NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
100
Elderly Services
101
103
107
109
111
113
115
117
DEFINITION
This code is used in reports to indicate that services have
been provided to participants but the type and units have not
been recorded.
Chore
Provision of assistance to persons experiencing difficulties
with such activities as heavy housework, yard work, sidewalk
maintenance, and minor home repairs.
Companion
Service intended to provide company to a participant in a
protective and supervisory capacity. It may include such
home management activities as cooking and light
housekeeping.
Adult Day Care Provision of personal care for dependent adults in a
supervised, protective, congregate setting during some
portion of a twenty-four hour day. Services offered in
conjunction with adult day care frequently include social and
recreational activities, training, counseling, and meals for
adult day care participants while at facility. Services such as
rehabilitation, medications assistance, and personal care
assistance, are also provided by some adult day care
programs.
Employment
Service designed to help participants locate and qualify for
Assistance
gainful employment.
Energy Related
Service designed to furnish fuel and/or utilities to participants
Assistance
who are unable to purchase them at market price. Special
arrangements are made with fuel and utility suppliers to
reimburse them for the delivery of fuel or the provision of
utilities at prices negotiated at or below the market price. The
elderly participants or their families are expected to share
costs at levels determined by their economic circumstances.
Assisted
Provision of assistance, including escort, to a person who has
Transportation
difficulties (physical or cognitive) using regular vehicular
transportation. This definition replaces the service
designation “ESCORT” formerly in use.
Adult Foster
Service designed to provide a family atmosphere in a
Care
substitute family setting to safeguard the individual and avoid
inappropriate institutional placement.
Friendly Visiting A service in which volunteers visit on a regularly scheduled
basis the homes of participants who live alone and are
socially isolated and/or geographically isolated. It provides
protection and socialization for the participants. The visitor
helps the elderly participant maintain contact with the outside
world by providing such service activities as letter writing and
reading.
B-2.1
UNIT
None
Specified
One Hour
One Hour
One Hour
One Contact
One Contact
One OneWay Trip
One Day
One Hour
NAPIS SERVICE CODES &
DEFINITIONS
CODE
119
SERVICE
Homemaker
123
Home Repair &
Renovation
124
Information &
Assistance
125
Language
Translation
127
Legal Assistance
DEFINITION
A service designed to maintain, strengthen, and safeguard
household functioning and independent living for participants
who need either temporary assistance due to illness or longterm assistance due to chronic disabling conditions.
Homemakers perform home management functions. These
functions may include cooking, cleaning, laundry, mending
and other light household chores. Although similar to
companion, the primary emphasis in homemaker service is on
the performance of home management functions while the
primary emphasis in companion service is on the provision of
supervision and companionship.
Service designed to help participants make essential repairs to
their homes either to restore them to their original condition
or to make them safe by removing health hazards. Includes
renovations designed to remove architectural barriers and
provide structural improvements that will enable participants
suffering from chronic disabling conditions to remain in their
own homes.
A service for older individuals that (A) provides the
individuals with current information on opportunities and
services available to the individuals in their communities,
including information related to assistive technology; (B)
assesses the problem and capacities of the individuals; (C)
links the individuals to the opportunities and services that are
available; (D) to the maximum extent practicable, ensures that
the individuals receive the services needed by the individuals,
and are aware of the opportunities available to the
individuals, by establishing adequate follow-up procedures.
Service may be reported for individual participants where
possible or by using group identifiers where individual
reporting is not practicable.
Service designed to reduce barriers in communication so that
the social functioning of participants who do not speak
English can be assisted.
Provision of legal advice, counseling, and representation by
an attorney or other person acting under the supervision of an
attorney. This code is to be used to indicate generic legal
assistance. Specialized codes indicating the nature of the
legal problem necessitating service are found in the 900 block
of codes.
B-2.2
UNIT
One Hour
One Hour
One Contact
One Contact
One Hour
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
DEFINITION
UNIT
131
Outreach
Interventions initiated by an agency or organization for the
purpose of identifying individuals with unmet assistance
needs and encouraging their use of existing services and
benefits. This service includes both the initial contact and
any follow-up contacts required to link the participant to
appropriate services. This code is to be used both for
Outreach, and the service definition “Outreach Follow-up”
(147) formerly in use.
