumers -people who have lived through mental illness - to provide non-professional support to other consumers in addition to the professional services they receive elsewhere. Partners is the only consumer-run agency in Franklin County and does not offer psychiatric care, counseling or case-management services, but friends and role models for recovery: people who have learned to live a life with mental illness, and not a life dominated by it.

Partners in Active Living offers a variety of programs and activities for mental health consumers, including the following:

• Partner/Peer Program: one-to-one support for individuals who would like someone to work with them on recovery skills and to decrease isolation and loneliness.
• The WarmLine: a non-crisis, non-professional, telephone service that provides a listening ear to those in need of peer-support. The WarmLine is a collaboration between North Central Mental Health and Partners, and thanks to a grant from the Henry C. Moores Foundation; The WarmLine is open 10pm - 2am, 7 days a week through Parnters at (614) 358-8255. North Central will continue to provide services Monday through Friday days at (614) 421-3180.  
• BRIDGES: This course is open to individuals with a diagnosed mental illness and provides information about mental illness issues and is taught by trained mental health consumers.
• !Socializations! : Partners offers many opportunities every month for mental health consumers to socialize with one another at parties and holiday gatherings. See our calendar or call for  more info.   
• Employment: If you are a mental health consumer, and are at a point where you can help others, call us. Others can benefit from your experience and your example. You can benefit from meaningful, part-time employment and knowing you have helped others like you.
• FYI: is a forum for discussion groups and special presentations. New topics every week!
• Pathway Cluhouse: Located at 1203 E. Broad Street, Columbus, OH  43205.  For any questions you can call - (614) 251-7820 or (614) 251-7824 or (614) 251-7829. 
• Plus, Arts and Crafts, Movies, Movement Group, Journaling Plus, fun and more!

If you have any questions about our services, or would like to receive a monthly calendar, please call us at (614) 298-0974, extension 108 or 109.

The Ohio Hospital Association was established in 1915 and currently represents 170 hospitals and 40 health systems throughout Ohio. OHA has more than 1,900 personal members of 11 affiliated societies,   representing disciplines from hospital marketing to human resources. The association is governed by a 21-member Board of Trustees which includes representatives from each of OHA's four districts – Central, Northeast, Northwest, and Southwest. Current and potential member hospitals adhere to a dues structure established by the Board of Trustees.

OHA works to help its members do what they do best – meet the health care needs of their communities. Whether it's a problem affecting small and rural hospitals, teaching hospitals, specialty hospitals, urban or suburban hospitals, an individual member or specific professional group, OHA is ready to serve. OHA's many accomplishments during 2005 highlight these efforts.

OHA Mission
OHA is a membership-driven organization that provides
proactive leadership to create an environment in which
Ohio hospitals are successful in serving their communities

American Academy of Pediatrics

DEDICATED TO THE HEALTH OF ALL CHILDREN

Ohio Chapter

The Ohio Chapter of the American Academy of Pediatrics promotes the well being of children and adolescents so they may reach their full potential. The Ohio AAP will accomplish this by addressing the needs of children, their families, and their communities, and by supporting Chapter members through advocacy, education, research, service, and improving the systems through which they deliver pediatric care.

Center for Child & Family Advocacy

Mission - Our mission is to foster a safe community by breaking the cycle of violence through coordinated, comprehensive services in the treatment and prevention of child abuse and domestic violence.

Vision - Our vision is to be a national leader in the prevention and intervention of child abuse and domestic violence.

Promise - At the Center for Child and Family Advocacy, we PROMISE:

        You will be our first Priority

You will be treated with Respect and dignity

            You will have an Opportunity to change

                           You will Mend and heal

                 You will have Input into the care you receive

                    You will be Safe

           You will receive Excellent service


Each day in this country, an average of three children die as a result of abuse. The Center for Child and Family Advocacy (CCFA), a joint partnership between the Columbus Coalition Against Family Violence and Columbus Children's Hospital, was born out of the belief that we can do more for abused children and domestic violence victims. Today that belief is translated into a community vision that transforms the way systems respond to victims of family violence.

CCFA offers hope and healing as it treats child abuse and domestic violence victims, providing long-term therapeutic support for them and their non-offending family members. CCFA brings together a dedicated child abuse medical team, therapists, law enforcement, child welfare workers, prosecutors and domestic violence advocates to provide comprehensive treatment for these families and to hold perpetrators accountable.

By bringing these key agencies and services under one roof for the first time, CCFA:

• Increases the effectiveness of services to child abuse victims;
• Reduces the child abuse victim's trauma and expedites recovery; and
• Prevents further child abuse.

Mental health care is unique in that state and local governments finance and manage a distinct health care system for people with mental illness. This public system serves as a safety net, providing care for the uninsured and compensating for inadequate benefits in commercial health insurance plans. Most Ohioans have some insurance coverage for mental illness, but only five percent of policies will cover the costs of serious, crippling cases of schizophrenia, bipolar disorder, or depression. People with severe cases of these conditions often end up disabled, poor and dependent on the public system. Each year, Ohio’s community mental health systems provide services to more than 300,000 people.

