Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 –...
-
Upload
corey-snow -
Category
Documents
-
view
228 -
download
1
Transcript of Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 –...
![Page 1: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/1.jpg)
Claim Calculations and Recalculations in the CACFP
810 First Street, N.E., Washington, DC 20002 – 3rd Floor Grand Hall, Side A
![Page 2: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/2.jpg)
Claims for Reimbursement
![Page 3: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/3.jpg)
Claims for Reimbursement
How do CACFP payments work?
A. You’re paid a set amount in advance for the coming month.
B. You’re reimbursed a set amount for last month.
C. You’re reimbursed for the meals that you served last month.
D. You’re reimbursed for your actual costs last month.
![Page 4: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/4.jpg)
Claims for Reimbursement
How do CACFP payments work?
A. You’re paid a set amount in advance for the coming month.
B. You’re reimbursed a set amount for last month.
C. You’re reimbursed for the meals that you served last month.
D. You’re reimbursed for your actual costs last month.
![Page 5: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/5.jpg)
Claims for Reimbursement
What factors affect the amount of your claim payments?
1. The federal meal reimbursement rates
2. The reimbursement rate eligibility classifications (free / reduced-price / paid) for all participants
3. The number of meals served, by type (breakfast, snack, or lunch/supper)
![Page 6: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/6.jpg)
Claims for Reimbursement
When do the reimbursement rates change?
A. January 1
B. July 1
C. October 1
D. Whenever Congress raises them
![Page 7: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/7.jpg)
Claims for Reimbursement
When do the reimbursement rates change?
A. January 1
B. July 1
C. October 1
D. Whenever Congress raises them
![Page 8: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/8.jpg)
Claims for Reimbursement
Why do the free / reduced-price / paid numbers matter?
The Blended Rate
![Page 9: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/9.jpg)
BREAKFAST
Free $1.58
Reduced $1.28
Paid $0.28
LUNCH / SUPPER
Free $2.93
Reduced $2.53
Paid $0.28
A.M. / P.M. SNACK
Free $0.80
Reduced $0.40
Paid $0.07
Claims for Reimbursement
The Blended Rate
![Page 10: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/10.jpg)
Claim Payment Calculations
![Page 11: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/11.jpg)
See “Reimbursement Calculator” Excel Spreadsheet
![Page 12: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/12.jpg)
Claim Reimbursement Calculator
• Programmed with the basic federal reimbursement rates
• Mirrors the fields of the Claim for Reimbursement
• Shows your institution’s unique blended reimbursement rate for each meal type for the month
• Gives you an estimate of your monthly claim based on the reported free / reduced-price / paid numbers and number of meals served
![Page 13: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/13.jpg)
Claim Reimbursement Calculator
• Play around with the calculator to see how the blended rate works– The percentage of participants in each
eligibility category, not the raw number, affects the blended rate• A higher percentage of participants in the “free”
category makes the blended rate closer to the “free” reimbursement rate for each meal type
– The number of each meal type served does directly affect the value of your claim payment
![Page 14: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/14.jpg)
Claim Reimbursement Calculator
• The free / reduced-price / paid numbers do not affect the cash-in-lieu of commodity reimbursement rate• The cash-in-lieu of commodity reimbursement rate is
added to your blended rate for lunches and suppers
– All at-risk meals are reimbursed at the free reimbursement rate
![Page 15: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/15.jpg)
See “Claim Calculation-Recalculation Example” Excel Spreadsheet
![Page 16: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/16.jpg)
Claim Recalculation Spreadsheet
• Sent with review letters any time findings lead to fiscal action / claim recalculations
• Shows the data originally reported on the claim for each month and the value of that claim
• Shows the revised data, as determined by the State Agency, and the revised value of the claim
![Page 17: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/17.jpg)
Claim Recalculation Spreadsheet
• State Agency focuses on the records and data for a “test month” during a review– Meals are typically only disallowed for the test
month
• Any IES classification errors are corrected for the entire fiscal year (going back to the month the child enrolled or was first claimed, or October -- whichever is later) – IES errors quickly add up over time
![Page 18: Claim Calculations and Recalculations in the CACFP 810 First Street, N.E., Washington, DC 20002 – 3 rd Floor Grand Hall, Side A.](https://reader036.fdocuments.net/reader036/viewer/2022081506/56649ce25503460f949add9b/html5/thumbnails/18.jpg)
Reasons for Recalculations
• IES was misclassified • IES was correct but claimed incorrectly*• Incorrect number of participants reported in
the free/reduced-price/paid section*• Incorrect meal count totaling• Discrepancies between attendance and meal
counts (more meals claimed than people present)
• Meals/menus did not meet meal pattern
*Usually due to errors on the MEL