Claiming in the School Meal Programs Hydie Kidd Fiscal Supervisor - - PDF document

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Claiming in the School Meal Programs Hydie Kidd Fiscal Supervisor - - PDF document

Claiming in the School Meal Programs Hydie Kidd Fiscal Supervisor OSPI Child Nutrition Services Thank you for joining us for this recorded training on claiming in the School Meals Programs. My name is Hydie Kidd, and I am the Fiscal Supervisor


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Claiming in the School Meal Programs

Hydie Kidd Fiscal Supervisor OSPI Child Nutrition Services Thank you for joining us for this recorded training on claiming in the School Meals

  • Programs. My name is Hydie Kidd, and I am the Fiscal Supervisor for the Child

Nutrition Programs in WA. 1

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Objectives

  • Reimbursement Rates and how they’re determined
  • October Building Data
  • Filing Claims and error messages
  • Deadlines and Exceptions
  • Revisions – for claims and calendars

We are presenting this training module to provide sponsors with useful tools to help with questions and procedures they have for filing a successful claim.

  • 1. Reimbursement Rates and how that is determined (severe bk rate, high/low meal

rate, state co pay, etc.)

  • 2. Data gathering and report clean up before entering claim (to ensure accuracy)

Run month end data report to check for default entity, accuclaim reports, and building count data, physical counts to reported counts.

  • 3. October building data and what to do when eligibility numbers have changed,

entering new enrollment data field

  • 4. Filing claim and error messages (what do they mean) Ok to Pay, Partially paid, Error

Status etc.

  • 5. Filing deadlines and pay exceptions (60 day rule) Crosstrain additional staff to know

how to file claim in the event you are not able to. Make a habit of filing claim by (lets say) the 10th of the following month. Put it on calendar as apt to set time aside to do that.

  • 6. When revisions need to be made. Upward only within the 60 day period unless

requesting pay exception. Downward revisions always allowed. Explain process for pay exception. What is needed in the formal letter? Two points we look for, A corrective plan of action CAP, what steps have you taken to ensure late claiming will 2

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not continue to be a problem and that your business/district fully understands that a 1 in 36 late claim pay exception is only allowed one time for 36 consecutive months. Late claim pay exceptions are by programs as well.

  • 7. Calendars and revisions to the calendars. Calendars are part of the application
  • process. That means any revisions need to be "submitted" on your part and approved
  • n our part (by the program specialist). This needs to happen prior to claim being

reviewed to remove from error status. You will want to plan to get this done before the deadline for claiming, specialists may or may not always be available to approve. Plan ahead.

  • 8. "Proceed to Calculation Summary"! Cannot stress enough the importance of using

this feature! 2

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Ready, set, claim!

 Gather your documents  Set a time on your calendar  Compare claim totals to prior months and years

What you need before you are ready to input claim! All Point of Sale and/or Financial Reports with accurate and correct data for the month being claimed. Set a time on your calendar to be able to take your time and complete the claim without interruptions. Compare claim totals to prior months and years for any discrepancies. Always, preview errors on claim and proceed to calculate! 3

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Ready, set, claim!

 Always preview errors  Trouble shoot any problems, click on preview errors!  Contact OSPI for questions

 Always preview errors. Wins is very intuitive with identifying what part of the claim is in error status. This will allow you to trouble shoot the claim without assistance.  Trouble shoot any problems, click on preview errors!  Contact OSPI for questions. 4

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Ready, set, claim!

To be paid in the same month, submit your claims Make sure to complete any changes by 5pm! WINS automatically logs you out of the system, claims that are not completed may not process for payment.

  • By the 15th of the month (even if it falls on a

weekend or holiday)

  • By 5:00pm PST

Remember the 15th of the month by 5:00 PM PST, is the deadline for be paid in the same month. Remember if you are in WINS inputting data into a claim and you are not finished by 5:00, the system will kick you out of the program and only the parts of the claim that are in ok to pay will process. Please plan accordingly. 5

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What else affects claims??

WINS claim edit checks …..

