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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 28

Infant [4, 7] Child [5, 7] • A supervised publicly or privately operated shelter (including a welfare hotel, a congregate shelter, or a shelter for victims of domestic violence) designed to provide temporary living accommodations. • An institution that provides a temporary residence for individuals intended to be institutionalized. • A temporary accommodation of not more than 365 days in the residence of another individual. • A public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings. 802 (SA/CPA) PG [4, 7] BF [4, 7] NBF [6, 7] Infant [4, 7] Child [5, 7] Migrancy: Categorically eligible women, infants and children who are members of families which contain at least one individual whose principal employment is in agriculture on a seasonal basis, who has been so employed within the last 24 months, and who establishes, for the purposes of such employment, a temporary abode. Documented on Family Demographics Screen in Crossroads. 901 (CPA) PG [4, 7] BF [4, 7] NBF [6, 7] Infant [4, 7] Child [5, 7] Recipient of Abuse: Recipient of abuse is defined as an individual who has experienced physical, sexual, emotional, economic, or psychological maltreatment that may frighten, intimidate, terrorize, manipulate, hurt, humiliate, blame, injure, and/or wound the individual. Types of abuse include: • Domestic violence: abuse committed by a current or former family or household member or intimate partner. • Intimate partner violence (IPV): a form of domestic violence committed by a current or former intimate partner (i.e., spouse, boyfriend/girlfriend, dating partner, or ongoing sexual partner) that may include physical violence, sexual violence, stalking, and/or psychological aggression (including coercive tactics). • Child abuse and/or neglect: any act or failure to act that results in harm to a child or puts a child at risk of harm. Child abuse may be physical (including shaken baby syndrome), sexual, or emotional abuse or neglect of an infant or child under the age of 18 by a parent, caretaker, or other person in a custodial role (such as a religious leader, coach, or teacher). The experience of abuse may be self-reported by the individual, an individual’s family member, or reported by a social worker, healthcare provider, or other appropriate personnel. Document on Eco-social screen in Crossroads. Document details provided and referral, if appropriate, on Care Plan Summary – Nutrition Assessment in Crossroads.