Ohio’s public mental health system includes the Ohio Department of Mental Health (ODMH), 50 county and multi-county boards, and nearly 500 community mental health agencies. The boards, which in most cases oversee both mental health and addiction services, do not directly provide services. They act as local mental health authorities, funding, planning, monitoring and purchasing services provided by private agencies and the Behavioral Healthcare Organizations (BHOs) operated by ODMH. This approach, which emphasizes local management and control, generates strong citizen involvement and local financial support for mental health services.

Vision

Ohio will be a community of mentally healthy people who lead fulfilling and productive lives. It will be a caring community with strong compassion for, and a determination to respond effectively and respectfully to, the needs of all citizens with mental illness and behavioral disorders.

Mission

The mission of Ohio's mental health system is to establish mental health as a cornerstone of health in Ohio, and ensure that quality mental health care is available to all Ohioans at all stages of life.

Knowing that a healthy community enables people to maintain a high quality of life and productivity, the Foundation supports hospitals and community organizations in promoting healthy behaviors and creating healthy environments.

Our History
The Foundation for Healthy Communities was endowed by Ohio hospitals in 1994 to encourage collaboration between hospitals and other community organizations on programs aimed at improving community health status. The Foundation is a charitable arm of the Ohio Hospital Association (OHA). OHA represents 170 hospitals and 40 health systems with more than 230,000 employees throughout Ohio.

Our Mission
The mission of the Foundation is to promote healthy lifestyles and help position hospitals as leaders in the prevention of health risk, injury and illness. It seeks to be a catalyst in partnering with hospitals and health systems to cultivate and support health care programs that are sustainable and improve the health status of Ohio citizens.

Our Values
Collaboration – The Foundation works in partnership with the Ohio Hospital Association membership, all levels of state and federal government, as well as other funding agencies and providers to improve Ohio’s health status and share the results of its work with a broad audience.

Integrity – The Foundation treats all grant requesters and partners with respect while maintaining an accurate accounting of its own activities.

Sustainability – The Foundation seeks to cover its operating expenses through administrative fees and to expand its funding base through creative fundraising, grant solicitation and collaboration.

Stewardship – The Foundation strives to document the impact of its activities and funding to ensure its resources are being appropriately allocated and used by grantees.

Our Services
The Foundation regularly consults with hospitals about resource development and provides educational sessions to assist hospitals with grant writing. At OHA’s annual meetings, it sponsors grant writing and development sessions for hospital foundation staffs.

The Leukemia & Lymphoma Society

Fighting Blood Cancers

Central Ohio Services

	The Leukemia & Lymphoma Society offers the most comprehensive array of services to patients and families touched by blood cancers.  The Society realizes that a diagnosis of leukemia, Hodgkin or non-Hodgkin lymphoma or myeloma brings many daily challenges for the patient, family members and caregivers.  The Society is committed to reaching out to these individuals in meaningful ways through providing support and guidance to them, as well as to the healthcare professionals who help care for them. The Central Ohio Chapter serves individuals touched by blood cancers in 38 counties encompassing western, central and southeastern Ohio. To find out more about these programs and services please contact Michael Uscio, Patient Services Manager, at (614) 476-7194 or (800) 686-CURE, ext. 231, or email usciom@lls.org First Connection First Connection is a peer-to-peer support program linking newly diagnosed patients and their family members with a trained volunteer who understands what it means to be diagnosed with leukemia, lymphoma or myeloma.  The First Connection program gives patients or their family members the opportunity to share experiences with someone who has "been through it", and obtain valuable information about Society and community resources. This program is designed to be a one- or two-time intervention and is not designed to offer medical advice or psychotherapy. Family Support Group Program Family Support Groups are open to anyone who is affected by a diagnosis of any blood cancer.  Facilitated by oncology healthcare professionals, the groups provide information and support and encourage communication.  Patient Financial Aid Through the Patient Financial Aid program, the Central Ohio Chapter provides $500 per year reimbursement to patients with significant financial needs.  Examples of services covered under the program include: Specific, approved drugs related to the treatment of leukemia, Hodgkin lymphoma, non-Hodgkin lymphoma and myeloma Processing, typing, screening and cross-matching of blood components; transfusions; infusion of marrow, cord blood or stem cells Transportation to and from a doctor's office, hospital, treatment center or Family Support Group Radiation therapy  To enroll, complete a patient financial aid application and have it signed by your physician. Submit the application to the Central Ohio Chapter. Once approved, you may begin to submit receipts for reimbursement.   Patient and Healthcare Professional Education Programs The Society collaborates with other organizations to offer educational programs on the latest disease, treatment and coping information.  These programs attempt to simplify the expanding array of information and support now available to patients.  These programs include: Cancer: Keys to Survivorship Improving the Chemotherapy Experience Meet the Expert on Non Hodgkin Lymphoma Cancer Clinical Trials The Society also provides a variety of free literature about the different blood cancers, support for patients and their familes, treatments and other related topics.  This information is available throught the Central Ohio Chapter office as well as through the national Information Resource Center (IRC) at (800) 955-4572. Information and Referral The Central Ohio Chapter provides referrals for community resources based on the needs of individuals contacting the chapter. In addition to extensive local resources, referrals to national resources are also available.  The IRC is staffed by information specialists (social workers, registered nurses and health educators) who are available to answer questions and provide accurate, up-to-date information about leukemia, lymphoma and myeloma.  You can speak with an information specialist Monday through Friday, 9 a.m. to 6 p.m. EST at (800) 955-4572 or reach them via email at infocenter@lls.org .    Advocacy Network The Advocacy Network provides a voice to legislators on a national and local level about issues affecting research and patient care. Our local Advocacy Network volunteers call or write Ohio legislators to ensure adequate funding for cancer research and protection of patients' rights. Contact the Central Ohio Chapter to sign-up now.  You may also want to visit our Advocacy Center to see what issues are of interest to the Society as well as blood cancer patients and their familes.