  • # of operating days x eligible students by free, reduced and

paid categories

  • Wins edit checks number of meals claimed based on

October building data eligibility numbers or enrollment updated entered

  • Site calendars – tied to # of operating days for the site

REMEMBER! Click “Preview Errors” if errors show up!

Wins is a system that has edit checks incorporated into the system to edit check

  • perating days x October building data. Wins calculates the claim based on your OBD

that you entered with your October claim. If you are receiving an “error message” on your claim, remember to click on the “preview errors” field to generate message that needs your attention. Wins also ties site calendars to number of operating days claimed for the site. If calendar does not match operating days reported for that month, the claim will go into error status. Remember, if in error, click on “Preview Errors” at bottom of claim page. 6

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Reimbursements

Local Education Agency’s (LEAs) are responsible for:

  • Ensuring correct use of free and reduced-price eligibility when claiming.
  • Using a system that reliably:

 Generates accurate and correct data to be used for reimbursement claiming  Meal Counts, Eligibility Data and Operating Days  Consolidates meal counts and types by category correctly  Has accurate and useful reports to promote financial stability

  • All meals that meet meal pattern requirements, served to children eligible for

free, reduced‐price and paid meals may be claimed for reimbursement

  • Meals must be counted, recorded, consolidated and reported through a

system which consistently yields correct claims

  • Annual (July 1 – June 30) rates adjustment are based on the Consumer Price

Index 7

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Reimbursement Rates

Let’s take a look at Severe Need Breakfast 8

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Reimbursement Rates

Severe Need Breakfast

Schools where 40% or more of the lunches served to students at that school in the second preceding school year were served free or at a reduced-price.

Severe Need Breakfast Schools where 40% or more of the lunches served to students at that school in the second preceding school year were served at free or reduced‐price. 9

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Reimbursement Rates

Let’s take a look at lunch 10

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Reimbursement Rates

Lunch (less than 60%)

Lunches served by sponsors in which less than 60% of the lunches served in the school Lunch program during the second preceding school year were served free or at a reduced-price.

Lunch (less than 60%) Lunches served by sponsors in which less than 60% of the lunches served in the school Lunch program during the second preceding school year were served free or at a reduced‐price. 11

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Reimbursement Rates

Lunch (60% or more)

Lunches served in which 60% or more of the lunches served during the second preceding school year were served free or at a reduced price.

Lunch (more than 60%) Lunches served in which 60% or more of the lunches served during the second preceding school year were served free or at a reduced price. 12

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Reimbursement Rates

Performance based reimbursement is for… 13

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State Assistance and Co-Pay

Washington state legislation appropriated funds to support public school meals. The .17 cents is paid to sponsors for all free and reduced bk meals served in the month. This is a specific pot of state money and is monitored throughout the year. The rate can be increased or decreased depending on bk meal counts. Discuss how assistance for breakfast rate may change 14

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October Building Data

Data to determine rates entered on the site application

October Building Data is entered in the October claim and based on the number of approved free, reduced and paid eligible students enrolled and have access to meals in the school. This data is used as an edit check throughout the program year. 15

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Often Oct. Building data is not accurate as the year goes on, so if you need to update your enrollment due to student enrollment changes, for Nov Through Sept you can update enrollment by clicking on the add new enrollment data field. This allows the edit check to look at the new enrollment data to edit check the claim. We realize the OBD is a snippet in time and is not always up to date. 16

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October Building Data

Information from your application effects claims!

  • Reimbursement categories
  • Calendars

 Revisions need to be created, submitted and approved by specialist before claim can be paid.  Make changes to multiple months so that it minimizes the number of changes that you need to make. Information completed during program application informs claims! Reimbursement categories: Severe Need Breakfast Above/Below 60% Lunch Calendars Part of the application process, which means that any revisions need to be created, submitted and approved by specialist before claim can be paid. Make changes to multiple months so that it minimizes the number of changes that you have to make. Example: you know that in February you had 4 snow days and to make them up your LEA is now going to school one more day in April, one more day in May and 2 more days in June. Make all changes at once. Don’t wait if information is available! 17

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Claims

https://www.k12.wa.us/sites/default/files /public/childnutrition/programs/nslbp/p ubdocs/claimsreferencesheet.pdf

