Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

Nutrition Risk Factors & Priority System Policy: Local WIC agencies must apply the Colorado WIC Program nutritional risk factor definitions when risking an applicant/participant for the program. Nutritional/medical risk(s) are identified at certification and recertification.

If at a mid-certification visit staff identify a nutritional risk factor (NRF) that was not entered during the certification/recertification visit, that NRF should be added to the participant record. If any information is added to the Nutrition Interview, Anthropoemtric panel (height/length, weight) or Blood panel, a risk assessment through the “Determine Risk” button should be completed on the Risk panel to determine if a potential system assigned risk is applicable.

Regulation: CFR 246.7(e), USDA WIC Nutrition Risk Criteria, Colorado WIC Policy

Procedure/Additional Guidance: Assignment of nutritional/medical risk(s) at the certification/recertification visit determines whether the participant is at low or high nutritional risk. Low or high-risk classification determines the scope of counseling services the participant receives from WIC. Nutritional risk assignment also determines the participant's priority (1-6, 1 being the highest priority). The priority system is used when a local agency has reached its maximum participation level and ensures that participants with the highest nutritional risk receive benefits.

Priority 1: Pregnant women, breastfeeding women, and infants demonstrating nutritional risk by hematological or anthropometric measures or other documented medical conditions. When determining priority, both members of the breastfeeding pair (mother and infant) must be placed in the highest priority level for which either is eligible. This policy applies even if both members of the pair have independent NRFs. For example, a breastfeeding woman is risked for “Failure to Meet Dietary Guidelines” which makes her a priority 4. However, her infant measures underweight which qualifies the infant as a priority 1. Because of this, both the breastfeeding woman and her infant would be certified as priority 1 participants. Priority levels are reevaluated at each recertification. Priority 2: Except for those infants who qualify for Priority 1, infants (up to 6 months of age) born to a WIC participant or to a mother who was in medical/nutritional risk during pregnancy. Priority 3: Children demonstrating nutritional risk by hematological or anthropometric measurements or other documented medical conditions. Priority 4: Pregnant women, breastfeeding women, and infants demonstrating nutritional risk and additional risk factors as allowed by Federal regulations; and postpartum teens.

Priority 5: Children demonstrating nutritional risk.

Priority 6: Postpartum women at nutritional risk.

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

PREGNANT WOMAN System Assigned (S): Compass assigns based on anthropometric, blood values, and/or dates entered in system. User Assigned (U): User assigns by checking a box or radio button, or by assigning on the Risk panel.

Compass Code Name/Definition Priority Risk User or System Assigned 101 Underweight – Prepregnancy Body Mass Index (BMI) <18.5 1 L S 111 Overweight – Prepregnancy Body Mass Index (BMI) >25.0 1 L S 131 Low Maternal Weight Gain - (singleton pregnancies only) Assign when weight plots, at any point, beneath the bottom line of the appropriate weight gain range for her respective prepregnancy weight category. 1 H U 133 High Maternal Weight Gain - (Singleton pregnancy only) At any point in a singleton pregnancy, weight plots at any point above the top line of the appropriate weight gain range for her respective prepregnancy weight category. 1 H U 201 Low Hematocrit/Low Hemoglobin – Low Hemoglobin (Hb) or hematocrit (Hct) is less than the 5th percentile of the distribution of Hb concentration or Hct in a healthy reference population based on age, sex, and state of pregnancy. Cut-off values are provided within the NRF pages. These values are based on the levels established by the Centers for Disease Control and Prevention (CDC). 1 L S 201B Severely Low Hematocrit/Hemoglobin – Hemoglobin value low enough to necessitate a medical referral as listed in the Standards for Severely Low Hemoglobin-NRF201b-High Risk Condition table in the Mini Manual. 1 H U 211 Elevated Blood Lead Levels – Elevated blood lead level (BLL) is the amount of lead in the blood, measured in micrograms of lead per deciliter of blood ( µg/dl), Follow-up action should be taken for a pregnant woman when BLL ≥ 5 µg/dl. 1 H S 300 Series Medical Conditions *See Clinical/Health/Medical Conditions List for definitions, codes, and risk level (high or low). 1 L/H U

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

401 Failure to Meet Dietary Guidelines for Americans Pregnant woman who meets the income, categorical, and residency eligibility requirements may be presumed to be at nutritional risk based on failure to meet Dietary Guidelines for Americans. Based on an individual’s estimated energy needs, this risk criterion is defined as consuming fewer than the recommended number of servings from one or more of the basic food groups (grains, fruits, vegetables, milk products, and meat or beans). Note: Assign 401 to a pregnant woman when a complete nutrition assessment (to include NRF 427) has been performed and for whom no other risk(s) are identified. 4 L U 427 INAPPROPRIATE NUTRITION PRACTICES FOR WOMEN: Routine nutrition practices that may result in impaired nutrient status, disease, or health problems. These practices, with examples, are outlined below: 4 L U 427A Consuming dietary supplements with potentially harmful consequences – Examples of dietary supplements which when ingested in excess of recommended dosages, may be toxic or have harmful consequences: ►Single or multiple vitamins; ►Mineral supplements; and ►Herbal or botanical supplements/remedies/teas. ►Cannabidiol (CBD), for Pregnant and Breastfeeding women only (Products labeled, as CBD with any form of THC should be risked with 372). 4 L U 427B Consuming a diet very low in calories and/or essential nutrients; or impaired caloric intake or absorption of essential nutrients following bariatric surgery – Examples are: ► Low-calorie diet; ► Strict vegan diet; ► Any other diet restricting calories and/or essential nutrients. 4 L U

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

427C Compulsively ingesting non-food items (pica) – Examples of non-food items are: ► Dirt; ► Starch (laundry and cornstarch); ► Large quantities of ice and/or freezer frost; ► Cigarette ashes; ► Baking soda; ► Burnt matches; ► Coffee grounds; ► Chalk ► Uncooked rice; ► Clay ► Paper 4 L U 427D Inadequate vitamin/mineral supplementation recognized as essential by national public health policy - Examples are: ► Consumption of <27 mg of iron as a supplement daily. ► Consumption <150 µg of supplemental iodine per day. ► Consumption of < 400-800 mcg of folic acid from supplements daily. 4 L U

427E Pregnant woman ingesting foods that could be contaminated with pathogenic microorganisms - Examples of potentially harmful foods are: ►Seafood: Any raw or undercooked seafood, e.g., sashimi, found in some sushi or ceviche; Refrigerated smoked fish; Partially cooked seafood, such as shrimp and crab; ►Raw or undercooked meat or poultry; ►Hot dogs, luncheon meats (cold cuts), fermented and dry sausage and other deli-style meat or poultry products unless reheated until steaming hot; ►Pâtés: Unpasteurized, refrigerated pâté or meat spreads; ►Deli Salads: Deli Salads prepared without preservatives in a deli-type store or restaurant; ►Unpasteurized milk or foods containing unpasteurized milk; ►Soft cheeses made with unpasteurized milk such as feta, Brie, Camembert, blue-veined cheeses and Mexican style cheeses such as queso blanco, queso fresco; ►Eggs: Raw or undercooked eggs or foods containing raw or lightly cooked eggs including certain salad dressings (Caesar), cookie and cake batters, sauces, and beverages such as unpasteurized eggnog; ►Raw sprouts (alfalfa, bean, clover, radish, microgreens); ►Unpasteurized fruit or vegetable juices; or ►Unwashed fruits or vegetables. 4 L U