About OACHC
We Are OACHC

The Ohio Association of Community Health Centers (OACHC) is a not-for-profit professional trade association representing Ohio's Federally Qualified Health Centers (FQHCs, or community health centers). OACHC's Mission is to ensure access to high-quality affordable health care for all Ohioans through the growth and development of Ohio's Community Health Centers.

OACHC Represents Ohio's Community Health Centers
OACHC represents Ohio's 30 community health centers at over 110 sites in both urban and rural areas throughout the state. In 2005, community health centers provided care to over 315,000 Ohioans and recorded well over 1,000,000 patient visits. Collectively, community health centers are the largest health care system in the nation, and are considered the best program within the U.S. Department of Health and Human Services (www.expectmore.gov).

For a profile of Ohio's Community Health Centers, click here.

Community Health Centers are the Healthcare Solution
In many areas of Ohio, OACHC member health centers are the only source of health care for Medicaid patients and the uninsured. Community health centers are safety net providers of cost-effective, high-quality primary and preventive health care in Ohio. For over 30 years, community health centers have provided documented results:
• Up to 40 percent reductions in infant mortality rates
• Reduced health disparities among patients with chronic diseases
• Fewer ER visits and hospital admissions
• Shorter hospital stays
• Fewer unmet needs of the uninsured.

Ohio's Community Health Centers Serve All Ohioans
Ohio's Community Health Centers are required to provide care to all patients regardless of a person's insurance status or ability to pay. The following represents a breakdown of the patients that community health centers serve:
• 33% are uninsured
• 38% are on Medicaid
• 21% have private insurance
• 38% are 0-19 years old; 35% are 20-44 years old
• 54% are white; 35% are Black/African American.

Community Health Centers Specialize in Meeting Community Needs
Ohio's community health centers were conceived locally, and are cultivated and administered locally. As community leaders realize a need for health care and apply for federal funding, successful applicants receive annual grant money from the Bureau of Primary Health Care. This grant funding is to be used to serve the growing uninsured population. Furthermore, health center boards are required to contain a 51 percent patient majority, and must be sensitive to the needs of their patients and community.

Ohio's Community Health Centers Impact the Economy
Beyond the outstanding health services provided to patients by community health centers, it is important to consider the impact health centers have on their communities. In Ohio, community health centers employ over 172 physicians, 37 dentists, over 350 nurses and approximately 1,700 total staff positions in areas where quality professionals are in short supply. The overall economic impact of the community health center system is estimated to be over $300,000,000 in the state of Ohio.

Ohioline is a valuable information resource that is both online and offline. You are currently browsing Ohioline on the World Wide Web, Ohioline CD is an offline companion to our online Ohioline Web Site. Ohioline CD contains a majority of the online information, as well as some additional news documents. As a stand-alone system, Ohioline CD does not have the search capability of our server-based online system.

Principally produced by Ohio State University Extension, Ohioline is your Link to Information, News and Educational resources of not only Extension but of the College of Food, Agricultural, and Environmental Sciences, The Ohio Agricultural Research and Development Center, and the Agricultural Technical Institute. Research and Extension programs are also supported by the colleges of Human Ecology, Veterinary Medicine, and Biological Sciences.

Through Ohioline, you have access to the hundreds of factsheets, bulletins and other educational materials covering a wide array of subjects --- such as agriculture, natural resources, family and consumer sciences, community development, 4-H and youth. Ohioline also has information about our undergraduate and graduate programs in agriculture and natural resources.

Ohioline provides you with a wealth of information. Ohioline provides a world-wide dimension in outreach. Have fun. Discover and be enlightened.