Claims are filed in WINS

  • Complete and accurate data needed
  • Need:
  • Total monthly meal counts
  • Number of operating days

You can find the Filing claims reference sheet on the Fiscal webpage: https://www.k12.wa.us/sites/default/files/public/childnutrition/programs/nslbp/pub docs/claimsreferencesheet.pdf 18

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Claims

Claims are filed electronically in WINS

  • Claims are entered by site
  • Complete and accurate monthly data
  • Data needed:

 Total of meal counts taken daily at the point of service by eligibility type, for each school / site  Operating days (include only the number of days meals were served for the claim period)

Be sure to run appropriate reports to clean up reporting data first. Run month end reports from whatever system you use to generate data that you input into wins. Example: Skyward has a default cafeteria report and that looks for any students that are incorrectly reported at the default school based of graduation year. This report fixes those errors before running month end reports. Also inactive student report (Accuclaim). 19

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Claims

To add a claim month in Wins, use the drop down box to view the months, choose the month by highlighting it and then click the add button. This will generate the claim for data entry. 20

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Claims

GREY= Data not entered / Claim not started

GREY= Data not entered / Claim not started 21

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Claims

This is a generated claim with open fields for data entry. 22

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Claims

Where fiscal looks for notes to over ride claim error. Information needed is current (for the claim month) the number of eligible for Free, Reduced and Paid students. A good example is slide 27. CLICK to zoom on History 23

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  • Operating Days

 Days meal programs operated during the month  Can NOT have more operating days than what is scheduled on the calendar  Must adjust calendar first!

Claims

WINS edit checks operating days to number of eligible students by category X the number of operating days and it cannot exceed total meals claimed. If this happens the claim will go into error status. 24

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  • Operating Days

 Revise Calendar  Submit Calendar  Specialist must re-approve  THEN enter claim data  Plan ahead!!!

Claims

25

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SLIDE 27
  • Enter data for the month
  • K-3 Reduced Price Meals are accounted for separately

to allow calculations for State co-pay

Claims

26

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Claims

Don’t share log-ins / passwords! Check for errors, before proceeding!

It is very important to not share passwords. The person logged in should be the person submitting the claim and attesting to the information submitted. 27

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Claims

Warnings – double check what you entered is correct – then move on (won’t stop claim from paying)

These yellow warnings are just reminders for you to double check the data. It does not put the claim in error status, so you can move on if all is good. 28

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Claims

Error – Must fix for claim to pay!

This is an edit check error and must be corrected for claim to process. 29

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Claims

Proceed to Calculate!

Remember to click the Proceed to Calculation Summary 30

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Claims

On the training page, there is a link to this document, we recommend using it as a guide. 31

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Claims

https://www.k12.wa.us/sites/default/files /public/childnutrition/programs/nslbp/p ubdocs/claimsreferencesheet.pdf

You can find the Filing claims reference sheet on the Fiscal webpage: https://www.k12.wa.us/sites/default/files/public/childnutrition/programs/nslbp/pub docs/claimsreferencesheet.pdf 32

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Claims

  • Claims must be filed within 60 days after the last day of the

claim month

  • If the 60th day falls on a weekend or holiday, you may

file your claim on the next business day

Claims must be filed within 60 days after the last day of the claim month. If claims are past this deadline date, WINS will put the claim into error status and it will not process for payment. The only way to get the claim processed is to request and be approved for a late claim pay exception. 33

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Claims

Updated for 20‐21 program year. 34

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Claims

Example Sue from American School District (ASD) correctly enters all the October claim data on November 12

2

Example Sue from American School District (ASD) correctly enters all the October claim data

  • n November 12

35

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Claims

Green: OK to pay! Entered by the 15 of the following month- processed and paid that month.

2

Green: OK to pay! Entered by the 15th of the following month, processed and paid that month. ASD receives funds for the October claim in November’s apportionment (last business day of the month). 36

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Claims

Example Sue gets busy and forgets to enter ASDs October claim data. She enters the claim data on November 19

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Example Sue gets busy and forgets to enter ASDs October claim data. She enters the claim data

  • n November 19

37

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Claims

Green: OK to pay! ASD receives October claim funds in December’s apportionment

2

Green: OK to pay! ASD receives October claim funds in December’s apportionment 38

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Claims

Sue gets interrupted while entering ASDs October claim data on November 12. She enters the data for the elementary school but gets interrupted while entering the middle/high school data.

