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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 19

411.5

Feeding foods to an infant that could be contaminated with harmful microorganisms or toxins: Examples of potentially harmful foods: • Unpasteurized fruit or vegetable juice. • Unpasteurized dairy products or soft cheeses such as feta, Brie, Camembert, blue-veined, and Mexican-style cheese. • Honey (added to liquids or solid foods, used in cooking, as part of processed foods, on a pacifier, etc.). • Raw or undercooked meat, fish, poultry, or eggs. • Raw vegetable sprouts (alfalfa, clover, bean, and radish). • Deli meats, hot dogs, and processed meats (avoid unless heated until steaming hot). • Donor human milk acquired directly from individuals or the Internet.

411.6

Routinely feeding inappropriately diluted formula: • Failure to follow manufacturer’s dilution instructions (to include stretching formula for household economic reasons). • Failure to follow specific instructions accompanying a prescription.

411.7

Routinely limiting the frequency of nursing of the exclusively breastfed infant when human milk is the sole source of nutrients: Examples include: • Scheduled feedings instead of demand feedings. • Less than 8 feedings in 24 hours if less than 2 months of age.

411.8

Routinely feeding a diet very low in calories and/or essential nutrients: Examples include: • Strict vegan diet. • Macrobiotic diet. • Other diets very low in calories and/or essential nutrients.

411.9

Routinely using inappropriate sanitation in the feeding, preparation, handling, and/or storage of expressed human milk or formula: Limited or no access to a: • Safe water supply (documented by appropriate officials e.g., municipal or health department authorities).