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

501 Possibility of Regression in Nutritional Status - A participant who has previously been certified eligible for the Program may be considered to be at nutritional risk in the next certification period if the Competent WIC Authority (CWA) determines there is a possibility of regression in nutritional status without the benefits that the WIC Program provides. Note: Regression cannot be assigned to a participant two certification periods in a row and may only be used once after the initial certification. 4 L U 502 Transfer of Certification – Person with current valid Verification of Certification (VOC) document from another State or local agency. The VOC is valid until the certification period expires and shall be accepted as proof of eligibility for program benefits. N/A L S 601 601A 601B 601D Breastfeeding Mother of Infant at Nutritional Risk – A breastfeeding woman whose breastfed infant has been determined to be at nutritional risk. Priority 1 mother Priority 2 mother Priority 4 mother Note: Mother must be the same priority as at-risk infant

1 2 4

L L L

U U U 602

602A 602B 602C

602D 602E 602F 602G

602H Breastfeeding Complications or Potential Complications- A breastfeeding woman with any of the following complications or potential complications for breastfeeding: ► severe breast engorgement ► recurrent plugged ducts ► mastitis (fever or flu-like symptoms with localized breast tenderness)

► flat or inverted nipples ► cracked, bleeding, or severely sore nipples ► age 40 years or older* ► failure of milk to come in by 4 days postpartum ► tandem nursing (breastfeeding two siblings who are not twins). Note: High Risk must be seen by a Lactation Management Specialist (LMS/CLC/IBCLC) or WIC High Risk Counselor within 24 hours. 1 1 1 1 1 1 1 1 H H H H H L* H H U U U U U U U U

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026 801 Homelessness – Woman who lacks a fixed and regular night time residence; or whose primary night time residence is: ► 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 in the residence of another individual not exceeding 365 days; or ► A public or private place not designed or ordinarily used as a regular sleeping accommodation for human beings. 4 L U 802 Migrancy – Categorically eligible woman who is a member of a family that contains at least one individual: ► Whose principal employment is in agriculture on on a seasonal basis and; ► Has been so employed within the last 24 months and; ► Who establishes, for the purposes of such employment, a temporary abode. 4 L U 901 Recipient of Abuse – Individual who has experienced physical, sexual, emotional, economic, or psychological maltreatement that may frighten, intimidate, terrozie, manipulate, hurt, humiliate, blame, injure, and/or wound the individual. The experience of abuse may be self- reported by the individual, an individual’s family member, a social worker, health care provider, or other appropriate personnel. 4 L U 902 Woman or Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food - Pregnant woman assessed to have a limited ability to make appropriate feeding decisions and/or prepare food. Examples include, but are not limited to: ► Documented or self-reported misuse of alcohol, use of illegal substances, use of marijuana, or misuse of prescription medications. ► Mental illness, including clinical depression.* ► Intellectual disability.* ► Physically disabled to a degree which restricts or limits food preparation abilities. ► < 17 years of age. * Presence of the condition 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. 4 L U

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026 903 Foster Care – Entering the foster care system during the previous 6 months or moving from one foster care home to another foster care home during the previous 6 months. 4 L S 904 Environmental Tobacco Smoke Exposure (ETS) – ETS exposure is defined as exposure to smoke from tobacco products inside enclosed areas, like the home, place of child care, 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. 1 L U

BREASTFEEDING WOMAN System Assigned (S): Compass assigns based on anthropometric, blood values, and/or dates entered in system. User Assigned (U): User assigns by checking a box or radio button, or by assigning on the Risk panel. Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

Compass Code Name/Definition Priority Risk User or System Assigned 101 Underweight - Current Body Mass Index (BMI) <18.5 1 L S 111 Overweight - ► Woman <6 months postpartum: Prepregnancy Body Mass Index (BMI) > 25.0 ►Woman > 6 months postpartum: Current Body Mass Index (BMI) > 25.0 1 L S 133 High Maternal Weight Gain – For most recent pregnancy, total gestational weight gain exceeded the upper limit of the IOM’s recommended range based on Body Mass Index (BMI). Note: Singleton pregnancy only 1 L S 201 Low Hematocrit/Low Hemoglobin – Low Hemoglobin (Hb or Hematocrit (HCT) is than the 5th percentile of the distribution of Hb concentration or HCt in a healthy reference population based on age, sex, and state of pregnancy. Cut-off values are provided within the NRF pages. These values are based on the levels established by the Centers for Disease Control and Prevention (CDC). 1 L S 201B Severely Low Hematocrit/Hemoglobin – Hemoglobin value low enough to necessitate a medical referral as listed in the Standards for Severely Low Hemoglobin- NRF201b-High Risk Condition table in the Mini Manual. 1 H U 211 Elevated Blood Lead Levels – Elevated blood lead level (BLL) is the amount of lead in the blood, measured in micrograms of lead per deciliter of blood ( µg/dl), Follow-up action should be taken for a Breastfeeding woman when BLL ≥ 5 µg/dl. 1 H S 300 Series Medical Conditions - *See Clinical/Health/Medical Conditions List for definitions, codes, and risk level (high or low). 1 L/H U 401 Failure to Meet Dietary Guidelines for Americans - Breastfeeding woman who meets the eligibility requirements of income, categorical, and residency eligibility requirements may be presumed to be at nutritional risk based on failure to meet Dietary Guidelines for Americans. Based on an individual’s estimated energy needs, this risk criterion is defined as consuming fewer than the recommended number of servings from one or more of the basic food groups (grains, fruits, vegetables, milk products, and meat or beans). Note: Assign 401 to breastfeeding women when a complete nutrition assessment has been performed and no other nutrition risk(s) are identified. 4 L U 427 INAPPROPRIATE NUTRITION PRACTICES For WOMEN Routine nutrition practices that may result in impaired nutrient status, disease, or health problems. These practices, with examples, are outlined below: 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

427A Consuming dietary supplements with potentially harmful consequences – Examples of dietary supplements which when ingested in excess of recommended dosages, may be toxic or have harmful consequences: ► Single or multiple vitamins; ► Mineral supplements; ► Herbal or botanical supplements/remedies/teas. ► Cannabidiol (CBD) for Pregnant and Breastfeeding women only (products labeled as CBD with any form of THC should be a risk with 372) 4 L U 427B Consuming a diet very low in calories and/or essential nutrients; or impaired caloric intake or absorption of essential nutrients following bariatric surgery - Examples are: ► Low-calorie diet; ► Strict vegan diet; ► Any other diet restricting calories and/or essential nutrients. 4 L U 427C Compulsively ingesting non-food items (pica) – Examples of non-food items are: ► Dirt; ► Starch (laundry and cornstarch); ► Large quantities of ice and/or freezer frost; ► Cigarette ashes; ► Baking soda; ► Burnt matches; ► Coffee grounds; ► Chalk; ► Uncooked rice; ► Clay; ► Paper 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