1 1

Sue gets interrupted while entering ASDs October claim data on November 12. She enters the data for the elementary school but gets interrupted while entering the middle/high school data. 39

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Claims

Sue gets interrupted while entering ASDs October claim data on November 12. She enters the data for the elementary school but gets interrupted while entering the middle/high school data.

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Sue gets interrupted while entering ASDs October claim data on November 12. She enters the data for the elementary school but gets interrupted while entering the middle/high school data. 40

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Claims

Sue goes on vacation and totally forgets about entering ASDs October claim data She remembers on January 6. Sue logs in to WINS and enters the data.

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Sue goes on vacation and totally forgets about entering ASDs October claim data She remembers on January 6. Sue logs in to WINS and enters the data. 41

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Claims

Sue goes on vacation and totally forgets about entering ASDs October claim data She remembers on January 6. Sue logs in to WINS and enters the data.

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Sue goes on vacation and totally forgets about entering ASDs October claim data She remembers on January 6. Sue logs in to WINS and enters the data. 42

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Claims

Red: Error

Past 60 Day Deadline!

1 1

Red: Error Past 60 Day Deadline! 43

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Claims – Revisions

Upward Claim Revision

A revision made to claim data that results in the total sponsor claim amount increasing  Allowed when made within 60 days after the last day

  • f that claim month

Upward Claim Revision A revision made to claim data that results in the total sponsor claim amount increasing  Allowed when made within 60 days after the last day of that claim month 44

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Claims – Revisions

Downward Claim Revision

A revision made to claim data that results in the total sponsor claim amount decreasing  Allowed at anytime

Downward Claim Revision A revision made to claim data that results in the total sponsor claim amount decreasing  Allowed at anytime 45

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Claims – Revisions

Retain all documentation to support claim revisions!!

Retain all documentation to support claim revisions!! 46

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Claims – Late Claim Exceptions

Requests for a Late Claim Exception

  • Not guaranteed payment
  • Must be approved by OSPI CNS and/or USDA
  • Sponsors may request a Late Claim Exception under the

following circumstances:

  • 1-in-36: Sponsors are eligible to be considered for a late claim exception 1 time

during a 36-month period

Circumstances beyond control: Includes circumstances such as fire or flood

Requests for a Late Claim Exception

  • Claims filed after the 60 day deadline are not guaranteed payment
  • Requests for a Late Claim Exception must be approved by OSPI CNS

and/or USDA

  • Sponsors may request a Late Claim Exception under the following

circumstances: 1 in 36: Sponsors are eligible to be considered for a late claim exception 1 time during a 36 month period Circumstances beyond control: Includes circumstances such as fire or flood 47

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Stay up to Date

Weekly CNS updates go out at the beginning of each week. If you are not signed up for these already, please ensure your information is up‐to‐date in WINS and you will be on our mandatory list. All of our updates are posted to the NSLP Communications and Updates webpage IF you are not in WINS, you can always sign up for our non‐mandatory list by using the link on the right hand of the screen. Then information is typically the same. 48

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Keep For

Claiming in the School Meals Programs

Your Records

Date: ________________ Key Areas: 3000 – Administration

3310 – Meal Counting, Claiming, Managing Funds 1 hour

Professional Standards Credit Form - Please keep a copy or add it to your record to track them. 49

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Please email your Program Specialist. We are always willing to help and answer questions!

https://www.k12.wa.us/policy-funding/child- nutrition/child-nutrition-contacts

https://www.k12.wa.us/policy‐funding/child‐nutrition/child‐nutrition‐contacts THANK YOU for your time & attention during this presentation! We sincerely appreciate your “flexibility in learning” during this pandemic. 50

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Except where otherwise noted, this work by the Office of Superintendent of Public Instruction is licensed under a Creative Commons Attribution License. All logos and trademarks are property

  • f their respective owners.

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