Page 395

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 2

NOTE: This risk cannot be assessed based on recumbent length. Crossroads and compared to established standards. Measurements may be taken within 60 days of certification. 114 (SA) Infants [1] Child [3] Overweight or At Risk of Overweight (Infants and Children) Overweight (Child 2-5 years): BMI > 85th and < 95th NOTE: This risk cannot be used for recumbent length. At Risk of Overweight (Age of Child > 12 months): Biological mother is obese (BMI > 30) at the time of certification. Biological father is obese (BMI > 30) at the time of certification. NOTE: Use prepregnancy weight to assess for obesity if mother is pregnant or has had a baby within the past 6 months since her current weight will be influenced by pregnancy related weight gain.

Overweight or At Risk of Overweight (Birth to 12 months): Biological mother with BMI > 30 at time of conception or at any point during the first trimester (0-13 weeks). Biological father with a BMI ≥ 30 at the time of certification. BMI must be based on self-reported weight and height by the parent in attendance (i.e., one parent may not “self-report” for the other parent) or weight and height measurements taken by staff at the time of certification. Parent’s weight and height documented on Anthro/Lab Screen. BMI automatically calculated. Must be entered at certification and subsequent certification. 115 (SA) Infants [1] Child [3] High Weight for Length (Infants and Children <24 Months of Age): Birth to 12 months: Weight for Length >98th percentile

12 to <24 months: Weight for Length >98th 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. 121 (SA) Infants [1] Child [3] Short Stature or at Risk of Short Stature (Infants and Children): Birth to < 24 months: Short Stature: length for age < 2nd percentile. At Risk of Short Stature: length for age is > 2nd percentile and < 5th percentile. NOTE: For premature infants (Birth to < 24 months), assignment of this risk criterion will be based on length for age percentile calculated from adjusted gestational age.

2 to 5 years: Short Stature: Height for age < 5th percentile. Weight and length/height 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: Crossroads calculates gestational age for premature infants and compares to established standards accordingly.