HOUSEHOLD ELIGIBILITY APPLICATION - PARENT/GUARDIANS LETTER

Oct 10, 2026

Uploaded by Mary Man

Household Eligibility Application instructions for parents or guardians explain how a day care home provider participates in the USDA Child and Adult Care Food Program (CACFP) and how meal reimbursement depends on information submitted on the HEA. It describes eligibility based on household income and qualifying benefits such as SNAP, TANF, and WIC, including foster child situations. It includes confidentiality guidance, the Illinois All Kids health insurance note, and an income guideline table effective July 1, 2025 to June 30, 2026.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages3

Reading Time8 min

AccessFree to download

Eligibility letter overview

Reimbursement requirements and confidentiality

Eligibility conditions and foster care guidance

Income Eligibility Guidelines

Effective dates and reduced-price meal thresholds

Parent instructions and non-discrimination statement

All Kids health insurance note

How to file a discrimination complaint

HOUSEHOLD ELIGIBILITY APPLICATION PARENT/GUARDIANS LETTER Dear Parent or Guardian: Your day care home provider participates in the U.S. Department of Agriculture’s (USDA) Child and Adult Care Food Program (CACFP) and receives Federal funds to offer healthy meals and snacks to all of the enrolled children. The amount of reimbursement the day care home provider receives is based on the information you provide on the attached Household Eligibility Application. To receive meal reimbursement payments, your day care home provider must follow menu planning guidelines, keep accurate meal records each day and agree to monitoring visits by our staff while children are in their care. Your day care home provider will receive a higher rate of reimbursement if your household income meets or is below the Income Eligibility Guidelines listed in this letter or if a member of your family (child or adult) receives Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); Women, Infants, and Children (WIC); or other state or federal program benefits for your children. Also, if you care for a foster child that is the legal responsibility of the Department of Children and Family Services (DCFS) or the court, these children are eligible for meal benefits regardless of your household income. If your income(s) is over the income guidelines on the following page, you are not required to complete this application; however, it would be helpful if you would write your child’s name on the application and return it to our day care home provider or mail to the address provided on the enclosed envelope. Please notify us, if you or someone in your household becomes unemployed and the loss of income causes your household income to be within the income eligibility standards. The information you provide on the application will be used to determine your child’s eligibility for meal benefits. The information will be kept confidential and only available to staff directly connected with administering the CACFP. Please note that by signing Number 4 of the enclosed HEA for the Illinois All Kids Health Insurance that you are stating you do not want your information shared with the Illinois Department of Healthcare and Family Services. If you agree to disclose the application information, it maybe used to identify your child(ren) for the health insurance program. If you would like more information on All Kids , call toll-free 866/255-5437 or 877/204-1012 (TTY) . Income Eligibility Guidelines Effective from July 1, 2025, to June 30, 2026 Reduced-Price Meals 185% Federal PovertyGuideline | Household
Size | Annual | Monthly | Twice Per Month | Every Two Weeks | Weekly | | --- | --- | --- | --- | --- | --- | | 1 | 28,953 | 2,413 | 1,207 | 1,114 | 557 | | 2 | 39,128 | 3,261 | 1,631 | 1,505 | 753 | | 3 | 49,303 | 4,109 | 2,055 | 1,897 | 949 | | 4 | 59,478 | 4,957 | 2,479 | 2,288 | 1,144 | | 5 | 69,653 | 5,805 | 2,903 | 2,679 | 1,340 | | 6 | 79,828 | 6,653 | 3,327 | 3,071 | 1,536 | | 7 | 90,003 | 7,501 | 3,751 | 3,462 | 1,731 | | 8 | 100,178 | 8,349 | 4,175 | 3,853 | 1,927 | | For each additional family member, add | 10,175 | 848 | 424 | 392 | 196 | If you have any questions or need help, please contact our day care home provider or sponsoring organization listed below. Sincerely, Non-Discrimination Statement In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity

FAQs

What determines meal reimbursement under CACFP for a day care home provider?

Reimbursement is based on the information provided in the attached Household Eligibility Application, along with the provider following menu planning guidelines and keeping accurate daily meal records.

When do families receive a higher reimbursement rate?

Families receive a higher rate if household income is at or below the Income Eligibility Guidelines, or if a household member receives SNAP, TANF, WIC, or other state/federal program benefits for children. Foster children under DCFS or court responsibility qualify regardless of household income.

What are the effective dates for the Income Eligibility Guidelines?

The guidelines are effective from July 1, 2025, to June 30, 2026.

Oct 10, 2026

Uploaded by Mary Man