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![Page 1: Compiling CACFP Claims Mike Ryan Nutrition Program Consultant Wisconsin Department of Public Instruction Child and Adult Care Food Program Child Care Institutions.](https://reader030.fdocuments.in/reader030/viewer/2022032612/56649ef35503460f94c064f9/html5/thumbnails/1.jpg)
Compiling CACFP Claims
Mike Ryan Nutrition Program Consultant
Wisconsin Department of Public Instruction
Child and Adult Care Food Program
Child Care InstitutionsOutside of School Hours Care
CentersGuidance Memorandum #3Chttp://fns.dpi.wi.gov/fns_centermemos
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Claim Documentation−Household Size Income Statements−Household Size-Income Record−Time of Service Meal Count Records−Attendance Records−Days of Operation−Dated Menus (listing substitutions, changes,
updates, etc.)−Production Records (Children ages 1-12 years)−Infant Production Records, if applicable−Recipes−Child Nutrition Labels/Product Analysis Sheets−Original Food receipts, invoices etc.
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Claiming Month Last Day for Online SubmissionJanuary April 1 (March 31 on leap years)
February April 29March May 30April June 29May July 30June August 29July September 29
August October 30September November 29
October December 30November January 29December March 1 (February 29 on leap years)
Claim Deadline Dates
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On-Line Claiming
• Required
• Maintain confirmation page from the
internet claim site
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Online Confirmation Page
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Claim Due Date
• Claim submission deadline of 60
days after the end of the claim
month
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ENROLLMENT DATA
I. Child and Adult Care Food Program Enrollment Data
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ENROLLMENT DATA
I. Child and Adult Care Food Program Enrollment Data
12 5 10 27
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For-Profit Centers • Monthly eligibility requirement
• 25% of the children must be county-funded (W2 Child Care Assistance, i.e. Shares) or 25% must be determined as free or reduced
• Failure to meet the 25% means the center cannot be reimbursed for that given month
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Participation Data
II. Participation Data
123
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Average Daily Attendance
• Use daily attendance records, NOT meal counts
• Total children in attendance/days of operation=ADA
• Round all fractions up to the next whole number
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Participation Data
5. Number of sites
6. Number of days of service
7. Average Daily Attendance
II. Participation Data
1
2321.1
22
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Number of Meals Served to Children
II. Participation Data
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Claiming Meals for Reimbursement
• 2 meals and 1 snack or 2 snacks and 1
meal per child per day
• Greater than 3 Meals
• Guidance Memorandum #9C
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Number of Meals Served to Children
II. Participation Data
539
546
555
1640
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Site Participation Data for Sponsoring Organizations
ABC Child Care 1 ABC Child Care 2
1 2 3 4 5 6 7 8 9 10
11
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Participation Data: Sponsoring Organizations
34 17 38 89
2
21
82
1208 1247 1323 3778
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Completing the CACFP Reimbursement Claim
Wisconsin Department of Public Instruction
Child and Adult Care Food Program
At Risk After School MealsEmergency Shelters
Guidance Memorandum #3Chttp://fns.dpi.wi.gov/fns_centermemos
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Claim Documentation−Attendance/Participation Records−Days of Operation−Time of Service Meal Count Records−Dated Menus (listing substitutions, changes,
updates, etc.)−Production Records
• At Risk sites only
−Infant Production Records, if applicable• At Risk Sites Only
−Recipes−Child Nutrition Labels/Product Analysis Sheets−Original Food receipts, invoices etc.
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Claiming Month Last Day for Online SubmissionJanuary April 1 (March 31 on leap years)
February April 29March May 30April June 29May July 30June August 29July September 29
August October 30September November 29
October December 30November January 29December March 1 (February 29 on leap years)
Claim Deadline Dates
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On-Line Claiming
• Required
• Maintain confirmation page from the
internet claim site
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Online Confirmation Page
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II. Participation Data
Participation Data
1 20II. Participation Data
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Average Daily Attendance (ADA)
21.1
22
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II. Participation Data
Number of Meals Served to Children
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II. Participation Data
Number of Meals Served to Children: At Risk After School
539
546
555356 150 506
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Number of Meals Served to Children: Emergency Shelter
23 14 63 100
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Site Participation Data for Sponsoring Organizations
1234
1235 AR
AR ABC Elementary
ABC Middle School
30
75
105
17
20
25
60
85
150
500 325
325650
1 2 3 4 5 6 7 8 9 10 11 12 N/A
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Site Participation Data for Sponsoring Organizations
105
2 20 85
650 325 975
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Average Daily Attendance
