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Meal Counts, Overt ID, Claims Review Process Meal Count Collection Procedures

Meal Counts, Overt ID, Claims Review Process Meal Count Collection Procedures

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Page 1: Meal Counts, Overt ID, Claims Review Process Meal Count Collection Procedures

Meal Counts, Overt ID, Claims Review Process

Meal Count Collection Procedures

Page 2: Meal Counts, Overt ID, Claims Review Process Meal Count Collection Procedures

• Accuracy in counting, recording, and claiming the number of reimbursable meals actually served to students.

• Documentation on file that adequately supports the number of free, reduced priced, and full priced meals claimed.

• Have in affect an approved medium of exchange. (This includes any type of ticket, token, ID, name or number issued

Meal Counts

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to the student to obtain a reimbursable

meal.

•Have in place a method of prepayment and/or post billing (charging) in place. (Post billing is seldom recommended. Refer to your District’s policy on meal charges).

•Point-of-service counting and claiming procedures that are acceptable.

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• A method that is effective in determining reimbursable meals.

• All students have equal access.

• Consumption of meals on campus or at school.

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Questions?

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Preventing Overt Identification

Medium of Exchange

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• The coding, distribution, and collection process of the medium of exchange selected must ensure that the meal count/collection system used prevents overt identification of free and reduced price meal recipients.

• When collecting the medium of exchange, use common serving areas, dining areas, and serving times, during the meal

Preventing Overt Identification

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service for all students.

•Procedures for free, prepaid reduced price, and prepaid full price must be the same.

•Meal types must meet nutritional requirements, but may not identify free or reduced price meals in regards to special functions, field trips, etc.

Preventing Overt Identification

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• Obvious identifiers such as F, R, P, or color coding by category are prohibited.

Preventing Overt Identification

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Questions?

Preventing Overt Identification

10/2014 ©MDE - Your Program Name 10

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Claim for Reimbursement

Claims Review Process

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• Also know as “Edit Checks”.

• All claim reimbursements must be based on a daily meal count, taken at the point of service.

• Only one breakfast and one lunch per eligible child per day may be claimed for reimbursement.

• Before February 1st of each year, the

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SFSA must conduct an on-site review of

each school in the District. •A follow-up review must be conducted within 45 calendar days of the first review if any problems were addressed and corrective action was required.•The edit check process must be completed monthly so any potential overclaims can be resolved before

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claim submission.

•The District is responsible for ensuring the claim for reimbursement is based on an accurate meal count by category, regardless of the system or procedure used.

•Districts can never claim more free, reduced priced, or paid meals than are served to eligible children.

Claims Review Process

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• Districts will be required to repay any overclaim amounts in excess of the number of free, reduced price, paid, or total number of enrolled students claimed.

• Each day, eligibility, attendance, and enrollment must be compared to the claim for reimbursement prior to submission to ensure meals served are not in excess of students who participated.

Claims Review Process

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Terms to Know:

•Average Daily Attendance (ADA)

•Average Daily Enrollment

•Percentage of Enrollment Present (Attendance Factor)

•Average Daily Participation (ADP)

•When determining the number of eligible paid children for the current month, take

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• Current enrolled children and subtract the current free and reduced price children.

• All children who are enrolled in the District are eligible to participate in the National School Lunch Program (NSLP). They may or may not choose to participate.

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Questions?

Claims Review Process

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