One Contact
133
Recreation
One Hour
135
Case
Management
137
Personal
Emergency
Response
Shopping
Services
Service designed to promote health and social well being by
providing activities for social interaction and development of
the participant in a group setting.
Assistance either in the form of access or care coordination in
circumstances where the older person and/or their caregivers
are experiencing diminished functioning capacities, personal
conditions, or other characteristics which require provision of
services by formal providers. Activities of case management
include assessing needs, developing care plans, authorizing
services, arranging services, coordinating the provision of
services among providers, follow-up and reassessment , as
required. This service replaces the service definition
“SAFEGUARDING” formerly in use.
In home, twenty-four hour electronic alarm system which
enables a high risk to secure help in a medical, physical,
emotional, or environmental emergency.
Service helps participants to obtain food and other basic
necessities in the interest of safety and convenience. This
service could involve taking the participant shopping if he/she
is able to leave home, or doing the shopping for participants
who are not able to get out. Deference should be given to the
participant’s preferred merchants and to convenience.
Service provides telephone or personal contact at a
prearranged time for participants who live alone. It ensures
their health and safety, assures them that help is available if
and when needed, and provides community contact over a
sustained period of time. This service includes a mechanism
to investigate if the participant does not answer the telephone
or does not otherwise respond at the prearranged time.
One Contact
139
141
Personal
Reassurance
B-2.3
One Hour
One Month
One Hour
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
143
Training
145
Weatherization
149
Senior Center
Participation
151
Social Support
Services
153
Volunteer
Opportunities
DEFINITION
Service enhances the effectiveness of those who are
volunteering their service on behalf of a provider agency and
ensures quality care and services. Training includes
educational programs for participants seeking paid
employment.
Service aids low-income participants by reducing the cost of
heating or cooling their homes and/or by assuring them of
adequate heat during the winter months. It utilizes various
energy-saving techniques such as insulating and installing
storm windows.
A service designed to create socialization opportunities and
others that are difficult to differentiate or describe. These
services are delivered on an as-needed basis by the center
director, other professional or volunteer staff, or, in some
instances, other participants. This category has been
UNIT
One Session
One Hour
One
Half Day
introduced to cover those services available to Senior Citizen
Center members on an informal or unstructured basis. These
services are not provided during specific time periods, in
specially arranged sessions, or by specifically designated
personnel.
Services which assist participant in adjusting to problems in
One Hour
their personal lives or living environment. They include
guidance and assistance in such areas as personal adjustment;
marital problems; alcohol or drug dependency, family
relations and adjustment counseling. This service includes
active intervention in the participant’s social environment in
order to assist the participant in producing an appropriate
adjustment. This category covers generic or psychosocial
adjustment counseling.
This category is included to allow the system to record work
One Hour
done by volunteers in projects covered by the system as well
as to record the efforts of those specifically developed to offer
participants the chance to experience meaningful social
involvement through voluntary community service. This
category can be used to record the number of hours of
volunteer work contributed by the Area Agency and Nutrition
Project Board members.
B-2.4
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
154
Personal
Assistance
Credits
155
Housing
Alternatives
163
Home Share
Match
164
Home Share
Enrollment
167
Medical Visit
247
Benefits
Counseling
248
Caregiver
Counseling
249
Employment
Counseling
251
Housing
Counseling
252
Health
Counseling
DEFINITION
Volunteers provide personal assistance service such as
transportation, grocery shopping, respite care and friendly
visiting to older persons requiring this assistance to remain in
the community. In return these volunteers are given credits,
which may be used for similar services should they be
required by the volunteers at some time in the future.
This category refers to new and creative efforts in the field of
alternative living arrangements that cannot be classified as
Foster Care, Day Care, or Home Share Match.
This category refers to one elderly participant moving into a
home that provides for the financial, emotional, physical
and/or social well being of both parties.
This category refers to any individual who has submitted an
application/registration form for the Connecticut Home Share
Program and/or has registered as a potential home sharer and
seeks a home share match. The applicant has completed the
housing counseling stage and has been given information
about the Home Share Program.
Medical visits provide physician or nurse practitioner care
either in the home or in a clinic setting.
