1. MISSOURI DEPARTMENT of HEALTH and SENIOR SERVICES

2.  Missouri At-Risk Program  Training Approaches  Application Approval Challenges  Operational Challenges  Outreach

3.  2000-One of 6 states to pilot the “expanded” supper meal component  2006 - 17 sponsors* and 45 sites *some sponsors have other program types  2014 - 67 sponsors and 313 sites;  2014 - 2 OSHCC sponsors with 14 sites

4. Fiscal Yr# of Sponsors# of Sites  200617 45  200720 55  20082987  200934101  201048153  201154185  201262240  201365299  2014**67313

5.  32 of 67 sponsors only serve Supper  19 only serve Snacks  16 serve a combination of Suppers & Snacks  At-Risk reimbursement $589,239.60 which is low due to snow days

6.  New = One-on-one for all specialty programs  Combined At-Risk and OSHCC Orientation and Recordkeeping Workbook; available for download  Group At-Risk training in District offices in August

7.  May and August claim overlap – site info for AR sites requires months of operation vs. SFSP requires start and end dates. Overlapping Program months  Health and Safety – Food Code definition of “food establishment” and local health departments  SFSP approval first – can transition to AR w/o health department ‘intervention’  “Turf Wars” – AR and SFSPs, Kansas City  Odd Requests

8.  Policy Language Change - for organized athletic programs to “... As part of a broad, overreaching educational or enrichment program”  Non-school sponsors operating in schools – many restricted to only serve snacks  Year Round Sponsors-Monitoring – policy and training updates

9.  Initial SFSP Approval – PNPs that transition to AR and operate as SFSP  Offer vs. Serve – PNP compliance  Meal Reversal – encourage to serve Supper first or right after school  Challenge – move folks from snack only to snack & supper or supper only

10.  MO Assoc. for Social Welfare/FRAC grant – AR conference and follow-up  April 2014 – first SFSP conference; transitioning session  Resource and Training Updates – Year round sponsors that transition to/from AR to SFSP