427D Inadequate vitamin/mineral supplementation recognized as essential by national public health policy – Examples are: ► Consumption of < 150 mcg of supplemental iodine per day ► Consumption of < 400 - 800 mcg of folic acid from supplements daily. 4 L U 501 Possibility of Regression in Nutritional Status - A participant who has previously been certified eligible for the Program may be considered to be at nutritional risk in the next certification period if the Competent WIC Authority (CWA) determines there is a possibility of regression in nutritional status without the benefits that the WIC Program provides. Note: Regression cannot be assigned to a participant two certification periods in a row and may only be used once after the initial certification. 4 L U 502 Transfer of Certification – Person with current valid Verification of Certification (VOC) document from another State or local agency. The VOC is valid until the certification period expires and shall be accepted as proof of eligibility for program benefits. N/A L S 601 601A 601B 601D Breastfeeding Mother of Infant at Nutritional Risk – A breastfeeding woman whose breastfed infant has been determined to be at nutritional risk. Priority 1 mother Priority 2 mother Priority 4 mother Note: Mother must be the same priority as at-risk infant 1 2 4 L L L S S S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

602 602A 602B 602C 602D 602E 602F 602G 602H Breastfeeding Complications or Potential Complications- A breastfeeding woman with any of the following complications or potential complications for breastfeeding: ► severe breast engorgement ► recurrent plugged ducts ► mastitis (fever or flu-like symptoms with localized breast tenderness) ► flat or inverted nipples ► cracked, bleeding, or severely sore nipples ► age 40 years or older ► failure of milk to come in by 4 days postpartum ► tandem nursing (breastfeeding two siblings who are not twins). Note: High Risk must be seen by a Lactation Management Specialist (LMS/CLC/IBCLC) or WIC High Risk Counselor within 24 hours. 1 1 1 1 1 1 1 1 H H H H H L H H U U U U U S U U 801 Homelessness – Woman who lacks a fixed and regular night time residence; or whose primary night time residence is: ► 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 or; ► An institution that provides a temporary residence for individuals intended to be institutionalized or; ► A temporary accommodation in the residence of another individual not exceeding 365 days or; ► A public or private place not designed or ordinarily used as a regular sleeping accommodation for human beings. 4 L U 802 Migrancy – Categorically eligible woman who is a member of a family that contains at least one individual: ► Whose principal employment is in agriculture on on a seasonal basis and; ►Has been so employed within the last 24 months and; ►Who establishes, for the purposes of such employment, a temporary abode. 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

901 Recipient of Abuse – Individual who has experienced physical, sexual, emotional, economic, or psychological maltreatement that may frighten, intimidate, terrozie, manipulate, hurt, humiliate, blame, injure, and/or wound the individual. The experience of abuse may be self-reported by the individual, an individual’s family member, a social worker, health care provider, or other appropriate personnel. 4 L U 902 Woman or Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food - Breastfeeding woman assessed to have a limited ability to make appropriate feeding decisions and/or prepare food. Examples include, but are not limited to: ► Documented or self-reported misuse of alcohol, use of illegal substances, use of marijuana, or misuse of prescription medications. ►Mental illness, including clinical depression.* ►Intellectual disability.* ►Physically disabled to a degree which restricts or limits food preparation abilities. ►< 17 years of age. * Presence of the condition 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. 4 L U 903 Foster Care – Entered the foster care system during the previous 6 months or moved from one foster care home to another foster care home during the previous 6 months. 4 L S 904 Environmental Tobacco Smoke Exposure (ETS) – ETS exposure is defined as exposure to smoke from tobacco products inside enclosed areas, like the home, place of child care, 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. 1 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NON-BREASTFEEDING WOMAN System Assigned (S): Compass assigns based on anthropometric, blood values, and/or dates entered in system. User Assigned (U): User assigns by checking a box or radio button, or by assigning on the Risk panel. Compass Codes Name/Definition Priority Risk User or System Assigned 101 Underweight – Current Body Mass Index (BMI) <18.5 6 L S 111 Overweight - Prepregnancy Body Mass Index (BMI) > 25.0 6 L S 133 High Maternal Weight Gain – For most recent pregnancy, total gestational weight gain exceeded the upper limit of the IOM’s recommended range based on Body Mass Index (BMI). Note: Singleton pregnancy only 6 L S 201 Low Hematocrit/Low Hemoglobin – Low Hemoglobin (Hb) or hematocrit (Hct) is less than the 5th percentile of the distribution of Hb concentration or Hct in a healthy reference population based on age, sex, and state of pregnancy. Cut-off values are provided within the NRF pages. These values are based on the levels established by the Centers for Disease Control and Prevention (CDC). 6 L S 201B Severely Low Hematocrit/Low Hemoglobin – Hemoglobin value low enough to necessitate a medical referral as listed in the Standards for Severely Low Hemoglobin-NRF201b-High Risk Condition table in the Mini Manual. 6 H U 211 Elevated Blood Lead Levels – Elevated blood lead level (BLL) is the amount of lead in the blood, measured in micrograms of lead per deciliter of blood ( µg/dl), Follow-up action should be taken for a non- Breastfeeding woman when BLL ≥ 5 µg/dl. 6 H S 300 Series Medical Conditions – *See Clinical/Health/Medical Conditions List for definitions, codes, and risk level (high or low). 6 L/H U 401 Failure to Meet Dietary Guidelines for Americans - Non-breastfeeding woman who meets the income, categorical, and residency eligibility requirements may be presumed to be at nutritional risk based on failure to meet Dietary Guidelines for Americans. Based on an individual’s estimated energy needs, this risk criterion is defined as consuming fewer than the recommended number of servings from one or more of the basic food groups (grains, fruits, vegetables, milk products, and meat or beans). Note: Assign 401 to a non-breastfeeding woman when a complete nutrition assessment (to include NRF 427) has been performed and for whom no other risk(s) are identified. 6 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