Overview

Ohio's mental health system is transforming itself for the future by moving to customer-focused treatment with the expectation of recovery and resiliency. Our future is one where mental health is recognized as an essential part of overall health and people with mental health issues have access to appropriate services, regardless of their location. This shared vision to transform how mental health care is delivered in Ohio will create "A New Day" for everyone involved in the mental health system.

You can help Ohio achieve a new day for persons with mental illness .

As a mental health community stakeholder, you can be an agent for change and transformation. To bring about change we must actively engage others in a dialogue that builds understanding and support for the service delivery transformation we envision. The first step is to share our message with our colleagues, our community, our customers, our elected officials, our healthcare partners, the business community, the general public.anyone who can play a role in helping adults and children with serious mental illness to recover and live, work, learn and participate fully in their communities.

This Web site contains a number of tools and materials to begin the grassroots work of introducing the case for transformation and asking others for their support. These tools provide a powerful means to transform the mental health delivery system in Ohio. Please download the Partner Toolkit and consider how you can use it to create a common understanding and consensus to support mental health services that meet the needs of persons with mental illness.

 Together, we can create "A New Day" for Ohio's mental health system!

Child & Adult Care Food Program

Why CACFP Is Important

USDA’s Child and Adult Care Food Program plays a vital role in improving the quality of day care and making it more affordable for many low-income families.  Each day, 2.9 million children receive nutritious meals and snacks through CACFP. The program also provides meals and snacks to 86,000 adults who receive care in nonresidential adult day care centers. CACFP reaches even further to provide meals to children residing in emergency shelters, and snacks and suppers to youths participating in eligible afterschool care programs.


A General Overview

CACFP is authorized at section 17 of the National School Lunch Act (42 U.S.C. 1766).  Program regulations are issued by the U.S. Department of Agriculture (USDA) under 7 CFR part 226.

Program Administration

USDA’s Food and Nutrition Service (FNS) administers CACFP through grants to States.  The program is administered within most States by the State educational agency. In a few States it is administered by an alternate agency, such as the State health or social services department; and in Virginia, it is directly administered by the FNS Mid-Atlantic Regional Office.  The child care component and the adult day care component of CACFP may be administered by different agencies within a State, at the discretion of the Governor.

Independent centers and sponsoring organizations enter into agreements with their administering State agencies to assume administrative and financial responsibility for CACFP operations. CACFP serves nutritious meals and snacks to eligible children and adults who are enrolled for care at participating child care centers, day care homes, and adult day care centers. CACFP also provides meals to children residing in emergency shelters, and snacks to youths participating in afterschool care programs.

Child Care Centers

Eligible public or private nonprofit child care centers, outside-school-hours care centers, Head Start programs, and other institutions which are licensed or approved to provide day care services may participate in CACFP, independently or as sponsored centers.  For profit centers must receive title XX funds for at least 25 percent of enrolled children or licensed capacity (which ever is less) or at least 25 percent of the children in care must be eligible for free and reduced price meals.  Meals served to children are reimbursed at rates based upon a child’s eligibility for free, reduced price, or paid meals.

Day Care Homes

A family or group day care home must sign an agreement with a sponsoring organization to participate in CACFP.  Day care homes must be licensed or approved to provide day care services.  Reimbursement for meals served in day care homes is based upon eligibility for tier I rates (which targets higher levels of reimbursement to low-income areas, providers, or children) or lower tier II rates.

"At-Risk" Afterschool Care Programs

Community-based programs that offer enrichment activities for at-risk children and teenagers, after the regular school day ends, can provide free snacks through CACFP. Programs must be offered in areas where at least 50% of the children are eligible for free and reduced price meals based upon school data.  Reimbursable suppers are also available to children in eligible afterschool care programs in seven States--Delaware, Illinois, Michigan, Missouri, New York, Oregon, and Pennsylvania.

Emergency Shelters

Since July 1, 1999, public or private nonprofit emergency shelters which provide residential and food services to homeless children may participate in CACFP. Eligible shelters may receive reimbursement for serving up to three meals each day to homeless children, through age 18, who reside there.  Unlike most other CACFP facilities, a shelter does not have to be licensed to provide day care.  However, it must meet any health and safety codes that are required by state or local law.

Adult Day Care Centers

Public or private nonprofit adult day care facilities which provide structured, comprehensive services to nonresidential adults who are functionally impaired, or aged 60 and older, may participate in CACFP as independent or sponsored centers.  For profit centers may be eligible for CACFP if at least 25 percent of their participants receive benefits under title XIX or title XX.  Meals served to adults receiving care are reimbursed at rates based upon a participant’s eligibility for free, reduced price, or paid meals.

Meal Reimbursement

Independent centers and sponsoring organizations receive cash reimbursement for serving meals to enrolled children and adults that meet Federal nutritional guidelines. The CACFP meal pattern varies according to age and types of meal served.

