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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 27

• Age > 40 years • Failure of milk to come in by 4 days postpartum • Tandem nursing (breastfeeding two siblings who are not twins) 603 (SA/CPA) Infants [1] Breastfeeding Complications or Potential Complications (Infants): A breastfed infant with any of the following complications or potential complications for breastfeeding. Examples include: • Jaundice • Difficulty latching onto mother’s breast • Weak or ineffective suck • Inadequate stooling (for age, as determined by a physician or other health care professional), and/or less than 6 wet diapers per day Self-reported breastfeeding complications documented on Health Information Screen, Breastfeeding Information Complications slider. 701 (SA/CPA) Infant [2] Infant Up to 6 months old of WIC Mother or of a Woman Who Would Have Been Eligible During Pregnancy: An infant < six months of age whose mother was a WIC Program participant during pregnancy; or Whose mother’s medical records document that the woman was at nutritional risk during pregnancy because of detrimental or abnormal nutritional conditions detectable by biochemical or anthropometric measurements or other documented nutritionally related medical conditions. Document on Eco Social Assessment Screen in Crossroads. Enter nutritional risk(s) that would have qualified mother as a Priority 1 WIC Prenatal on yellow post-it note on Eco-Social Assessment Screen. Accept self-reported risk(s) except for those prenatal risks requiring medical diagnosis. 702 (SA/CPA) Infant [1, 2, 4] Breastfeeding Infant of Woman at Nutritional Risk: Breastfeeding infant of woman at nutritional risk. NOTE: Infant and mother must be assigned same priority, (Priority 1, 2, or 4) based on priority of mother’s risk, i.e., the mother’s priority determines the infant’s priority. Clarification: If Risk 702 is assigned to qualify the infant the mother’s risk cannot be only 601. You will never have a mother/infant dyad with only 702 for infant and 601 for mother. Document Risk 702 even if other risks for the infant are assigned (including Risk 701). Assigned based on Mother/infant dyad link in Crossroads. 801 (SA/CPA) PG [4, 7] BF [4, 7] NBF [6, 7] Homelessness: A woman, infant or child who lacks a fixed and regular nighttime residence; or whose primary nighttime residence is: Documented on Family Demographics Screen in Crossroads.