427 INAPPROPRIATE NUTRITION PRACTICES For WOMEN Routine nutrition practices that may result in impaired nutrient status, disease, or health problems. These practices, with examples, are outlined below: 6 L U 427A Consuming dietary supplements with potentially harmful consequences – Examples of dietary supplements which when ingested in excess of recommended dosages, may be toxic or have harmful consequences are: ► Single or multiple vitamins; ► Mineral supplements; and ► Herbal or botanical supplements/remedies/teas. 6 L U 427B Consuming a diet very low in calories and/or essential nutrients; or impaired caloric intake or absorption of essential nutrients following bariatric surgery - Examples are: ► Low-calorie diet; ► Strict vegan diet; ► Any other diet restricting calories and/or essential nutrients. 6 L U 427C Compulsively ingesting non-food items (pica) – Examples of non-food items are: ► Dirt; ► Starch (laundry and cornstarch); ► Large quantities of ice and/or freezer frost; ► Cigarette ashes; ► Baking soda; ► Burnt matches; ► Coffee grounds; Dust; ► Chalk; ► Uncooked rice; ► Clay; ► Paper 6 L U 427D Inadequate vitamin/mineral supplementation recognized as essential by national public health policy For example: ► Consumption of < 400-800 mcg of folic acid from supplements daily. 6 L U 501 Possibility of Regression - A participant who has previously been certified eligible for the Program may be considered to be at nutritional risk in the next certification period if the Competent WIC Authority (CWA) determines there is a possibility of regression in nutritional status without the benefits that the WIC Program provides. Note: Regression cannot be assigned to a participant two certification periods in a row and may only be used once after the initial certification. 6 L U 502 Transfer of Certification – Person with current valid Verification of Certification (VOC) document from another State or local agency. The VOC is valid until the certification period expires and shall be accepted as proof of eligibility for program benefits. N/A L S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

801 Homelessness – Woman who lacks a fixed and regular night time residence; or whose primary night time residence is: ► 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 or; ► An institution that provides a temporary residence for individuals intended to be institutionalized or; ► A temporary accommodation in the residence of another individual not exceeding 365 days or; ► A public or private place not designed or ordinarily used as a regular sleeping accommodation for human beings. 6 L U 802 Migrancy – Categorically eligible woman who is a member of a family that contains at least one individual: ► Whose principal employment is in agriculture on on a seasonal basis and; ►Has been so employed within the last 24 months and; ►Who establishes, for the purposes of such employment, a temporary abode. 6 L U 901 Recipient of Abuse – 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. The experience of abuse may be self-reported by the individual, an individual’s family member, a social worker, health care provider, or other appropriate personnel. 6 L U 902 Woman or Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food – Non-breastfeeding woman assessed to have a limited ability to make appropriate feeding decisions and/or prepare food. Examples include, but are not limited to: Documented or self-reported misuse of alcohol, use of illegal substances, use of marijuana, or misuse of prescription medications. ►Mental illness, including clinical depression.* ►Intellectual disability.* ►Physically disabled to a degree which restricts or limits food preparation abilities. ►< 17 years of age. ► * Presence of the condition 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 6 L U 903 Foster Care - Entered the foster care system during the previous 6 months or moved from one foster care home to another foster care home during the previous 6 months. 6 L S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

904 Environmental Tobacco Smoke Exposure (ETS) – ETS exposure is defined as exposure to smoke from tobacco products inside enclosed areas, like the home, place of child care, 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. 6 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

INFANT System Assigned (S): Assigned by Compass based on anthropometric, blood values, and/or dates entered system. User Assigned (U): Assigned by the user by checking a box or radio button, or by assigning on the Risk panel. Compass Code Name/Definition Priority Risk User or System Assigne d 103A At Risk of Underweight - > 2nd percentile and < 5th percentile weight-for-length 1 L S 103B Underweight- < 2nd percentile weight-for-length Note: CDC labels the 2.3rd percentile as the 2nd percentile on the Birth to 24 months gender specific growth charts. 1 H S 114 At Risk of Overweight- ►Biological mother with a BMI > 30 at the time of conception or at any point in the first trimester of pregnancy. (Compass assigns using biological mother’s most recent pregnancy record.) ►Biological father with a BMI > 30 at the time of certification. BMI must be based on self-reported weight and height by the father in attendance (i.e., one parent may not “self-report” for the other parent) or weight and height measurements taken by staff at the time of certification. 1 L S U 115 High Weight-for-Length – ≥ 98th percentile weight-for-length Note: CDC labels the 97.7th percentile as the 98th percentile on the Birth to 24 months gender specific growth charts. 1 L S 121A At Risk for Short Stature – > 2nd percentile and ≤ 5th percentile length-for-age as plotted on the CDC Birth to 24 months gender specific growth charts. Note: ● CDC labels the 2.3rd percentile as the 2nd percentile on the birth to 24 months gender- specific growth charts. ● Assignment for premature infant is based on adjusted gestational age. 1 L S 121B Short Stature – ≤ 2nd percentile length-for-age as plotted on the CDC Birth to 24 months gender specific growth charts. Note: ● CDC labels the 2.3rd percentile as the 2nd percentile on the birth to 24 months gender- specific growth charts. ● Assignment for premature infant is based on adjusted gestational age. 1 L S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

134 Failure to Thrive – Presence of failure to thrive (FTT) diagnosed, documented, or reported by a physician or someone working under a physician’s orders, or as self-reported by endorser/caregiver. 1 H U 135 Slowed/Faltering Growth Pattern – Infant Birth to 2 weeks ● Excessive weight loss after birth, defined as ≥ 7% birth weight. Note: Requires further assessment and counseling by the WIC High Risk Counselor within 24 hours of risk identification. Infants 2 weeks to 6 months of age ● Any weight loss. Use two separate weight measurements taken at least 8 weeks apart. Note: WIC High Risk Counselor visit is required within 30 days of risk identification. 1 1 H H S S 141A Low Birth Weight - Birth weight defined as ≤ 2500 grams (≤ 5 pounds 8 ounces) 1 H S 141B Very Low Birth Weight - Birth weight defined as ≤ 1500 grams (≤ 3 pounds 5 ounces) 1 H S 142A Preterm Delivery - Delivery of an infant born ≤36 6/7 week gestation. 1 H S 142B Early Term Delivery – Delivery of an infant born ≥ 37 0/7 and ≤38 6/7 weeks gestation. 1 L S 151 Small for Gestational Age (SGA) - Diagnosed as small for gestational age. 1 H U 152 Low Head Circumference – Infants birth to 24 months ≤2.3rd percentile head circumference-for-age as plotted on the Centers for Disease Control and Prevention (CDC) Birth to 24 months gender specific growth charts. Assignment for premature infant is based on adjusted gestational age. Note: Low Head Circumference is not a measurement WIC Staff take but instead is risked when a medical care provider has diagnosed the infant or child with the condition. 1 H S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