Centers and day care homes may be approved to claim up to two reimbursable meals (breakfast, lunch or supper) and one snack, or two snacks and one meal, to each eligible participant, each day.  Shelters may serve each child up to three reimbursable meals (breakfast, lunch and supper), each day. Afterschool care programs may claim reimbursement for serving each child one snack, each day.

Reimbursement for centers is computed by claiming percentages, blended per meal rates, or actual meal count by type (breakfast, lunch, supper, or snack) and eligibility category (free, reduced price, and paid). The State agency assigns a method of reimbursement for centers, based on meals times rates, or the lesser of meals times rates versus actual documented costs.

Program payments for day care homes are based on the number of meals served to enrolled children, multiplied by the appropriate reimbursement rate for each breakfast, lunch, supper, or snack they are approved to serve. Sponsoring organizations also receive administrative funds related to the documented costs they incur in planning, organizing, and managing CACFP.

Tier I day care homes are those that are located in low-income areas, or those in which the provider’s household income is at or below 185 percent of the Federal income poverty guidelines.  Sponsoring organizations may use elementary school free and reduced price enrollment data or census block group data to determine which areas are low-income.

Tier II homes are those family day care homes which do not meet the location or provider income criteria for a tier I home.  The provider in a tier II home may elect to have the sponsoring organization identify income-eligible children, so that meals served to those children who qualify for free and reduced price meals would be reimbursed at the higher tier I rates.

A child’s eligibility for tier I rates in a tier II day care home may be documented through submission of an income eligibility statement which details family size and income or participation in any of a number of means-tested State or Federal programs with eligibility at or below 185 percent of poverty.

Commodities or Cash-in-lieu of Commodities

In addition to cash reimbursement, USDA makes donated agricultural commodities or cash-in-lieu of commodities available to institutions participating in CACFP.


Pricing of Program Meals

Centers participating in CACFP may charge a single fee (nonpricing program) to cover tuition, meals, and all other day care services, or they may charge separate fees for meals (pricing program). The free and reduced price policy statement describes the institution’s pricing policy.  All day care homes and the vast majority of centers participate in CACFP as nonpricing programs, since the fees they charge cover all areas of their day care services.


Funding of Benefits and State Administrative Costs

Funding Program Benefits

FNS provides cash assistance to each State agency for meals served to eligible children and adults in day care centers based upon the participant’s eligibility under the Income Eligibility Guidelines for free, reduced price, or paid meals.  National average payments for meals served in centers are adjusted annually on July 1, to reflect changes in the Food Away From Home series of the Consumer Price Index. Meals served in emergency shelters and afterschool care snacks are reimbursed at the rates for free meals and snacks.

Payments for meals served in day care homes are also adjusted annually on July 1, based on changes in the Food at Home series of the Consumer Price Index.  The level of reimbursement for meals served to enrolled children in day care homes is determined by economic need, based on either the location of the day care home, or the household income of the day care home provider, or the household income of each enrolled child.  Meals served to the day care home provider’s own children are reimbursable only if those children are determined eligible for free and reduced price meals.

The level of commodity assistance or cash in lieu of commodities is based on the numbers of lunches and suppers served in centers in the preceding year, multiplied by the national average payment for donated foods.  Commodity assistance rates are also adjusted annually on July 1, to reflect changes in the Food Used in Schools and Institutions series of the Consumer Price Index.

Funding State-Level Administrative Costs

FNS makes State Administrative Expense (SAE) funds available to State agencies for administrative expenses incurred in supervising and giving technical assistance to institutions participating in CACFP. SAE requirements are prescribed at 7 CFR part 235.

Additional funds are also available to States to help State agencies and institutions comply with Federal audit requirements.  "One and a half percent audit funds" is equal to 1.5 percent of the reimbursement payments made to the State, during the second fiscal year preceding the year for which the funds are to be made available.


Participant Eligibility and Program Benefits

CACFP serves nutritious meals and snacks to children and adults who attend eligible day care programs.

Eligible Population

Section 226.2 of the regulations describes who may receive CACFP meal benefits.

Children means "(a) Persons age 12 and under; (b) Persons age 15 and under who are children of migrant workers; (c) Persons age 18 and under who are residents of emergency shelters; and
(d) Persons with mental or physical handicaps, as defined by the State, which are enrolled in an institution or a child care facility or residing in an emergency shelter serving a majority of
persons 18 years of age and under." Provider’s own children are eligible only in tier I day care homes, when other nonresidential children are enrolled in the day care home and are participating in the meal service.

Adult participant means "a person enrolled in an adult day care center who is functionally impaired ... or 60 years of age or older."  The adult component of CACFP is targeted to individuals who remain in the community and reside with family members. Individuals who reside in institutions are not eligible for CACFP benefits.

In addition, Public Law 105-336 made CACFP snacks available to children and youth through age 18 in eligible afterschool care programs, while Public Law 108-265 raised the age limit for meals served to children residing in emergency shelters from 12 to age 18.

