[Code of Federal Regulations]

[Title 7, Volume 4]

[Revised as of January 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 7CFR226.14]



[Page 213-214]

 

                          TITLE 7--AGRICULTURE

 

    CHAPTER II--FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE

 

PART 226_CHILD AND ADULT CARE FOOD PROGRAM--Table of Contents

 

                      Subpart D_Payment Provisions

 

Sec. 226.14  Claims against institutions.



    (a) State agencies shall disallow any portion of a claim for 

reimbursement and recover any payment to an institution not properly 

payable under this part. State agencies may consider claims for 

reimbursement not properly payable if an institution does not comply 

with the recordkeeping requirements contained in this part. The State 

agency may permit institutions to pay overclaims over a period of one or 

more years. However, the State agency must assess interest beginning 

with the initial demand for remittance. Further, when an institution 

requests and is granted an administrative review of the State agency's 

overpayment demand, the State agency is prohibited from taking action to 

collect or offset the overpayment until the administrative review is 

concluded. The State agency must maintain searchable records of funds 

recovery activities. If the State agency determines that a sponsoring 

organization of centers has spent more than 15 percent of its meal 

reimbursements for a budget year for administrative costs (or more than 

any higher limit established pursuant to a waiver granted under Sec. 

226.7(g)), the State agency must take appropriate fiscal action. In 

addition,



[[Page 214]]



except with approval from the appropriate FNSRO, State agencies shall 

consider claims for reimbursement not payable when an institution fails 

to comply with the recordkeeping requirements that pertain to records 

directly supporting claims for reimbursement. Records that directly 

support claims for reimbursement include, but are not limited to, daily 

meal counts, menu records, and enrollment and attendance records, as 

required by Sec. 226.15(e). State agencies shall assert overclaims 

against any sponsoring organization of day care homes which 

misclassifies a day care home as a tier I day care home unless the 

misclassification is determined to be inadvertent under guidance issued 

by FNS. However, the State agency shall notify the institution of the 

reasons for any disallowance or demand for repayment, and allow the 

institution full opportunity to submit evidence on appeal as provided 

for in Sec. 226.6(k). Miminum State agency collection procedures for 

unearned payments shall include:

    (1) Written demand to the institution for the return of improper 

payments; (2) if, after 30 calendar days, the institution fails to remit 

full payment or agree to a satisfactory repayment schedule, a second 

written demand for the return of improper payments sent by certified 

mail return receipt requested; and (3) if, after 60 calendar days, the 

institution fails to remit full payment or agree to a satisfactory 

repayment schedule, the State agency shall refer the claim against the 

institution to appropriate State or Federal authorities for pursuit of 

legal remedies.

    (b) In the event that the State agency finds that an institution 

which prepares its own meals is failing to meet the meal requirements of 

Sec. 226.20, the State agency need not disallow payment or collect an 

overpayment arising out of such failure if the institution takes such 

other action as, in the opinion of the State agency, will have a 

corrective effect. However, the State agency shall not disregard any 

overpayments or waive collection action arising from the findings of 

Federal audits.

    (c) If FNS does not concur with the State agency's action in paying 

an institution or in failing to collect an overpayment, FNS shall notify 

the State agency of its intention to assert a claim against the State 

agency. In all such cases, the State agency shall have full opportunity 

to submit evidence concerning the action taken. The State agency shall 

be liable to FNS for failure to collect an overpayment, unless FNS 

determines that the State agency has conformed with this part in issuing 

the payment and has exerted reasonable efforts to recover the improper 

payment.



[47 FR 36527, Aug. 20, 1982; 47 FR 46072, Oct. 15, 1982, as amended at 

50 FR 8580, Mar. 4, 1985; 53 FR 52590, Dec. 28, 1988; 62 FR 903, Jan. 7, 

1997; 64 FR 72260, Dec. 27, 1999; 67 FR 43490, June 27, 2002; 69 FR 

53544, Sept. 1, 2004]