153 Large for Gestational Age (LGA) - Birth weight of > 9 pounds (≥ 4000 g) or presence of LGA as diagnosed by a physician or someone working under a physician’s orders, or as self- reported by endorser/caregiver. 1 L S 201 Low Hematocrit/Low Hemoglobin – Low Hemoglobin (Hb) or hematocrit (Hct) is less than the 5th percentile of the distribution of Hb concentration or Hct in a healthy reference population based on age, sex, and state of pregnancy. Cut-off values are provided within the NRF pages. These values are based on the levels established by the Centers for Disease Control and Prevention (CDC). 1 L S 201B Severely Low Hematocrit/Hemoglobin – Hemoglobin value low enough to necessitate a medical referral as listed in the Standards for Severely Low Hemoglobin- NRF201b-High Risk Condition table in the Mini Manual. 1 H U 211 Elevated Blood Lead Levels – Elevated blood lead level (BLL) is the amount of lead in the blood, measured in micrograms of lead per deciliter of blood ( µg/dl), Follow-up action should be taken for an infant when BLL ≥ 5 µg/dl. 1 H S 300 Series Medical Conditions – *See Clinical/Health/Medical Conditions List for definitions, codes, and risk level (High or Low). 1 L/H U 411 INAPPROPRIATE NUTRITION PRACTICES FOR INFANTS: Routine use of feeding practices that may result in impaired nutrient status, disease, or health problems. These practices, with examples, are outlined below: 4 L U 411A Routinely using a substitute(s) for human milk or for FDA approved iron-fortified formula as the primary nutrient source during the first year of life. Examples of substitutes: ► Low iron formula without iron supplementation; ► Cow’s milk, goat’s milk, or sheep’s milk (whole, reduced fat, low-fat, skim), canned evaporated or sweetened condensed milk; and ► Imitation or substitute milks (such as rice- or soy- based beverages, non-dairy creamer), or “other homemade concoctions.” 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

411B Routinely using nursing bottles or cups improperly. ► Using a bottle to feed fruit juice. ► Feeding any sugar-containing fluids, such as soda/soft drinks, gelatin water, corn syrup solutions, and sweetened tea. ► Allowing the infant to fall asleep or be put to bed with a bottle at naps or bedtime. ► Allowing the infant to use the bottle without restriction (e.g. walking around with a bottle) or as a pacifier. ► Propping the bottle when feeding. ► Allowing an infant to carry around and drink throughout the day from a covered or training cup. ► Adding any food (cereal or other solid foods) to the infant’s bottle. 4 L U 411C Routinely offering complementary foods* or other substances that are inappropriate in type or timing. Examples of inappropriate complementary foods: ► Adding sweet agents such as sugar, honey, or syrups to any beverage (including water) or prepared food, or used on a pacifier. ► Introducing any food other than human milk or iron-fortified infant formula before 6 months of age. * Complementary foods are any foods or beverages other than human milk or infant formula. 4 L U 411D Routinely using feeding practices that disregard the developmental needs or stage of the infant. ► Inability to recognize, insensitivity to, or disregarding the infant’s cues for hunger and satiety (e.g., forcing an infant to eat a certain type and/or amount of food or beverage or ignoring an infant’s hunger cues). ► Feeding foods of inappropriate consistency, size, or shape that put infants at risk of choking. ► Not supporting an infant’s need for growing independence with self-feeding (e.g., solely spoon- feeding an infant who is able and ready to finger- feed and/or try self-feeding with appropriate utensils). ► Feeding an infant food with inappropriate textures based on his/her developmental stage (e.g., feeding primarily pureed or liquid foods when the infant is ready and capable of eating mashed, chopped or appropriate finger foods). 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

411E 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. 4 L U 411F Routinely feeding inappropriately diluted formula. ► Failure to follow manufacturer’s mixing instructions (to include stretching formula for household economic reasons). ► Failure to follow specific instructions accompanying a prescription. 4 L U 411G Routinely limiting the frequency of nursing of the exclusively breastfed infant when human milk is the sole source of nutrients. Examples of inappropriate frequency of nursing: ► Scheduled feedings instead of demand feedings; and ► Less than 8 feedings in 24 hours if less than 2 months of age. 4 L U 411H Routinely feeding a diet very low in calories and/or essential nutrients. Examples: ► Vegan diet ► Macrobiotic diet ► Other diets very low in calories and/or essential nutrients 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

411I Routinely using inappropriate sanitation in the feeding, preparation, handling, and storage of expressed human milk or formula. ► Limited or no access to a: ● Safe water supply (documented by appropriate authorities); ● Heat source for sterilization; and/or ● Refrigerator or freezer for storage. ► Failure to prepare, handle, and store bottles, storage containers or breast pumps properly; examples include: Human Milk ● Thawing/heating in a microwave ● Refreezing ● Adding freshly expressed unrefrigerated human milk to frozen human milk ● Adding freshly pumped chilled human milk to frozen human milk in an amount that is greater than the amount of frozen human milk ● Feeding thawed refrigerated human milk more than 24 hours after it was thawed ● Saving human milk from a used bottle for another feeding ● Failure to clean breast pump per manufacturer’s instruction ● Feeding donor human milk acquired directly from individuals or the Internet. Formula ● Failure to prepare and/or store formula formula per manufacturer’s or physicians instructions ● Storing at room temperature for more than 1 hour ● Using formula in a bottle one hour after the start of a feeding ● Saving formula from a used bottle for another feeding ● Failure to clean baby bottle properly 4 L U 411J Feeding dietary supplements with potentially harmful consequences. Examples of dietary supplements which, when fed in excess of recommended dosage, may be toxic or have harmful consequences: ► Single or multi-vitamins; ► Mineral supplements; and ► Herbal or botanical supplements/remedies/teas. 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

411K Routinely not providing dietary supplements recognized as essential by national public health policy when an infant’s diet alone cannot meet nutrient requirements. ► 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 one liter (or 1 quart) per day of vitamin D-fortified formula and are not taking a supplement of 400 IU of vitamin D. 4 L U 428 Dietary Risk Associated with Complementary Feeding Practices – Infant 4-12 months of age who has begun to or is expected to begin to: 1) consume complementary foods and beverages, 2) eat independently, 3) be weaned from breast milk or infant formula, or 4) transition from a diet based on infant/toddler foods to one based on the Dietary Guidelines for Americans. Note: A complete nutrition assessment, including for risk #411, Inappropriate Nutrition Practices for Infants, must be performed prior to assigning this risk. 4 L U 501 Possibility of Regression – A participant who has previously been certified eligible for the Program may be considered to be at nutritional risk in the next certification period if the Competent WIC Authority (CWA) determines there is a possibility of regression in nutritional status without the benefits that the WIC Program provides. Note: Regression cannot be assigned to a participant two certification periods in a row and may only be used once after the initial certification. 4 L U 502 Transfer of Certification – Person with current valid Verification of Certification (VOC) documents from another State or local agency. The VOC is valid until the certification period expires and shall be accepted as proof of eligibility for program benefits. N/A L S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

