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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 29

902 (SA/CPA) PG [4, 7] BF [4, 7] NBF [6, 7] Infant [4, 7] Child [5, 7] Woman or Infant/Child of Primary Caregiver with Limited Ability to Make Appropriate Feeding Decisions and/or Prepare Food: A woman or an infant/child whose primary caregiver is assessed to have a limited ability to make appropriate feeding decisions and/or prepare food. Examples include, but are not limited to, a woman or an infant/child of caregiver with the following: • Documentation or self-report of misuse of alcohol, use of illegal substances, use of marijuana, or misuse of prescription medications. • Mental illness, including clinical depression diagnosed, documented, or reported by a physician or psychologist or someone working under a physician’s orders, or as self-reported by applicant/participant/caregiver. • Intellectual disability diagnosed, documented, or reported by a physician or psychologist or someone working under a physician’s orders, or as self-reported by applicant/participant/caregiver. • Physical disability to a degree which impairs ability to feed infant/child or limits food preparation abilities. • ≤ 17 years of age. Presence of condition diagnosed, documented, or reported by physician, psychologist or someone working under physician’s orders, or as self- reported by applicant/participant/caregiver. Document on Eco Social Screen in Crossroads. Document details of risk on Care Plan Summary – Nutrition Assessment in Crossroads. 903 (SA/CPA) PG [4, 7] BF [4, 7] NBF [6, 7] Infant [4, 7] Child [5, 7] Foster Care: Entered the foster care system during the previous six (6) months or moving from one foster care home to another foster care home during the previous six (6) months. Infant/Child: Document by clicking on Foster Child radio button on Family Demographics or Participant Demographics Screen in Crossroads. Must enter Foster Care Entry Date.

Woman: Document in Crossroads by creating an alert indicating mom is in foster care. Must be CPA assigned. 904 (SA/CPA) PG [1] BF [1] NBF [3-6] Infant [1] Child [3] Environmental Tobacco Smoke Exposure: Environmental tobacco smoke (ETS) exposure is defined (for WIC eligibility purposes) as exposure to smoke from tobacco products inside enclosed areas, like the home, place of childcare, etc. ETS is also known as secondhand, passive, or involuntary smoke. The ETS definition also includes the exposure to the aerosol from electronic nicotine delivery systems. Self-reported exposure documented on Family Assessment Screen in Crossroads.