There are two types of adjusted claims that can be submitted after the claim submission deadline:
- Claims containing changes to meal data that result in no
increase in reimbursement.
- Downward adjusted claims. An adjusted claim must be submitted to correct an error that resulted in the sponsor overpayment.
Adjusted claims that are received after the claim submission deadline and result in an increase in reimbursement will not be "Accepted". Upward adjusted claims received after the deadline for submission will not be processed in CNIPS unless the reasons for a late submission meet one or more of the criteria described below.
A late claim may be considered for payment in the following three instances:
- Administrative review. Upward adjusted claim(s) may be submitted
to correct errors discovered on an earlier claim by an independent
audit or a review. The sponsor’s authorized agent or representative
must explain the circumstances surrounding the discovery of
the errors and must transmit a copy of the audit or review report
with the upward adjusted claim(s). Note: Unless the error is noted in
an independent audit or review report, additional payment cannot
- One-time exception. The state agency may
grant a one-time exception when a sponsor has not been granted
an exception during the previous 36 months. To receive a one-time
exception, a sponsor must submit an acceptable Corrective Action
Plan (CAP) to the state agency.
A CAP must include the following items:
- A detailed explanation of the problems contributing to
- Information about actions being taken to avoid future
late claim submissions.
- A statement to the effect that the sponsor understands
that if this exception request is granted, the one-time
exception will be made by the Nutrition Services Division (NSD) on the basis of the acceptability
of the CAP.
- The signatures of the claim preparer and a sponsor’s
authorized district or agency official who must be an employee
of the district or agency.
- A detailed explanation of the problems contributing to the lateness.
- Late claims approvable only by the United States Department of Agriculture (USDA).
A late claim may be approved for payment by the USDA if it meets
one of the four exception criteria listed below:
- Major breakdowns in mechanical processing accompanied
by an inability to manually process the data; for example,
a major data processing failure .
- Natural catastrophes coupled with the sponsor's inability
to manually process the data; for example, floods or earthquakes
that destroy records, equipment, or facilities.
- Unusual postal delays that are verified by a postal receipt
or other specific verification from the postal service.
- Death or severe illness of key staff members in situations where it is not possible to assume the sponsor could have used backup staff members.
- Major breakdowns in mechanical processing accompanied by an inability to manually process the data; for example, a major data processing failure .
The request for a USDA exception must include the claim and a letter that demonstrates that the reason for missing the claim submission deadline was clearly beyond the claim preparer’s control. The letter must explain in detail the extenuating circumstances that made it impossible to meet the deadline and that the deadline was not missed because of negligence, oversight, or workload backlog. Requests for a USDA exception must be submitted by Child Nutrition Fiscal Services (CNFS). Requests deemed to meet the USDA’s criteria will be forwarded by CNFS for approval. Please submit requests to:
California Department of Education
Child Nutrition Fiscal Services
1430 N Street, Suite 2213
Sacramento, CA 95814