603 603A 603B 603C 603D Breastfeeding Complications or Potential Complications – Breastfed infant with any of the following complications or potential complications for breastfeeding: ► jaundice ► weak or ineffective suck ► difficulty latching onto mother’s breast ► inadequate stooling (for age, as determined by a physician or other health care professional), and/or less than 6 wet diapers per day. Note: High Risk must be seen by a Lactation Management Specialist (LMS/CLC/IBCLC) or WIC High Risk Counselor within 24 hours. 1 H U 701 Infant Up to 6 Months Old of WIC Mother or of a Woman Who Would Have Been Eligible During Pregnancy – Infant < 6 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 conditions. 2 L S 702A 702B 702D Breastfeeding Infant of Woman at Nutritional Risk - Priority 1 infant Priority 2 infant Priority 4 infant Note:Infant must be the same priority as at-risk mother 1 2 4 L L L S S S 801 Homelessness – Infant who lacks a fixed and regular nighttime residence; or whose primary nighttime residence is: ►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; or ►A public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings. 4 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

802 Migrancy – Infant who is a member of a family that contains 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. 4 L U 901 Recipient of Abuse – An infant who has experienced physical, sexual, emotional, economic, neglect or psychological maltreatement that may frighten, intimidate, terrozie, manipulate, hurt, humiliate, blame, injure, and/or wound the individual. The experience of abuse may be self-reported by the individual, an individual’s family member, a social worker, health care provider, or other appropriate personnel. 4 L U 902 Infant of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food – Infant 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: ►Documented or self-reported misuse of alcohol, use of illegal substances, use of marijuana, or misuse of prescription medications. ►Mental illness, including clinical depression.* ►Intellectual disability.* ►Physically disabled to a degree which restricts or limits food preparation abilities. ► < 17 years of age. * Presence of the condition 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. 4 L U 903 Foster Care - Entering the foster care system during the previous 6 months or moving from one foster care home to another foster care home during the previous 6 months. 4 L S 904 Environmental Tobacco Smoke Exposure (ETS) – ETS exposure is defined as exposure to smoke from tobacco products inside enclosed areas, like the home, place of child care, 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. 1 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

CHILD System Assigned (S): Compass assigns based on anthropometric, blood values, and/or dates entered in system. User Assigned (U): User assigns by checking a box or radio button, or by assigning on the Risk panel. Compass Code Name/Definition Priority Risk User or System Assigned 103A At Risk of Underweight – Child > 12 months to <24 months: > 2nd percentile and < 5th percentile weight-for-length Child 2-5 years of age: > 5th percentile and ≤10th percentile Body Mass Index (BMI)-for-age 3 L S 103B Underweight – Child > 12 months to <24 months: < 2nd percentile weight-for-length Note: CDC labels the 2.3rd percentile as the 2nd percentile on the Birth to 24 months gender specific growth charts. Child 2-5 years of age: < 5th percentile Body Mass Index (BMI)-for-age 3 H S 113 Obese – Child 2-5 years of age: > 95th percentile Body Mass Index (BMI)-for-age Note: standing height only 3 H S 114 Overweight - Child 2-5 years of age: > 85th and < 95th percentile Body Mass Index (BMI)-for- age At Risk of Overweight - Child > 12 months to 5 years of age: Biological mother** and/or biological father with a BMI > 30 at the time of certification.* *BMI must be based on self-reported weight and height by the parent in attendance (i.e., one parent may not “self-report” for the other parent) or weight and height measurements taken by staff at the time of certification. **If the mother is pregnant or has had a baby within the past 6 months but was not on WIC during that pregnancy, use her preconceptual weight to assess for obesity since her current weight will be influenced by pregnancy-related weight gain. For children <24 months of age whose biological mother was on WIC during the most recent pregnancy, Compass assigns using the biological mother’s most recent pregnancy record. 3 3 L L S S/U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

115 High Weight-for-Length - Child > 12 months to < 24 months of age: > 98th percentile weight-for-length as plotted on the CDC Birth to 24 months gender specific growth charts. Note: CDC labels the 97.7th percentile as the 98th percentile on the Birth to 24 months gender specific growth charts. 3 L S 121A At Risk for Short Stature – Child > 12 months to < 24 months of age: >2nd percentile and ≤5th percentile length-for-age as plotted on the CDC Birth to 24 months gender specific growth charts. Note: CDC labels the 2.3rd percentile as the 2nd percentile on the Birth to 24 months gender specific growth charts. Note: Assignment for a child with a history of prematurity is based on adjusted gestational age. Child 2-5 years of age: > 5th percentile and ≤10th percentile height-for-age. 3 L S 121B Short Stature – Child > 12 months to < 24 months of age: < 2nd percentile length-for-age as plotted on the CDC Birth to 24 months gender specific growth charts. Note: CDC labels the 2.3rd percentile as the 2nd percentile on the birth to 24 months gender-specific growth charts. Note: Assignment for a child with a history of prematurity is based on adjusted gestational age. Child 2-5 years of age: < 5th percentile height-for-age 3 L S 134 Failure to Thrive – Presence of failure to thrive (FTT) diagnosed, documented, or reported by a physician or someone working under a physician’s orders, or as self-reported by endorser/caregiver. 3 H U 141A Low Birth Weight – (Child < 24 months of age): Birth weight defined as ≤ 2500 grams (≤ 5 pounds 8 ounces) 3 L S 141B Very Low Birth Weight – (Child < 24 months of age): Birth weight defined as ≤ 1500 grams (≤ 3 pounds 5 ounces) 3 L S 142A Preterm Delivery (Child < 24 months of age) - Delivery of an infant born ≤ 36 6/7 week gestation. 3 L S 142B Early Term Delivery (Child < 24 months of age) – Delivery of an infant born ≥ 37 0/7 and ≤ 38 6/7 weeks gestation. 3 L S Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

151 Small for Gestational Age (SGA) – (Child < 24 months of age): Diagnosed as small for gestational age. 3 L U 152 Low Head Circumference – Infants birth to 24 months ≤2.3rd percentile head circumference-for-age as plotted on the Centers for Disease Control and Prevention (CDC) Birth to 24 months gender specific growth charts. Assignment for premature infant is based on adjusted gestational age. Note: Low Head Circumference is not a measurement WIC Staff take but instead is risked when a medical care provider has diagnosed the infant or child with the condition. 3 L U 201 Low Hematocrit/Low Hemoglobin – Low Hemoglobin (Hb) or hematocrit (Hct) is less than the 5th percentile of the distribution of Hb concentration or Hct in a healthy reference population based on age, sex, and state of pregnancy. Cut-off values are provided within the NRF pages. These values are based on the levels established by the Centers for Disease Control and Prevention (CDC). 3 L S 201B Severely Low Hematocrit/Hemoglobin – Hemoglobin value low enough to necessitate a medical referral as listed in the Standards for Severely Low Hemoglobin-NRF201b-High Risk Condition table in the Mini Manual. 3 H U 211 Elevated Blood Lead Levels – Elevated blood lead level (BLL) is the amount of lead in the blood, measured in micrograms of lead per deciliter of blood ( µg/dl), Follow-up action should be taken for an child when BLL ≥ 3.5 µg/dl. 3 H S 300 Series Medical Conditions – *See Clinical/Health/Medical Conditions List for definitions, codes, and risk level (high or low). 3 L/H U 401 Failure to Meet Dietary Guidelines for Americans - Child ≥ 24 months of age who meets the income, categorical, and residency eligibility requirements may be presumed to be at nutritional risk based on failure to meet Dietary Guidelines for Americans. Based on a child’s estimated energy needs, this risk criterion is defined as consuming fewer than the recommended number of servings from one or more of the basic food groups (grains, fruits, vegetables, milk products, and meat or beans). Note: Assign 401 to child 2-5 years of age when a complete nutrition assessment has been performed and no other nutrition risks are identified. 5 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

