1. Program Definition and Services Provided 

Meal and nutrition services in Missouri are designed to provide nutritious meals to individuals in need, often through programs like the Child and Adult Care Food Program (CACFP) and the Older Americans Act (OAA) nutrition services. These services include congregate meals at senior centers and home-delivered meals for homebound individuals, focusing on nutritional value and dietary needs. 

2. Regulations 

Current regulations governing meal and nutrition services in Missouri include: 

• 19 CSR 15-4.245: Nutrition Service Standards, which outline requirements for providing nutrition services to older adults with federal or state funds 

• CACFP Regulations: Governed by the U.S. Department of Agriculture (USDA) and administered by the Missouri Department of Health and Senior Services 

3. Licensing or Certification 

To operate as a meal and nutrition service provider in Missouri, particularly under programs like CACFP, you must apply through the Missouri Department of Health and Senior Services. There is no specific state license for meal providers, but certification is necessary for reimbursement under certain programs. 

4. Responsible State Agency 

The Missouri Department of Health and Senior Services is responsible for overseeing meal and nutrition services, including CACFP and OAA programs. 

5. Application Process 

For CACFP, the application process involves completing the Potential New Sponsor Questionnaire and submitting it through the CNPWeb application and claiming system For OAA programs, providers typically need to establish a relationship with local Area Agencies on Aging (AAAs). 

6. Required Documentation 

• CACFP Application: Completed through CNPWeb. 

• Menu Forms: Submission of sample menus. 

• Vendor Input/ACH-EFT App: For direct deposit. 

• Subrecipient Information Form: Required for CACFP. 

• E-Verify Memorandum of Understanding: For federal work authorization. 

• Food Service Management Contracts: If applicable. 

7. Timeline for Approval 

The approval process typically involves several weeks to months, depending on the completeness of the application and the speed of processing. 

8. Pre-Application Process 

Applicants should ensure they meet all eligibility criteria and have necessary documents ready. For CACFP, completing the Potential New Sponsor Questionnaire is the first step. 

9. Pre-Application Training 

CACFP requires completion of an orientation training as part of the application process. OAA programs may require training in nutrition standards and meal service management. 

10. Additional Notes 

• Providers must maintain compliance with state and federal regulations, including nutrition standards and food safety guidelines. 

• Menus must be reviewed and certified annually by a qualified dietitian/nutria