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WIC Nutrition Risk Criteria

System Assigned (SA); System or CPA Assigned (SA/CPA); CPA Assigned (CPA); Automatic High Risk* (HR) Code Category [Priority] Risk Criteria/Definition Required Documentation 1

Risk Category: Anthropometric Code Category/[Priority] Risk Criteria/Definition Required Documentation 101 (SA) PG [1] BF [1] NBF [3-6] Underweight (Woman) Pregnant Woman: Prepregnancy BMI < 18.5 Non-Breastfeeding Woman: Prepregnancy or current BMI <18.5 Breastfeeding Woman (<6 mo. Postpartum): Prepregnancy or current BMI <18.5 Breastfeeding Woman (>6 mo. Postpartum): Current BMI <18.5 BMI calculated from self-reported prepregnancy (or current) weight documented on Health Information Screen and measured height documented on Anthro/Lab Screen in Crossroads. 103 (SA) Infant [1] Child [3] Underweight or At Risk of Underweight (Infants and Children) Birth to 12 months: Underweight: weight for length is < 2nd percentile. At Risk of Underweight: weight for length is > 2nd percentile and < 5th percentile.

12 to < 24 months: Underweight: Weight for length is < 2nd percentile. At Risk of Underweight: Weight for length > 2nd and < 5th percentile.

2 to 5 years: Underweight: BMI for age < 5th percentile. At Risk of Underweight: BMI for age >5th percentile and < 10th percentile. Weight and length measurements documented on Anthro/Lab Screen in Crossroads; weight for length percentile calculated by Crossroads and compared to established standards. Measurements may be taken within 60 days of certification.

NOTE: If it is the 2 year old certification visit, child’s height must be measured standing. Exception can be made for children with special health care needs documented in Care Plan Summary Nutrition Assessment. For exceptions check “Recumbent” measurement type on Anthro/lab screen.

Weight and height measurements documented on Anthro/Lab Screen in Crossroads; BMI calculated by Crossroads and compared to established standards. Measurements may be taken within 60 days of certification. 111 (SA) PG [1] BF [1] NBF [3-6] Overweight (Woman) Pregnant: Prepregnancy Body Mass Index (BMI) >25 Non-Breastfeeding: Prepregnancy Body Mass Index (BMI) >25 Breastfeeding (less than 6 months postpartum): Prepregnancy Body Mass Index (BMI) >25 Breastfeeding (>6 months postpartum): Current Body Mass Index (BMI) >25 BMI calculated from self-reported prepregnancy weight documented on Health Information Screen and measured height (and weight) documented on Anthro/Lab Screen in Crossroads. 113 (SA) Child [3] Obese (Children 2-5 Years of Age) > 24 months, BMI > 95th percentile Weight and height measurements documented on Anthro/Lab Screen in Crossroads; BMI calculated by