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Accommodating temperture restrictions

Either medical statement must clearly identify the child’s: The Agency is required to make dietary accommodations, including texture modifications (such as preparing chopped, ground, or pureed foods), when a recognized medical authority provides a medical statement to the Agency for children whose disability restricts their diet.

The Agency is required to accommodate the prescribed diet ordered by a recognized medical authority.

The USDA requires that a written medical statement be completed to ensure that a child’s modified meal is reimbursable and that any meal modifications meet nutrition standards that are medically appropriate.

The CDE permits the following state licensed healthcare professionals to complete and sign a written medical statement for a disability determination: licensed physicians, physician assistants, or nurse practitioners.

California does not recognize other medical authorities as authorized to sign a written medical statement to determine a child’s diet.

This will protect the Agency from liability and minimize misunderstandings with households.

Under no circumstance is an Agency to revise or change a recognized medical authority’s diet prescription or medical order.

The Rehabilitation Act of 1973, the Education of the Handicapped Act of 1975, and the Americans with Disabilities Act of 1990 state that persons with disabilities have the support of these laws that prohibit discrimination and require that children be provided with a free and appropriate public education. In 2015, the USDA permitted states to expand the list of recognized medical authorities to improve access to meal accommodations for children with special dietary needs and alleviate administrative burden for the CNPs.