This service helps the elderly in determining their eligibility
for income maintenance or public assistance, assists in
processing or filling out forms such as insurance, and teaches
about local, state and federal tax benefits or credits.
This service helps participants caring for an older person
and/or children in a individual setting make decisions and
solve problems relating to their caregiving roles such as
providing advice and instruction.
This service assists the elderly in their adjustment to
retirement through pre-retirement programs or a more
crisisoriented service for retirees. This service may also
include advice about employment and enhancement of
employability.
This service is designed to assist the participant in obtaining
housing. It also provides suggestions for the improvement of
present living conditions.
Service designed to provide individuals with an awareness of
preventative, remedial and/or rehabilitative self-health care
focused on the particular needs of participating individuals.
B-2.5
UNIT
One Hour
One Day
One Match
One
Enrollment
One Visit
One Hour
One Hour
One Hour
One Hour
One Hour
NAPIS SERVICE CODES &
DEFINITIONS
CODE
253
254
255
357
359
361
363
SERVICE
DEFINITION
Mental Health
Counseling
This service is designed to provide psychiatric care and
counseling to persons in danger of institutionalization or who
may have suffered significant losses, dementia, depressions,
etc. Pharmaceutical therapy is available in addition to
counseling when needed. A psychiatrist is available for
home visits.
Home Mental
This service is designed to provide psychiatric care and
Health
counseling in the home to persons in danger of
Counseling
institutionalization or who may have suffered significant
losses, dementia, depression, etc. Pharmaceutical therapy is
available in addition to counseling when needed.
Money
This service provides assistance to persons whose ability to
Management
manage their own financial affairs is restricted by either
impairment or lack of previous experience. This service can
be provided by professionals or volunteers working under the
supervision of qualified professionals.
Hospice
This category refers to family and home oriented palliative
care which focuses on emotional and psychological support
for an understanding of the 60+ incurable disease victim.
This care includes pharmaceutical services, bereavement
counseling, volunteer visits, training and visits by social
workers, counselors, and ancillary medical personnel.
Health
Service designed to develop an individualized profile of
Assessments
participants’ current health and the services required to
maintain or improve their functioning. Service may be
provided by a medical doctor or a diagnostically trained nurse
practitioner or physician’s assistant.
Health
Service is designed to promote and maintain community
Screening/ Clinic health by providing testing services for the assessment of a
participant’s health status and the determination of need for
Home Health
Aide
UNIT
One Hour
One Hour
One Hour
One Hour
One Visit
One Visit
further health care.
Providing personal assistance, stand-by assistance,
One Hour
supervision or cues for persons having difficulties with one or
more of the following activities of daily living: eating,
dressing, bathing, toileting, and transferring in and out of bed.
B-2.6
NAPIS SERVICE CODES &
DEFINITIONS
CODE
364
SERVICE
DEFINITION
Home health aide services that are provided on a live-in (day
and night) basis. Services include personal assistance,
standby assistance, supervision or cues for persons having
difficulties with one or more of the activities of daily living:
eating, dressing, bathing, toileting, and transferring. Aides
are trained by licensed home health agencies and perform
personal care functions under the supervision of a licensed
health care practitioner. This service is intended to be used
with the state funded Alzheimer’s respite program. If this
service is funded under the Older Americans Act the service
must be converted to hours for compatibility with
Administration on Aging reporting requirements.
Temporary
This service provides short-term inpatient respite care in an
Inpatient Care – institutional setting. The service is usually provided in a
Institutional
nursing home and includes a room, meals, substantial
assistance with personal care and daily living, protective
supervision and recreational activities. Nursing services may
also be provided.
Temporary
This service is similar to service code 365 with the exception
Inpatient Care – that it provides respite care in non-institutional settings such
Non-Institutional as residential care homes, assisted living communities, etc.
The service includes a room, meals, substantial assistance
with personal care and daily living, protective supervision and
recreational activities. Nursing services may also be
provided.
Respite
Service designed to provide temporary care to a participant
requiring personal care assistance so that his or her at-home
caregiver (usually a family member) can have a break.
Respite can be provided in the home, long term care facility,
or a day care facility.
