HOME & COMMUNITY CARE BLOCK GRANT SERVICES

Established in 1992, the Home & Community Care Block Grant (HCCBG) was devised to provide a common funding stream for a comprehensive and coordinated system of home and community-based services and opportunities for older adults. HCCBG services are provided by local agencies within the community and are available to people ages 60 and older that are socially and economically needy.

HCCBG is administered through the Area Agency on Aging and the NC Division of Aging and Adult Services. It combines federal and state funds with a local match, and gives county commissioners discretion in budgeting and administering aging funds. Consumers may contribute to the services that they receive. Please note, not all services are available in all counties.

Adult Day Care

Provides an organized program of services during the day in a community group setting for the purpose of supporting the personal independence of older adults and promoting their social, physical, and emotional well-being. Services must include a variety of program activities designed to meet the individual needs and interests of the participants, and referral to and assistance in using community resources. Also included are medical examinations required for individual participants for admission to day care services and thereafter when not otherwise available without cost, and food and food services to provide a nutritional meal and snacks as appropriate. Transportation to and from the service facility may also be provided or arranged when needed and not otherwise available within the geographical area specified by the Adult Day Care Program. Services must be provided in a home or center certified to meet NC standards for adult day care programs.

Adult Day Health Care

Provides an organized program of services during the day in a community group setting for the purpose of supporting older adults' personal independence, and promoting social, physical, and emotional well being. Services must include health care services and a variety of program activities designed to meet the individual needs and interests of the participants, and referral to and assistance in using appropriate community resources. Also included are food and food services to provide a nutritional meal and snacks as appropriate to the program. Transportation to and from the service facility is provided or arranged for when needed and not otherwise available within the geographical area specified by the Adult Day Health Program.

Care Management

Provides professional assistance for older adults with complex care needs and/or their families in accessing, arranging, and coordinating the package of services needed to enable the older adult to remain at home.

Congregate Nutrition

The provision of a meal in a group setting that provides 1/3 of the recommended daily dietary allowance. More than a Meal, the congregate program, provides activities, educational programs, social interaction and much more.

Consumer Directed Services

This is a method of service delivery that promotes and enables consumers to recruit, hire, train, supervise, and, when necessary, terminate the employment of chosen personnel assistants who provide them with personnel and home management services in the consumer’s home setting. Participants in the Consumer Directed Services Program may also select vendors of other goods, equipment, and services that may be needed for their care and well-being.

Home Delivered Meals

The provision of a home delivered meal that provides 1/3 of the recommended daily dietary allowance to a home bound older adult.

Housing and Home Improvement

Housing services support independent living by providing information to individuals and families to enable them to obtain housing, retain housing or return to independent housing. Services include information about: fair housing; foreclosures; grants or loans for home repair; home buying; homelessness prevention; independent housing options and locations; landlord tenant relations; mortgage delinquency and default resolution counseling; predatory lending; reasonable accommodations; reverse mortgage counseling and tenant’s rights and responsibilities.

Home improvement services identify health and safety issues affecting the home or areas adjacent to the home in which an individual or family lives and provides needed improvements to resolve those issues. Health and safety issues include security enhancements; minor home repairs; mobility and accessibility improvements; and basic household furnishings and home appliance repair, replacement or purchase.

Information & Options Counseling

Options counseling is an interactive process where individuals receive guidance in their deliberations to make informed choices about long term supports. The process is directed by the individual or their representative and is person-centered. The process can include personal interviews, eligibility screening, facilitated discussion, exploration of resources, and application for services, quality assurance and follow-up with the individual.

In-Home Aid
The provision of paraprofessional services which assist functionally impaired older adults and/or their families with essential home management, personal care and/or supervision necessary to enable the older adult to remain at home as long as possible. In-home Aide Service is categorized into:

Level I – Assist with home management tasks
Level II – Assist with home management tasks and assist with limited personal care tasks
Level III - Demonstrate or teach home management tasks and complete personal care tasks under the supervision of an RN
Level IV - Provide supervision and role modeling of appropriate care and supervision when family is available but unable to perform caretaker duties due to physical or emotional illness under close supervision of a social worker

Legal Services

Provides older adults with information on their legal rights, legal advice, legal benefits, entitlements, and/or appeals when referral to a human service agency or a pro bono service is inappropriate, and preventive measures such as community education.

Senior Center Operations

Operations of a multipurpose senior center includes the provision of a broad spectrum of services and activities for older adults. The primary objectives of a multipurpose senior center are: the centralized provision of services which address the special needs of older adults; opportunities for older adults to become more involved in the community; and the prevention of loneliness and premature institutionalization by promoting personal independence and wellness.

Transportation

Provides travel to and/or from community resources such as medical appointments and nutrition sites or other designated areas for older adults needing access to services and activities necessary for daily living. Transportation is funded in three categories: medical, (doctor, dental, vision appointments etc.), general, (grocery store, paying bills, beauty/barber shop, etc.) and nutrition (attending congregate nutrition sites).