Determining Eligibility

In centers, participants from households with incomes at or below 130 percent of poverty are eligible for free meals.  Participants in centers with household incomes between 130 percent and 185 percent of poverty are eligible for meals at a reduced price. Institutions must determine each enrolled participant’s eligibility for free and reduced price meals served in centers.

Sponsoring organizations of day care homes must determine which day care homes are eligible for tier I rates and, if requested, which children are eligible to receive meals reimbursed at tier I rates in tier II day care homes.

A participant’s eligibility for free and reduced price meals in centers or for tier I meals in day care homes, may be established by submission of an income eligibility statement, which provides information about family size and income.  The information submitted by each household is compared with USDA’s Income Eligibility Guidelines.

Children whose families receive benefits from the Food Stamp Program, Food Distribution Program on Indian Reservations (FDPIR), or State programs funded through Temporary Assistance for Needy Families (TANF) are categorically eligible for free meals.  Children who are income-eligible participants of Head Start or Even Start programs are automatically eligible for free meals, without further application or eligibility determination.

Children who are residents of emergency shelters are also automatically eligible for free meals.

Adults who receive food stamps, FDPIR, Social Security Income (SSI), or Medicaid benefits are categorically eligible for free meals.


Claiming Reimbursement for Meals Served

Institutions must submit accurate monthly claims for reimbursement to their administering agencies.  Reimbursement is not allowed for meals or snacks that are:  served to a child or an adult who is not enrolled for care; served in excess of licensed or authorized capacity; not approved in the agreement; served in excess of the maximum number of approved meal services; or out of compliance with meal pattern requirements.

Meals served at for profit centers during a calendar month when less than 25 percent of the centers enrollment or licensed capacity (whichever is less) receive title XIX or title XX benefits or are eligible for free and reduced price meals may not be claimed for reimbursement.

Meals served to adults which are claimed for reimbursement under part C of title III of the Older Americans Act may not be claimed under CACFP.

Shelters may not claim reimbursement for meals served to children who are not residents of emergency shelters.
 

Programs & Services

Child and Adult Care Food Program (CACFP)
USDA’s Child and Adult Care Food Program plays a vital role in improving the quality of day care and making it more affordable for many low-income families. Each day, 2.6 million children receive nutritious meals and snacks through CACFP. The program also provides meals and snacks to 74,000 adults who receive care in nonresidential adult day care centers. CACFP reaches even further to provide meals to children residing in homeless shelters, and snacks and suppers to youths participating in eligible afterschool care programs.


Commodity Supplemental Food Program (CSFP)
CSFP works to improve the health of low-income pregnant and breastfeeding women, other new mothers up to one year postpartum, infants, children up to age six, and elderly people at least 60 years of age by supplementing their diets with nutritious USDA commodity foods. It provides food and administrative funds to States to supplement the diets of these groups.


Eat Smart Play Hard
Eat Smart. Play Hard.TM is about making America's children healthier. It's about practical suggestions that will help you motivate children and their caregivers to eat healthy and be active. The Eat Smart. Play Hard.TM Campaign messages and materials are fun for children and informative for caregivers. To make your job easier, we have kid-tested the messages and based them on the Food Guide Pyramid and Dietary Guidelines for Americans.


Farmers' Market Nutrition Program (FMNP)
The WIC Farmers’ Market Nutrition Program (FMNP) provides fresh, unprepared, locally grown fruits and vegetables from local farmers' markets to Women, Infants and Children (WIC) recipients.


Food Distribution Program on Indian Reservations (FDPIR)
FDPIR is a Federal program that provides commodity foods to low-income households, including the elderly, living on Indian reservations, and to Native American families residing in designated areas near reservations.


Food Assistance for Disaster Relief
FNS’s Food Distribution Division has the primary responsibility of supplying food to disaster relief organizations such as the Red Cross and the Salvation Army for mass feeding or household distribution. Disaster organizations request food and nutrition assistance through State agencies that run USDA’s nutrition assistance programs. State agencies notify USDA of the types and quantities of food that relief organizations need for emergency feeding operations.


Food Stamp Program
The Food Stamp Program helped put food on the table for some 10.3 million households and 23.9 million individuals each day in Fiscal Year 2004. It provides low-income households with coupons or electronic benefits they can use like cash at most grocery stores to ensure that they have access to a healthy diet.


National School Lunch Program (NSLP)
School districts and independent schools that choose to take part in the lunch program get cash subsidies and donated commodities from the USDA for each meal they serve. In return, they must serve lunches that meet Federal requirements, and they must offer free or reduced price lunches to eligible children. School food authorities can also be reimbursed for snacks served to children through age 18 in afterschool educational or enrichment programs.


