Food insecurity, or inadequate access to food for an active, healthy life due to limited money and resources, adversely impacts a child?s growth development, health, and well-being (Coleman-Jensen, Rabbitt, Gregory, & Singh, 2020; Hager et al., 2010; Palakshappa et al., 2020; Schwartz, Buliung, & Wilson, 2019). Children with disabilities and complex medical needs have greater risk for food insecurity (Schwartz et al., 2019). National pediatric organizations encourage routine screening for household food insecurity and referrals to appropriate services and food resources. This quality improvement project aimed to improve food insecurity screening, identification and assessment of food insecure families, the provision of food resources, and provider confidence in screening for and addressing food insecurity at a group of multidisciplinary, subspecialty pediatric clinics.