• Use daily attendance records, NOT meal counts
• Total children in attendance/days of operation=ADA
• Round all fractions up to the next whole number for ADA
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Claim Due Dates• Claim submission deadline of 60
days after the end of the claim
month
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CACFP Meal Patterns• Breakfast
−Milk−Grain/Bread−Fruit/Vegetable
• Snack (2 of 4)−Milk−Grain/Bread−Fruit/Vegetable−Meat/Meat
Alternate
• Lunch/Dinner−Milk−Meat/Meat
alternate−Fruit/Vegetable
• 2 items required
−Grain/Bread
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Menu Exercise
• Review Menu handouts
• Identify which meals are not
reimbursable
• Edit month meal count sheet to reflect
correct totals
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ABC DAY CARE SAMPLE MENUMay 2014 - BREAKFAST
Monday Tuesday Wednesday Thursday Friday 4
Cream of wheat Bananas Milk
5Vanilla yogurtw/Fresh blueberries & granola
6Corn bread w/ *honey & butterCantaloupeMilk
7Blueberry pancakes w/syrupSausageMilk
8Toast w/peanut & Strawberry jamMilk
11
Scrambled eggs w/ Cheddar cheeseToastMilk
12Cinnamon & butterTortillasKiwi slicesMilk
13WafflesStrawberriesMilk
14Malt-O-Mealw/Apple chunksMilk
15Whole wheat English MuffinStrawberriesMilk
18
Warm rice w/ Cinnamon & butterPineapple chunksMilk
19Scrambled eggsHashbrownsOrange Juice
20CheeriosBlueberriesMilk
21Bagels w/cream cheeseFresh strawberriesOrange Juice
22Bran muffinApple slicesMilk
25
Warm peaches & cinnamon over Shortcake biscuitMilk
26Raisin branRaspberriesMilk
27OatmealToastMilk
28Strawberry yogurtGrapesMilk
29Rice KrispiesFresh blueberriesMilk
Need Milk
Need Fruit/Vegetable
Need Grain/BreadNeed Fruit/Vegetable
Need Milk & Grain/Bread
Jam-not creditable- need F/V
Need Fruit/Vegetable
Need Milk
*don’t serve to children <1yr
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ABC DAY CARE SAMPLE MENUMay 2014 - Lunch
Monday Tuesday Wednesday Thursday Friday 4Beef BBQ sandwich
on kaiser rollBroccoli MangoesWater
5Meatballs & gravyRiceWatermelonRye BreadMilk
6 Egg salad sandwichesPineapple ringsCauliflowerApple juice
7Ham & cheese quesadillasGreen bean casseroleTropical fruit saladChocolate milk
8*Pepperoni pizza Sliced cucumber saladCauliflowerMilk
11Grill cheese sandwich Tomato soupPlumsMilk
12*Chicken nuggetsCarrot sticksBaked applesMilk
13*Macaroni & cheesePineapple chunksBroccoli florets
14Turkey-n-cheese pitasSteamed broccoliFresh peach slicesMilk
15*Breaded fish sandwichPasta Salad w/ broccoli, carrots, & tomatoPeaches & Milk
18*PB&J sandwich Orange wedgesCucumber slicesMilk
19Sub sandwiches(turkey, ham, cheese, lettuce, tomato)Carrot/celery sticksApples & Milk
20Tater tot casserole (hamburger & tater tots)Cantaloupe Broccoli & Milk
21Grilled ham & Swiss on light rye bread Cauliflower floretsSliced peachesMilk
22Baked hamScalloped potatoesGreen peasButtered noodlesMilk
25*Spaghetti w/meat sauceSliced zucchini w/dipMilk
26 MeatloafMashed potatoesHoneydew melonMixed veggiesMilk
27Tacos w/refried beans (cheese, lettuce, & tomato)Mandarin orangesMilk
28Chicken Salad on pitaTomato wedges w/ranch dipKiwiMilk
29*Canned vegetable/beef soupTomatoes CrackersMilk
Need Fruit/Vegetable
*additional m/mamay be needed Need Grain/Bread
Need Grain/Bread*combination of 3 components
*Need CN LabelNeed Milk Need Milk
*Need CN Label*Need CN Label
*Need CN Label
*may not creditable as m/ma
Need Milk
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ABC DAY CARE SAMPLE MENUMay 2014 - SNACK
Monday Tuesday Wednesday Thursday Friday 4
Cheddar cheese slicesWheat thinsOrange juice
5Tomato wedges*Cottage cheese
6Soft pretzel w/Nacho cheese Milk
7Strawberries Oatmeal raisin cookie
8Ice cream Strawberries
11
Baked potato w/sourcreamOrange Juice
12*Fruit SmoothieWater
13Ham sandwich quartersTangerinesWater
14Vanilla puddingGraham crackers
15Cantaloupe and Watermelon chunks Mini bagels
18
Carrot & celery sticks w/ranch dressingGrape juice
19Hard boiled eggSaltine crackersPineapple juice
20Frozen yogurt
Ice cream cones
21Blueberry muffin SaltinesWater
22Fresh fruit kabobsYogurtWater
25
Popcorn & GrapesOrange Juice
26TriscuitsString cheesePineapple slices
27Jell-OApple slicesWater
28Pretzel wrap: pretzel rod rolled in 1-2 slices of cheeseMilk
29Toasted raisin breadGrape juice
*2 oz (1/4 c) serving= 1 oz of meat
Both components are Fruit/Vegetable
Jell-O not creditable
(not creditable)
Ice cream is not creditable
Both components are Fruit/Vegetable
Both components count as a Grain/Bread
Popcorn not creditable; Grapes and OJ-same component
Only the fruit OR the milk in the smoothie is creditable
pudding is not creditable
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QUESTIONS?
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The U.S Department of Agriculture prohibits discrimination against its customers, employees, and
applicants for employment on the bases of race, color, national origin, age, disability, sex, gender
identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental
status, sexual orientation, or all or part of an individual’s income is derived from any public
assistance program, or protected genetic information in employment or in any program or activity
conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or
employment activities.)
If you wish to file a Civil Rights program complaint of discrimination, complete the
USDA Program Discrimination Complaint Form, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992
to request the form. You may also write a letter containing all of the information requested in the
form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture,
Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by
fax (202) 690-7442 or email at [email protected].
Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the
Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).
USDA is an equal opportunity provider and employer.