425 INAPPROPRIATE NUTRITION PRACTICES FOR CHILDREN - Routine use of feeding practices that may result in impaired nutrient status, disease, or health problems. 5 L U 425A Routinely feeding inappropriate beverages as the primary milk source – Examples of inappropriate beverages as primary milk source: ► Non-fat or reduced-fat milks between 12 and 24 months of age only (unless overweight or obesity is a concern) or sweetened condensed milk; and ► Goat’s milk, sheep’s milk, imitation or substitute milks (that are unfortified or inadequately fortified),or other “homemade concoctions.” 5 L U 425B Routinely feeding a child any sugar-containing fluids Examples of sugar-containing fluids: ► Soda/soft drinks ► Gelatin water ► Corn syrup solutions; and ► Sweetened tea 5 L U 425C Routinely using nursing bottles, cups, or pacifiers inappropriately - ►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 or drinking beyond 14 months of age. ►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. 5 L U 425D Routinely using feeding practices that disregard the developmental needs or stages of the child - ► Inability to recognize, insensitivity to, or disregarding the child’s cues for hunger and satiety (e.g., forcing a child to eat a certain type and/or amount of food or beverage or ignoring a hungry child’s request for appropriate foods). ► Feeding foods of inappropriate consistency, size, or shape that puts child at risk of choking. ► Not supporting a child’s need for growing independence with self-feeding (e.g., solely spoon- feeding a child who is able and ready to finger-feed and/or try self-feeding with appropriate utensils). ► Feeding a child food with an inappropriate texture based on his/her developmental stage (e.g., feeding primarily pureed or liquid foods when the child is ready and capable of eating mashed, chopped or appropriate finger foods). 5 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

425E Feeding foods to a child that could be contaminated with harmful microorganisms or toxins– Examples of potentially harmful foods for a child: ►Unpasteurized fruit or vegetable juice; ►Unpasteurized dairy products or soft cheeses such as feta, Brie, Camembert, blue-veined, and Mexican- style cheese; ►Raw or undercooked meat, fish, poultry, or eggs; ►Raw vegetable sprouts (alfalfa, clover, bean, and radish); and ►Deli meat, hot dogs, and processed meats (avoid unless heated until steaming hot). 5 L U 425F Routinely feeding a diet very low in calories and/or essential nutrients - Examples: ►Vegan diet; ►Macrobiotic diet; and ►Other diets very low in calories and/or essential nutrients. 5 L U 425G Feeding dietary supplements with potentially harmful consequences - Examples of dietary supplements which when fed in excess of recommended dosage may be toxic or have harmful consequences: ►Single or multi-vitamins; ►Mineral supplements; and ►Herbal or botanical supplements/remedies/teas. 5 L U 425H Routinely not providing dietary supplements recognized as essential by national public health policy when a child’s diet alone cannot meet nutrient requirements - ►Providing child < 36 months of age less than 0.25 mg of fluoride daily when the water supply contains less than 0.3 ppm fluoride. ►Providing child 36-60 months of age less than 0.50 mg of fluoride daily when the water supply contains less than 0.3 ppm fluoride. ►Not providing 400 IU of vitamin D per day if a child consumes less than 1 liter (or 1 quart) of vitamin D fortified milk or formula. ► 5 L U 425I Routine ingestion of nonfood items (pica) Examples of inappropriate nonfood items: ►Ashes; ►Carpet fibers; ►Cigarettes or cigarette butts; ►Clay; ►Dust; ►Foam rubber; ►Paint chips; ►Soil; and ►Starch (laundry or cornstarch). 5 L U Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026 428 Dietary Risk Associated with Complementary Feeding Practices - Child > 12 to < 24 months of age who has begun to or is expected to begin to: 1. Consume complementary foods and beverages, 2. Eat independently, 3. Be weaned from breast milk or infant formula, or 4. Transistion from a diet based on infnant/toddler foods to one based on the Dietary Guidelines for Americans, and is at risk of inappropriate complementary feeding. Note: A complete nutrition assessment, including #425 - inappropriate Nutrition Practices for Children, must be completed prior to assigning this risk. 5 L U 501 Possibility of Regression - A participant who has previously been certified eligible for the Program may be considered to be at nutritional risk in the next certification period if the Competent WIC Authority (CWA) determines there is a possibility of regression in nutritional status without the benefits that the WIC Program provides. Note: Regression cannot be assigned to a participant two certification periods in a row and may only be used once after the initial certification. 5 L U 502 Transfer of Certification – Person with current valid Verification of Certification (VOC) documents from another State or local agency. The VOC is valid until the certification period expires and shall be accepted as proof of eligibility for program benefits. N/A L U 801 Homelessness – Child who lacks a fixed and regular night time residence; or whose primary night time residence is: ►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; or ►A public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings. 5 L U

Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026 802 Migrancy – Child who is a member of a family that contains at least one individual: ►Whose principal employment is in agriculture on on a seasonal basis and; ►Has been so employed within the last 24 months and; ►Who establishes, for the purposes of such employment, a temporary abode. 5 L U 901 Recipient of Abuse – A child subjected to abuse, encompassing physical, sexual, emotional, neglect, or psychological maltreatment. The experience of abuse may be self- reported by the individual, an individual’s family member,a social worker, health care provider, or other appropriate personnel. Child abuse and/or neglect is any act or failure to act that results in harm to an infant or child or puts an infant or child at risk of harm. 5 L U 902 Child of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food - A 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: ►Documented or self-reported misuse of alcohol, use of illegal substances, use of marijuana, or misuse of prescription medications. ►Mental illness, including clinical depression.* ►Intellectual disability.* ►Physically disabled to a degree which restricts or limits food preparation abilities. ►< 17 years of age. * Presence of the condition 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. 5 L U 903 Foster Care – Entered the foster care system during the previous 6 months or moved from one foster care home to another foster care home during the previous 6 months. 5 L U 904 Environmental Tobacco Smoke Exposure (ETS) – ETS exposure is defined as exposure to smoke from tobacco products inside enclosed areas, like the home, place of child care, 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. 3 L U

