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Explains what makes a milk substitute creditable, emphasizing nutritional equivalence to cow’s milk and how to read nutrition labels, especially protein content. Covers whether non-creditable substitutes may be served only with a signed medical statement, and outlines documentation expectations, including medical authority forms and required information.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/isbe-nutrition-division-milk-substitute-requirements/535235/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/isbe-nutrition-division-milk-substitute-requirements/535235.png","ImageObject",300,407,{"name":92,"@type":93},"Maya Linwood","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What makes a non-dairy milk substitute creditable in CACFP?","Question",{"text":112,"@type":113},"A non-dairy milk substitute must be nutritionally equivalent to cow’s milk to be creditable, especially for children who cannot consume dairy milk due to a medical disability or who avoid milk for religious or ethical reasons.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How can centers determine nutritional equivalence when reading nutrition labels?",{"text":117,"@type":113},"Start by looking at the protein on the nutrition label. Protein is where many non-dairy milk substitutes typically fall short of the nutrition requirements.",{"name":119,"@type":110,"acceptedAnswer":120},"Can a non-creditable milk substitute be served?",{"text":121,"@type":113},"Yes, but only as part of a reimbursable meal when there is a signed medical statement on file for the substitution.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},535235,1791689038,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","ISBE Nutrition Division  \nBri Hakenewerth, MS, RDN  \n1  \nTopics  \n• What is a creditable milk substitute?  \n– Reading nutrition labels  \n• Can I serve a non-creditable milk substitute?  \n• Documentation needed for a milk substitute  \n– Medical Statement Vs . Parent Preference  \n• Requirements of each  \n• List of compliant milk substitutes  \n• Non-compliant milk substitutes  \n2  \nWhat is a Creditable Milk Substitute?  \n• For children who cannot consume dairy milk (due to a medical disability), or who do not wish to consume milk for religious or ethical reasons, non-dairy beverages may be served in place of milk.  \n• A non-dairy milk substitute must be nutritionally equivalent to cow’s milk to be creditable .  \n• Non-dairy beverage substitutions are served at the option and the expense of the center or day care home .  \n3  \nWhat Constitutes a Creditable Milk Substitute?  \nThis can be found on page 18 of the CACFP Crediting Handbook:  \n[https://fns-prod.azureedge. us/sites/default/fi](https://fns-prod.azureedge. us/sites/default/fi)les/resource-files/crediting-  \nhandbook.pdf  \n4  \nWhat Constitutes a Creditable Milk Substitute?  \n• Tip: When reading a nutrition label to determine if a nondairy milk substitute is nutritionally equivalent to cow’s milk, start by looking at the protein .  \n– Protein is typically where non-dairy milk substitutes fall short of the nutrition requirements .  \n5  \nExample 1:  \n6  \nExample 2:  \nThis Photo by Unknown Author is licensed under CC BY-SA  \n7  \nExample 3:  \n8  \nCan I Serve a Non-Creditable Milk Substitute?  \n• A non-creditable milk substitute can only be served as part of areimbursable meal when there is a signed medical statement on file.  \n• A medical statement is required for non-dairy substitutions due to a disability for substitutes that do not meet the nutritional standards of cow’s milk.  \n– Requiring non-dairy beverages to be nutritionally equivalent to cow’s milk ensures children receive vital nutrients needed for growth and development.  \n• A medical statement for non-dairy beverages that are not nutritionally equivalent to cow’s milk provides the assurance that the beverage substitute is meeting the nutritional needs of the child.  \n9  \nDocumentation-For a Child with a Disability  \n• Medical Authority Modified Meal Request Form  \n– 3 Things should be addressed:  \n1. Information about the child’s physical or mental impairment that is sufficient to allow the CACFP facility to understand how it restricts the child’s diet (diagnosis not required and should not be requested),  \n2. An explanation of what must be done to accommodate the child’s disability, and  \n3. Food(s) to be omitted and recommended alternatives .  \n• Must be signed by a licensed physician or a licensed healthcare professional who is authorized by State law to write medical prescriptions  \n• Seek clarification if inadequate or unclear  \n• Clarification should not unnecessarily delay modification  \n10","cbCaiqNZoD5Ht8vs","https://ap.wps.com/l/cbCaiqNZoD5Ht8vs","pdf",1403304,17,"English","# Topics\n## What is a creditable milk substitute?\n## What constitutes a creditable milk substitute\n## Can I serve a non-creditable milk substitute?\n## Documentation needed for a milk substitute","[{\"question\":\"What makes a non-dairy milk substitute creditable in CACFP?\",\"answer\":\"A non-dairy milk substitute must be nutritionally equivalent to cow’s milk to be creditable, especially for children who cannot consume dairy milk due to a medical disability or who avoid milk for religious or ethical reasons.\"},{\"question\":\"How can centers determine nutritional equivalence when reading nutrition labels?\",\"answer\":\"Start by looking at the protein on the nutrition label. Protein is where many non-dairy milk substitutes typically fall short of the nutrition requirements.\"},{\"question\":\"Can a non-creditable milk substitute be served?\",\"answer\":\"Yes, but only as part of a reimbursable meal when there is a signed medical statement on file for the substitution.\"}]","ISBE Nutrition Division - Milk Substitute Requirements | PDF",1791600003,43]