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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 21

• Infants who are 6 months of age or older who are ingesting less than 0.25 mg of fluoride daily when the water supply contains less than 0.3 ppm fluoride. • Infants who are exclusively breastfed, or who are ingesting less than 1 liter (or 1 quart) per day of vitamin D-fortified formula, and are not taking a supplement of 400 IU of vitamin D. 425 (SA/CPA) Child [5] Inappropriate Nutrition Practices for Children: Routine use of feeding practices that may result in impaired nutrient status, disease, or health problems. Refer to Codes 425.1 through 425.9 for examples. Document the inappropriate nutrition practice justifying this risk on the Dietary and Health Screen in Crossroads. Document details regarding specific risk(s) on Care Plan Summary – Nutrition Assessment in Crossroads. Pertains to 425.1 thru 425.9. 425.1

Routinely feeding inappropriate beverages as the primary milk source: • Non-fat or reduced-fat milks (between 12 and 24 months of age) or sweetened condensed milk. • Goat’s milk, sheep’s milk, imitation or substitute milks (that are unfortified or inadequately fortified), or other “homemade concoctions”.

425.2

Routinely feeding a child any sugar-containing fluids: Examples • Soda/soft drinks • Gelatin water • Corn syrup solutions • Sweetened tea

425.3

Routinely using nursing bottles, cups, or pacifiers improperly: • Using a bottle to feed fruit juice, or diluted cereal or other solid foods. • Allowing the child to fall asleep or be put to bed with a bottle at naps or bedtime. • Allowing the child to use the bottle without restriction (e.g., walking around with a bottle) or as a pacifier. • Using a bottle for feeding/drinking beyond 14 months. • Using a pacifier dipped in sweet agents such as sugar, honey, or syrups. • Allowing a child to carry around and drink throughout the day from a covered or training cup.