Nursing Visits
Service designed to provide part-time preventative, restorative
and rehabilitative nursing care, including health education and
counseling to participants who can be cared for at home.
One Day
377
Therapeutic
Activity
One Hour
385
477
Dental Clinics
Transportation
365
366
367
369
Live-In Home
Health Aide
UNIT
Service designed to provide participants with organized
activities intended to improve their physical or emotional
health.
Clinic programs that offer dental screening and/or treatment.
Provision of a means of transportation for a person who
requires help in going from one location to another, using a
B-2.7
One Day
One Day
One Hour
¼ Hour
One Visit
One OneWay Trip
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
478
Medical
Transportation
583
Home Delivered
Meals
DEFINITION
UNIT
vehicle. Does not include any other activity. This definition
has been expanded to include the designations “Demand
Transportation for the Non Ambulatory” (478) and “Fixed
Route Transportation” (479) formerly in use.
Specialized service to provide participants with transportation One Oneto and from destinations that provide medical services. May Way Trip
include assistive technologies for persons with mobility
limitations.
Provision, to an eligible participant or other eligible recipient One Meal
in the participant’s place of residence, a meal which:
(a) complies with the Dietary Guidelines for Americans
(published by the Secretaries of the Department of
Health and Human Services and the United States
Department of Agriculture);
(b) provides, if one meal is served, a minimum of 33 and
1/3 percent of the current daily Recommended
Dietary Allowances (RDA) as established by the Food
and Nutrition Board of the National Research Council
of the National Academy of Sciences;
(c) provides, if two meals are served, a minimum of 66
and 2/3 percent of the current daily RDA; although
there is no requirement regarding the percentage of the
current daily RDA which and individual meal must
provide, a second meal shall be balanced and
proportional in calories and nutrients; and,
(d) provides, if three meals are served, together, 100
percent of the current daily RDA; although there is no
requirement as to the percentage of the current daily
RDA which an individual meal must provide, a second
and third meal shall be balanced and proportional in
calories and nutrients.
B-2.8
NAPIS SERVICE CODES &
DEFINITIONS
CODE
585
SERVICE
Congregate
Meals
DEFINITION
Provision, to an eligible participant or other eligible recipient
in a nutrition site, senior center, or some other congregate
setting, a meal which:
UNIT
One Meal
(a) complies with the Dietary Guidelines for Americans
(published by the Secretaries of the Department of
Health and Human Services and the United States
Department of Agriculture);
(b) provides, if one meal is served, a minimum of 33 and
1/3 percent of the current daily Recommended
Dietary Allowances (RDA) as established by the Food
and Nutrition Board of the National Research Council
of the National Academy of Sciences;
587
Food Buying
Club
588
Food Pantry
589
Nutrition
Assessment
(c) provides, if two meals are served, a minimum of 66
and 2/3 percent of the current daily RDA; although
there is no requirement regarding the percentage of
the current daily RDA which and individual meal
must provide, a second meal shall be balanced and
proportional in calories and nutrients; and,
(d) provides, if three meals are served, together, 100
percent of the current daily RDA; although there is no
requirement as to the percentage of the current daily
RDA which an individual meal must provide, a
second and third meal shall be balanced and
proportional in calories and nutrients.
A service that provides reduced costs in purchasing food
through a group buying process. Pre-orders are taken, bulk
purchase is made, packaging is performed by volunteers and
distribution is made to participants.
A service that distributes contributed food to seniors at no
cost to the participant. Participants may come to the pantry
or the pantry may bring food to the participant.
Service Designed to develop and individualized profile of
participants’ current nutritional status and the measures
required to overcome any deficiencies uncovered. Service
must be provided by a dietitian registered with the American
Dietetics Association or other health care professional with
comparable training.
B-2.9
One Contact
One
Distribution
One Contact
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
591
Nutrition
Counseling
671
Caregiver
Support Groups
673
Caregiver
Training
675
Child Respite
685
Health
Education
687
Continuing
Education
695
Congregate
Nutrition
Education
696
Home Nutrition
Education
DEFINITION
Provision of individualized advice and guidance to
individuals, who are at nutritional risk, because of their health
or nutritional history, dietary intake, medications use or
chronic illness, about options and methods for improving their
nutritional status, performed by a health professional in
accordance with state law and policy.