School Breakfast Program (SBP)
The School Breakfast Program operates in the same manner as the National School Lunch Program. School districts and independent schools that choose to take part in the breakfast program receive cash subsidies from the USDA for each meal they serve. In return, they must serve breakfasts that meet Federal requirements, and they must offer free or reduced price breakfasts to eligible children.


Senior Farmers' Market Nutrition Program (SFMNP)
The Senior Farmers’ Market Nutrition Program awards grants to States, United States territories, and federally-recognized Indian tribal governments to provide low-income seniors with coupons that can be exchanged for eligible foods at farmers’ markets, roadside stands, and community supported agriculture programs.


Special Milk Program (SMP)
Participating schools and institutions receive reimbursement from the USDA for each half pint of milk served. They must operate their milk programs on a non-profit basis. They agree to use the Federal reimbursement to reduce the selling price of milk to all children.


State Processing Program
The State Processing Program allows States and eligible recipient agencies such as school districts to contract with commercial food processors to convert bulk or raw USDA commodities into more convenient ready-to-use end products. Most of the commodities processed through this program go to schools participating in the National School Lunch Program. Once the donated food is made available to States, the overall organization and administration of the State Processing Program become the responsibilities of the State agency.


Summer Food Service Program (SFSP)
SFSP is the single largest Federal resource available for local sponsors who want to combine a feeding program with a summer activity program. Children in your community do not need to go hungry this summer. During the school year, nutritious meals are available through the National School Lunch and School Breakfast Programs. But those programs end when school ends for the summer. The Summer Food Service Program helps fill the hunger gap.


Team Nutrition
Team Nutrition is a USDA initiative to provide training and technical assistance for foodservice, nutrition education for children and their caregivers, and school and community support for healthy eating and physical activity. Team Nutrition's Goal is to improve children's lifelong eating and physical activity habits by using the principles of the Dietary Guidelines for Americans and the Food Guide Pyramid.


The Emergency Food Assistance Program (TEFAP)
Under TEFAP, commodity foods are made available by the U.S. Department of Agriculture to States. States provide the food to local agencies that they have selected, usually food banks, which in turn, distribute the food to soup kitchens and food pantries that directly serve the public.


Women, Infants and Children (WIC)
The Special Supplemental Nutrition Program for Women, Infants, and Children - better known as the WIC Program - serves to safeguard the health of low-income women, infants, & children up to age 5 who are at nutritional risk by providing nutritious foods to supplement diets, information on healthy eating, and referrals to health care.

MISSION STATEMENT
OF THE
OHIO RESPIRATORY CARE BOARD

To protect and serve the public of Ohio by effectively and efficiently regulating the practice of Respiratory Care in the State of Ohio through the licensing of qualified practitioners, the establishment of standards for respiratory care educational programs, and the enforcement of the laws and rules governing the practice.

Function of the Board

The function of the Ohio Respiratory Care Board is to regulate and enforce the provision of Chapter 4761 of the Ohio Revised Code for the purpose of improving the quality of respiratory care delivered to the public by respiratory care professionals. Respiratory Therapists, under the prescription of a licensed physician or qualified certified nurse practitioner or clinical nurse specialist, may provide many therapeutic, high risk and life-saving procedures to patients suffering from a variety of diseases and ailments affecting the lungs and heart. Persons suffering from emphysema, lung cancer, asthma, cystic fibrosis, and many other lung/heart ailments receive assessment, care, education and rehabilitation by respiratory therapists. The profession can be found providing care in hospitals, long-term care facilities, home care organizations, and physician offices. Today, forty-two states and the District of Columbia and Puerto Rico require some form of licensure for respiratory therapists. Over 6200 persons in Ohio hold an active license to practice respiratory care. The Ohio Respiratory Care Board has issued more than 8800 licenses to qualified respiratory therapists.

VISION STATEMENT
OF THE
OHIO RESPIRATORY CARE BOARD
Making a responsible difference for the citizens of Ohio --- by Efficient and Effective Licensing for Respiratory Care Professionals, Enforcing Practice Standards and Promoting Professional Competency.

The Mission of the Central Ohio Lions Eye Bank is to restore, improve, and preserve vision by connecting eye donors and transplant recipients, educating physicians, and enhancing research through quality eye banking services.

Thanks to Our Community the Central Ohio Lions Eye Bank has been able to provide 10,000 corneas for transplantation since its founding in 1973.  The goal of advancing eye care through research and medical education is also addressed in eye research labs and through residency training for physicians who will become eye care specialists.

Lions Clubs throughout central and southeastern Ohio contribute to the Eye Bank in many ways:  by raising and donating funds; by volunteering as Eye Express Drivers and Board members; and by helping to make the public aware of the need for eye donations.  For more information, click on Lions Support.

Friends of the Lions Eye Bank provide voluntary professional services, financial contributions, communications, and support to the organization. They are corneal transplant recipients, donor families, eye care physicians, public servants, Lions Club members, local news media, funeral home staff, professionals, and many others touched by the Eye Donor Program. Thanks to these Friends, the Gift of Sight can become a reality for those who depend on the efforts of the Lions Eye Bank for restored vision.

