The following are some case scenarios. List all the Federal and Nutrition and He

Question

The following are some case scenarios. List all the Federal and Nutrition and Health Care programs these following people are eligible for. Write a rationale on why you think they are eligible for the programs.  

(Example –Case Scenario: Ms X is earning an income <133% of poverty level. My answer: Eligible to receive Medicaid –Rationale: Medicaid eligibility criteria includes anyone with poverty level <133%. Since Ms. X’s income is <133% of poverty level she is eligible to receive Medicaid)

a. An 18 year old lactating women with income of <130% of poverty level.

Explanation / Answer

These are all federal and nutritional health care programs :-

After School Snack

Children through 18 years old.
Same income eligibilty as NSLP. Programs that operate in areas where 50% of students are eligible for free/reduced price meals serve all snacks free.
After-school educational or enrichment programs in providing healthful snacks to children.

Child and Adult Food Care Program (CAFCP)

Licensed childcare centers, family day care, Head Start.
Under 12 years old, migrant children under 15 years old, handicapped in center under 18 years old. Cost depends on income, free in family daycare.
Meals must meet established criteria.

Children's Health Insurance Program (CHIP)

Department of Health and Human Services.
Expands health insurance to children who don't qualify for medicaid but too little to afford private coverage.

Commodity Supplemental Food Program (CSFP)

Provides nutritious supplemental foods at no cost to infants and children up to their 6th birthday and to pregnant/postnatal women at or below 85% poverty line that are not served by WIC.
Also serves age 60 and older with income not greater than 130% of the poverty line.

Early Head Start

Department of Health and Human Services.
Expands the benefits of Head Start to low-income children under the age of three and to pregnant women.

Early Periodic Screening, Diagnosis, and Treatment Program (EPSDT)

Department of Health and Human Services.
Medicaid federally-mandated child health program. Provides comprehensive and preventative health services to children under 21 years old.
Administered by local Health Departments.

Elderly Nutrition Program (ENP)

Department of Health and Human Services.
Also called Title III, Congregate Meals, home-delivered meals.
60 years or older, spouse, or care taker. No income criteria. Provides lunch, nutrition education, social services, and transportation. Meals must meet 1/3 of RDA and other criteria.
Administration on Aging, State Agency on Aging (Older American's Act).

The Emergency Food Assistance Program (TEFAP)

Provides food to local agencies that directly serve the public age 60+, must meet state criteria based on income. Includes homeless and low-income.
Emergency food provided by states to the food banks that distribute to shelters, soup kitchens, etc.

Expanded Food & Nutrition Education Program (EFNEP)

Provides nutrition education to low-income families with children under 19 years old, at nutritional risk.
Educates the client.
Local Cooperative Extension - Land Grant Universities.

Farmer's Market Nutrition Program (FMNP)

Women, infants, and children eligible for WIC. Encourages the inclusion of fresh fruits and vegetables in their diet.
Promotes local Farmer's Markets.

Food & Agriculture Organization (FAO)

International.
Encourages agricultural practices to increase food production to allow more equitable food distribution and improved nutritional status in developing countries.
United Nations.

Fresh Fruit & Vegetable Program

Promote fresh fruit and vegetable consumption among the nation's school children.
Became permanent with the passage of the Child Nutrition Reauthorization Bill.

Head Start

Department of Health and Human Services.
Low income 3-5 year olds and their families, handicapped children. Comprehensive health education, social services, breakfast, lunch, and sometimes snack.
Meals and snacks offered under the guidance of the Child Care Food Program of the USDA.
DHHS Regional Offices, Administration for Children and Families, Local School Districts, CAP Agency, Universities.

Maternal and Child Health Program

Department of Health and Human Services.
Also called Title V of Social Security Act.
Funds used to reduce infant mortality and improve child and maternal health. For services to locate diagnose and treat children who have specific health care needs.
Administered federally by the Bureau of Maternal & Child Health of Public Health Service.
Must have programs in 5 areas: maternity of infant care, intensive infant care, family planning, healthcare for children and youth, and dental care for children.

Medicaid

Department of Health and Human Services.
Also called Title VIII of Social Security Act.
Funds health services for indigent, blind, mentally and physically handicapped. Must meet income guidelines.
Federal and State funding. Administered by state agencies.
More restricted coverage than Medicare.

Medical Nutrition Therapy (MNT)

Department of Health and Human Services.
Medicare covers 80% of approved amount for MNT, after individuals pay $100 deductible for part B services for diabetes and pre-dialysis.
Only place we can bill for services.

