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Adult Day Meal Pattern: Milk Substitution

Nutrition Services Division Management Bulletin
Purpose: Policy, Action Required

To: Adult Care Food Program Sponsors

Number: USDA-CACFP-04-2011

Attention: Food Program Directors

Date: February 2011

Subject: Adult Day Meal Pattern: Milk Substitution

Reference: Child Nutrition Act Reauthorization 2004 (Title 7, Code of Federal Regulations (7 CFR) Section 226.20(a) (1) (2) Requirements for Meals, and recent guidance from USDA clarifying policy on milk substitutions.

This Management Bulletin (MB) updates policy regarding substitutes for fluid milk in the Adult Care Food Program. Recently, the United States Department of Agriculture (USDA) clarified that yogurt and cheese are no longer allowable substitutions for fluid milk. They also reminded programs that according to Title 7, Code of Federal Regulations (7 CFR) Section 226.20 (c), there is no requirement for milk to be offered to adults for supper meals.


An MB was issued in April 2001 (MB 01-800) providing instructions on how to use yogurt or cheese as substitutes for fluid milk. This guidance was based on information in footnotes to the breakfast and lunch meal patterns in the 1993 Code of Federal Regulations [7 CFR Section 226.20(c) (1) and (2)], which allowed the substitution. Recently, the USDA informed us that this provision was never included in the final regulations or in the 2004 Reauthorization of the Child Nutrition Act. Current instructions from the USDA (September 2010) state that an Adult Day Care Facility can no longer substitute yogurt or cheese for fluid milk.

Changes to Relevant Documents

The California Department of Education revised the Meal Pattern for Adults (Schedule B) to reflect this policy change. The revised Schedule B also includes more detailed information on the option of “offer versus serve.” Although “offer versus serve” is not a new policy, the revised Schedule B includes instructions which you may find helpful. Please note that you do not need to sign and submit a new Schedule B. Please keep the revised Meal Pattern for your records.

The revised Schedule B is located in the Child Nutrition Information and Payment System (CNIPS). Select  APPLICATIONS, then DOWNLOAD FORMS, then MEAL PATTERN FOR ADULTS (Schedule B).

Action Required

Adult Care Food Programs should no longer use yogurt or cheese as a substitute for fluid milk.  Sponsors are required to update their menu plans and reference resources to reflect this change.

If you have questions regarding this MB, please contact your CACFP Specialist listed in the CNIPS. Contact information for your CACFP specialist is listed under APPLICATIONS, then DOWNLOAD FORMS in the CNIPS. You can also call the Help Desk at 800-952-5609.


Meal Pattern for Adults, Schedule B at

Questions:   Nutrition Services Division | 800-952-5609
Last Reviewed: Tuesday, October 11, 2016
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