The Ohio Association of County Behavioral Health Authorities (OACBHA) is the statewide organization that represents the interests of all of Ohio’s county Alcohol, Drug Addiction and Mental Health Boards at the state level. The Association works with a variety of governmental bodies including the Ohio General Assembly, the Office of the Governor, the Ohio Department of Mental Health, the Ohio Department of Alcohol and Drug Addiction Services, the Ohio Department of Job and Family Services, and other organizations and coalitions to seek support for initiatives that will help expand and enhance mental health and substance abuse prevention, treatment and support services. Most importantly, however, OACBHA gives the Boards a forum to address statewide issues and provides Boards with the means to communicate their positions and concerns with a single voice.

The membership of the Association is made up of all 56 county behavioral health authorities in Ohio, including 43 Alcohol, Drug Addiction and Mental Health (ADAMH) Boards, 6 Community Mental Health (CMH) Board, and 6 Alcohol & Drug Addiction Services (ADAS) Boards. The boards are statutorily empowered to plan develop, fund, manage, and evaluate community-based mental health & substance abuse services. The federal, state, and local governments fund the Boards and in turn the Boards are responsible for ensuring the alcohol, drug addiction and/or mental health services are available to those who need them, regardless of their ability to pay.

Why We Exist

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As one of the fastest-rising transportation companies in the area, Arrowlink Interprise has utilized its extensive experience and situational training to capitalize on the population of individuals whose disadvantages have hindered their transportation needs.  These individuals include but are not limited to; disabled, elderly, MRDD patients, etc.  Arrowlink Interprice has proven its ability to recognize firsthand the most important aspects of providing quality transportation solutions – for all individuals.

We stand confident behind our mission to assist those individuals that for various reasons have been disconnected from or have limited access to their everyday activities.  We have developed and refined best practices in order to provide individuals of all needs with proper transportation alternatives.  In addition

We have received a great deal of positive feedback from the counties with which we’ve provided our services, much of it coming from the individuals that often do not receive the proper transportation alternatives they are justified in receiving.  We feel with the proper funding assistance, we can legitimately provide these individuals in need of these specific services the means of transportation that everyone can enjoy.

Transportation Services

Our Community Menmbers

• Non-emergency medical transportation needs
• Transportation for private school students
• Individuals or Groups  with Mental Disability
• Employement Transportaion for individuals reentering Society
• Transportaion for Job Training
• The Elders and the Disabled

The Ohio Parent Information Network (OH-PIN) is funded and managed by the Head Start State Collaboration Office and administered by the Ohio Department of Education, the Center for Students, Families and Communities, the Office of Early Learning and School Readiness. The Head Start Collaboration Office is funded by a federal grant from the U.S. Department of Health and Human Services. The purpose of the office is to coordinate federal, state and local policy to support an efficient and effective early care and education system. The office promotes and facilitates professional development and collaborative activities with key state departments, early childhood agencies, associations and advocacy groups.

The purpose of the OHIO Parent Information Network is to provide essential information to Ohio parents on early education and care issues through this Web site.

Mission
The mission of the National Center is to work in cooperation with federal agencies, particularly the Maternal and Child Health Bureau (MCHB), to ensure that children with special needs have access to a medical home. The National Center provides support to physicians, families, and other medical and non-medical providers who care for children and youth with special needs.

Goal
The goal of the program is to ensure that children and youth with special needs have a medical home where health care services are accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally-competent.

Through the National Center, physicians, parents, administrators, and other health care professionals have access to educational, resource, and advocacy materials, guidelines for care, evaluation tools, and technical assistance.

We are a support group geared toward attracting new people. While many chapter members are undergoing or have completed formal speech therapy programs, the NSA is not a therapy group and talking is voluntary.

NSA meetings are a safe place to take risks; to try out new communiction behaviors; share feelings, and be open about our speech and our lives as people who stutter.

The NSA has more than 70 local support group chapters all over the United States.  The purpose of local chapters is to provide connections and support for people who stutter and their families.

Local support groups come in 3 varieties:

NSAKids groups are designed for young children who stutter and their parents. This is a new program for the NSA, and several NSAKids groups are just getting started around the country.

TWiST (Teens Who Stutter) groups are designed for teenagers who stutter and their families. Teen groups help adolescents who stutter meet others who have faced similar challenges in their lives.

ADULT chapters are designed for adults who stutter and their families. The Adult chapters form one of the core programs of the NSA.

The Tourette Syndrome Association of Ohio is a non-profit organization whose membership includes individuals with
Tourette Syndrome, their families, friends, and interested professionals.

The Mission of our organization is to support the needs of families with Tourette Syndrome, to advocate for individuals with
Tourette Syndrome and to educate the public and professionals on Tourette Syndrome.