This service assists participants in adjusting to problems in
their lives as they care for an older individual or child. They
include guidance and assistance in such areas as personal
adjustment, family relations, and guardianship. This service
includes active group intervention in order to assist the
participant in solving problems and making decisions.
This service enhances the skills of those who are caring for
older individuals and/or grandparents/relatives caring for
children. Training sessions may include, but are not limited
to: medication management, child health, and instructions
regarding how to assist with activities of daily living such as
bathing and dressing.
Service designed to provide temporary care to a child 18 years
of age and younger so that his or her at-home caregiver
(grandparent or elderly relative) can have a short-term break.
Respite can be provided in the home, campy or a daycare
facility.
Service designed to provide individuals or groups of
participants with an awareness of preventative, remedial
and/or rehabilitative self-health care depending on the health
needs of that particular individual/group.
Service designed to provide the elderly with an opportunity to
acquire and/or improve their knowledge and skills through a
formal or informal mechanism of meetings, training sessions,
seminars and workshops.
A program to promote better health by providing accurate and
culturally sensitive nutrition, physical fitness, or health (as it
relates to nutrition education) to participants in a group
setting overseen by a dietitian or individual of comparable
expertise.
Personal contact with client or caretaker to provide instruction
and encouragement for sound dietary practices.
B-2.10
UNIT
One Hour
One Session
One Session
One Hour
One Session
One Session
One Session
One Contact
NAPIS SERVICE CODES &
DEFINITIONS
CODE
697
699
710
712
714
800
SERVICE
DEFINITION
Family Life
Education
This category is provided to cover those education or training
programs that deal with family and individual adjustment. It
provides participants with the skills required to cope with the
psychological and societal problems spawned by advancing
years.
Benefits
This category covers those educational programs designed to
Education
make the participants aware of government or nongovernment
programs available to assist them in meeting their needs and
solving their problems. These programs address the details of
the services provided, eligibility requirements, and the places
where the services are delivered.
Congregate
The congregate meals served to persons under the age of 60
Meals – Nonwho are not spouses of participants who are 60 years of age or
Participant
older or otherwise eligible for the program, and meals served
to staff and guests.
Congregate
Meals served to participants for whom the site does not have
Meals – Eligible, an identifier. This category would include, for example,
No ID
meals served to eligible participants who come for a special
event but are not expected to eat at the site again. Volunteers
under 60 years of age, could be included if permitted by
AAA policy.
Wasted Meals
This is the number showing the difference between the meals
ordered and the meals served.
Personal Care
Assists the client with bathing, shampooing and drying hair,
Aide [CHSP]
dressing and dental hygiene. A free initial assessment is
included to determine the client’s need and appropriateness
for services.
801
Foot Care
[CHSP]
802
Foot Care
[Nurse-CHSP]
807
State
Alzheimer’s
Adult Day Care
UNIT
One Session
One Session
One Meal
One Meal
One Meal
One Visit
Routine foot care provided by a licensed cosmetologist in a
One Visit
client’s home which includes soaking and lotioning of feet
and trimming, filing and cleaning of toenails.
Routine foot care provided by a registered nurse in a client’s
One Visit
home which includes soaking and lotioning of feet and
trimming, filing and cleaning of toenails when there is a
diagnosis of diabetes, vascular disease or when the client is on
a blood thinner. A written physician’s order is obtained and
renewed every six months.
State funded day care provides personal care, assistance in
One Hour
activities of daily living, and therapeutic services in a
protective group setting to State-Funded Alzheimer’s
participants. These services may prevent the
institutionalization of individuals with cognitive or physical
impairments.
B-2.11
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
853
Direct Volunteer
Services
861
863
901
902
903
904
909
911
912
913
914
919
DEFINITION
UNIT
This code was established to record the total number of
contacts between volunteers and elderly service participants in
the community for a given period on a consolidated or group
basis. It is used in those instances where the nature of the
service provided by the volunteer is of such a diverse nature
that it cannot be otherwise identified.