Medicare

Department of Health and Human Services.
Also called Title XVIII of Social Security Act.
National health insurance program for those 65 years and older, certain younger disabled persons, and those with kidney failure.
Part A: hospital insurance
Part B: medical insurance

National programs to create healthier school environments

Action for Healthy Kids (school wellness policy tool)
Alliance for a Healthier Generation
Chefs Move to School (part of "Let's Move)
Fuel up to Play 60 (student led program for smarter food choices and increasing physical activity)
Healthier US School Challenge (recognition programs for schools int he NSLP that have created healthier environments & improved physical activity)

National School Lunch Program (NSLP)

Serves school aged children. Cost of meals is dependent on family income. Meals must meet the USDA established criteria. Schools must meet 5 major requirements (nutritional standards, eligible children to receive free and reduced cost, non-profit, program is accountable, and must participate in the commodity food program).
State Department of Education.

Nutrition Education & Training Program (NET)

Nutrition education for school foodservice personnel, elementary and secondary teachers, and children.
Educates the facility. Differs with states.
State Department of Education, State Universities.

School Breakfast Program

Serves shool aged children. Cost depends on family income. Meals must be composed of 1 cup milk, 1 cup fruit or vegetable, 1 oz./day grains (7-10 oz/wk, 8-10 oz./wk, 9-10 oz./wk).
State Department of Education.

School Lunch Requirements

K-5: 3/4 cup veggies, 1 cup milk, 1/2 cup fruits, 1 oz./day (8-9 oz. weekly) grains, 1 oz./day (8-10 oz./week) M/MA, 550-650 calories, 1230 mg sodium.

6-8: 3/4 cup veggies, 1 cup milk, 1/2 cup fruits, 1 oz./day (8-10 oz. weekly) grains, 1 oz./day (9-10 oz./week) M/MA. 600-700 calories, 1360 mg sodium.

9-12: 1 cup veggies, 1 cup milk, 1 cup fruit, 2 oz./day (10-12 oz. weekly) M/MA, 2 oz./day (10-12 oz./week) grains, 750-800 calories, 1420 mg sodium.

Senior Farmer's Market Nutrition Program

Eligible to older adults, 60 years old with income not greater than 185% of the poverty line.
Encourages fresh fruits and vegetables. Items not included are molassess, nuts, dried fruits and vegetables, and cider.

Smart Snacks

Any food sold in schools must be "whole grain-rich" OR have the first ingredient a fruit or vegetable, dairy product, protein product OR be a combo food that contains at least 1/4 cup of fruits/vegetables OR contain 10% of the DV of one of the nutrients of public health concern (Ca, K+, vitamin D, or dietary fiber).
Must also meet nutrient requirements:
SNACK- < or equal to 200 calories, < or equal to 230 mg sodium, total fat < or equal to 35% of calories, saturated fat < 10%, and 0 g trans fat, < or equal to 35% of weight from total sugars.
ENTREE- < or equal to 350 calories, < or equal to 480 mg sodium, total fat < or equal to 35% of calories, saturated fat < 10%, and 0 g trans fat, < or equal to 35% of weight from total sugars.

SNAP-Ed

Also called the Family Nutrition Program.
Optional program, not offered by every state. Improves the likelihood that those eligible for food stamps will make healthful choices, consistent with the Dietary Guidelines.
Cooperative Extension Service.

Special Milk Program

Institutions qualify, not individuals. Camps, childcare institutions not participating in other programs.
All children, low-cost or free milk.
State Department of Education.

Summer Foodservice for Children

Under 18 years old or handicapped and participating in a sponsored program. No income criteria. Sponsor and location must qualify.
School, public or non-profit residential facilities.
Meals must meet established criteria.
State Department of Education.

Supplemental Nutrition Assistance Program (SNAP)

Must meet income criteria. Monthly allowance.
Social Services or Human Services Agency.
Largest USDA food assistance program.

Team Nutrition

Schools recieve training to help school food service staff prepare healthful meals and provide nutrition education to help children understand the link between eating/ physical activity and health.
Includes food services initiatives, classroom activities, school wide events, home activities, community programs, and media events.

WIC

Pregnant & lactating women, infants, and children up to 5 years old.
Income guidelines. Nutritional risk, nutrition education, supplemental food.
Local Health Department, State Health Agency.

World Health Organization (WHO)

International.
Improves infant and maternal nutrition primarily thorugh the medcial profession.
United Nations. UNICEF has established goals based on the concept that basic nutritious diet is basic human right.
Child Survival Campaign (oral rehydration therapy, breast milk, immunization).

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