Public Education This category is included to cover activities undertaken to
increase public awareness of problems or concerns facing the
older populations and solutions to these problems. These
activities may include public service announcements in the
media, preparation of pamphlets, reports, presentations,
seminars and newsletters. The target audience of these
activities is the general population, and it is usually not
possible to specify the number of participants with any degree
of precision.
Website Contact Contact or “hit” on an Internet WEB site maintained by the
Department of Social Services or a Department of Social
Services contractor or grantee to provided the public with
information on services or issues of concern to the older
population.
Medicaid (Title Legal assistance on Medicaid related problems.
XIX)
Medicare/Medig Legal assistance on problems related to Medicare or Medicare
ap
supplement (Medigap) insurance.
QMB/SLMB
Legal assistance with problems related to the Qualified
Medicare Beneficiary (QMB) or Specified Low-income
Medicare Beneficiary (SLMB) programs.
Nursing Home
Legal assistance with matters associated with nursing home
Issues
placement or treatment.
Other
Legal assistance with all other problems associated with
Health/LTC
Health Care
Directives
Wills
Probate
Powers of
Attorney
Other
Autonomy/
Planning
health care or long-term care.
Legal assistance with advanced directives, living wills, and
related issues.
Legal assistance with wills.
Legal assistance with matters related to probate court.
Legal assistance with matters related to powers of attorney.
Legal assistance with all other matters related to personal
autonomy, elder rights, and planning for future crisis.
B-2.12
One Contact
One Activity
One Contact
One Hour
One Hour
One Hour
One Hour
One Hour
One Hour
One Hour
One Hour
One Hour
One Hour
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
921
Social
Security/SSI
State
Supplement
Veterans/Railroa
d Retirement
Legal assistance with problems related to Social Security or
One Hour
SSI eligibility or benefits.
Legal assistance with problems related to State Supplement
One Hour
eligibility or benefits.
Legal assistance with problems related to veterans, Railroad
One Hour
Retirement system, or other public retirement systems benefit.
924
Food Stamps
925
926
General
Assistance
Unemployment
929
Other Benefits
931
Protective/
Restraining
Orders
Abuse/ Neglect
Legal assistance with problems related to Food Stamp
eligibility or benefits.
Legal assistance related to General Assistance eligibility or
benefits.
Legal assistance related to Unemployment eligibility or
benefits.
Legal assistance related to problems with eligibility or
benefits from other public programs.
Legal assistance with restraining orders and other protective
measures.
922
923
932
933
939
941
942
943
944
945
959
961
962
969
979
Financial
Exploitation
Other Protective
Services
Landlord/Tenant
Public Housing
Utilities
Energy
Assistance
Other Housing/
Utilities
Discrimination
Grandparent’s
Rights
Divorce/Separati
on
Other Family
Issues
Consumer Issues
DEFINITION
UNIT
One Hour
One Hour
One Hour
One Hour
One Hour
Legal assistance with problems relating to abuse or neglect by One Hour
others.
Legal assistance with programs relating to financial
One Hour
exploitation.
Legal assistance with other protective service related issues.
One Hour
Legal assistance with disputes between landlords and tenants.
Legal assistance with problems involving public housing.
Legal assistance with problems involving utilities.
Legal assistance with problems related to heating and cooling
costs or assistance.
Legal assistance with other problems involving housing or
shelter costs.
Legal assistance with problems involving discrimination.
Legal assistance with problems related to grandparent’s
rights.
Legal assistance with divorce, annulment, or separation.
One Hour
One Hour
One Hour
One Hour
Legal assistance with all other family related problems.
One Hour
Legal assistance with problems related to consumer
complaints or other related issues.
One Hour
B-2.13
One Hour
One Hour
One Hour
One Hour
NAPIS SERVICE CODES &
DEFINITIONS
CODE
SERVICE
998
Supplemental
Services
999
Unspecified
Social Services
DEFINITION
UNIT
Services provided to eligible family caregivers to sustain or
One Dollar
enhance their ability to provide care for older family members
and/or dependent children. It is to be reported in terms of the
dollar value of the services provided. AoA-PI01-02 defines
this category as “other services, as defined by states, to
support the needs of caregivers.”
This code is used in target forms and certain reports to
None
identify participants of services funded under Title III-B, D,
Specified
and F of the Older Americans Act without specifying the
particular service they received.
B-2.14