Clinical/Health/Medical Conditions All Conditions are User-assigned, unless specifically noted. Risk level assigned (High or Low Risk) noted in the Definition section. NRF Code Compass Description Definition Categories P B N I C 301 Hyperemesis Gravidarum* Severe nausea and vomiting to the extent that the pregnant woman becomes dehydrated and acidotic. (High Risk) X 302 Gestational Diabetes* Any degree of glucose/carbohydrate intolerance with onset or first recognition during pregnancy. (High Risk) X 303 History of Gestational Diabetes* History of diagnosed gestational diabetes mellitus (GDM). (Low Risk) X X X 304 History of Preeclampsia* History of diagnosed preeclampsia. (Low Risk) X X X 311A History of Preterm Delivery Delivery of an infant born ≤ 36 6/7 weeks gestation: (Low Risk) Pregnant: Any history of preterm delivery. Breastfeeding/Non-Breastfeeding: Most recent pregnancy. X X X 311B History of Early Term Delivery Delivery of an infant born ≥ 37 0/7 and ≤ 38 6/7 weeks: (Low Risk) Pregnant: Any history of early term delivery Breastfeeding/Non-Breastfeeding: Most recent pregnancy X X X 321 History of Spontaneous Abortion, Fetal or Neonatal Loss Any history of spontaneous abortion, fetal or neonatal loss. (Low Risk) ● 321A Pregnant: Any history of fetal or neonatal death or 2 or more spontaneous abortions. ● 321B Breastfeeding: Most recent pregnancy in which there was a multifetal gestation with one or more fetal or neonatal deaths but with one or more infants still living. ● 321C Non-Breastfeeding: Spontaneous abortion, fetal or neonatal loss in most recent pregnancy. Note: Spontaneous abortion occurs before 20 weeks; fetal death occurs at or after 20 weeks gestation; neonatal death is within 0-28 days of life. X X X 331 Pregnancy at Young Age** **System assigned 331A: < 16 years (High Risk) 331B: 16 to ≤ 20 years (Low Risk) Pregnant: Current pregnancy Breastfeeding/Non-Breastfeeding: Most recent pregnancy X X X 201 Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 332 Short Interpregnancy Interval** Interpregnancy interval of less than 18 months from the date of a live birth to the conception of the subsequent pregnancy for the following: (Low Risk) Pregnant: Current pregnancy Breastfeeding/Non-Breastfeeding: Most recent pregnancy X X X **System assigned 334 Lack of or Inadequate Prenatal Care Prenatal care beginning after the 1st trimester (after 13th week). (Low Risk) X 335 Multi-fetal Gestation More than one fetus in: Pregnant: the current pregnancy (High Risk) Breastfeeding: the most recent pregnancy (High Risk) Non-Breastfeeding: the most recent pregnancy (Low Risk) X X X 336 Fetal Growth Restriction (FGR)* Fetal weight <10th percentile for gestational age. (High Risk) Note: Fetal Growth Restriction (FGR) may be diagnosed by a physician with serial measurements of fundal height, abdominal girth and can be confirmed with ultrasonography. FGR replaces the term Intrauterine Growth Retardation (IUGR) X 337 History of Birth of a Large for Gestational Age Infant* Pregnant: Any history of giving birth to an infant weighing ≥ 9 pounds (4000 grams). (Low Risk) Breastfeeding/Non-Breastfeeding: Most recent pregnancy, or history of giving birth to an infant weighing ≥ 9 pounds (4000 grams). (Low Risk) X X X 338 Pregnant Woman Currently Breastfeeding Pregnant woman who is currently breastfeeding. (Low Risk) X 339 History of Birth with a Nutrition A woman who has given birth to an infant who has a congenital or birth defect linked to inappropriate nutritional intake, e.g. inadequate zinc, folic acid, excess vitamin A. (Low Risk) Pregnant: Any history of birth with nutrition-related congenital or birth defect. Breastfeeding/Non-Breastfeeding: Most recent pregnancy Related Congenital or X Birth Defect* X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 341 Nutrient Deficiency or Disease* Nutritional deficiency or disease caused by insufficient dietary intake of macro and micronutrients. Diseases include, but are not limited to: (High Risk) X X X X X ● Protein energy malnutrition ● Scurvy ● Rickets ● Vitamin K deficiency ● Pellagra ● Cheilosis ● Beriberi ● Hypocalcemia ● Osteomalacia ● Menkes disease ● Xerophthalmia 342 Gastro- intestinal Disorders* Disease(s) and/or conditions(s) that interfere with the intake or absorption of nutrients. The diseases and/or conditions include, but are not limited to: (High Risk) ● Gastroesophageal reflux disease (GERD) ● Peptic ulcer ● Post-bariatric surgery ● Short bowel syndrome ● Inflammatory bowel disease,(including ulcerative colitis or Crohn’s disease ● Liver disease ● Pancreatitis ● Biliary tract disease X X X X X 343 Diabetes Mellitus* Consists of a group of metabolic diseases characterized by inappropriate hyperglycemia resulting from defects in insulin secretion, insulin action or both. (High Risk) X X X X X 344 Thyroid Disorders* Thyroid dysfunctions that occur in pregnant and postpartum women, during fetal development, and in childhood are caused by the abnormal secretion of thyroid hormones. The medical conditions include, but are not limited to: (High Risk) ● Hyperthyroidism ● Hypothyroidism ● Congenital Hyperthyroidism ● Congenital Hypothyroidism ● Postpartum Thyroiditis X X X X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 345 Hypertension and Prehypertension* Presence of Hypertension or Prehypertension, including preeclampsia. (High Risk) X X X X X 346 Renal Disease* Any renal disease including pyelonephritis and persistent proteinuria, but excluding urinary tract infections (UTI) involving the bladder. (High Risk) X X X X X 347 Cancer * A chronic disease whereby populations of cells have acquired the ability to multiply and spread without the usual biologic restraints. The current condition, or treatment of the condition, must be severe enough to affect nutritional status. (High Risk) X X X X X 348 Central Nervous System Disorders* Conditions which affect energy requirements, ability to feed self, or alter nutritional status metabolically, mechanically, or both. These include but are not limited to: (High Risk) ● Epilepsy ● Cerebral palsy (CP) ● Neural tube defects (NTD), such as spina bifida ● Parkinson’s disease ● Multiple sclerosis (MS) X X X X X 349 Genetic and Congenital Disorders* A hereditary or congenital condition at birth that causes physical or metabolic abnormality. The current condition must alter nutrition status metabolically, mechanically, or both. May include but is not limited to: (High Risk) X X X X X ● Cleft lip or palate ● Down’s syndrome ● Muscular dystrophy ● Thalassemia major ● Sickle cell anemia (not sickle cell trait) 351 Inborn Errors of Metabolism* Inherited metabolic disorders caused by a defect in the enzymes or their co- factors that metabolize protein, carbohydrate, or fat. Inborn errors of metabolism (IEM) generally refer to gene mutations or gene deletions that alter metabolism in the body, including but not limited to: (High Risk) X X X X X ● Amino acid disorders ● Organic acid metabolism disorders ● Fatty acid oxidation disorders ● Lysosomal storage diseases ● Urea cycle disorders ● Carbohydrate disorders ● Peroxisomal disorders ● Mitochondrial disorders Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 352A Infectious Diseases Acute* A disease which is characterized by a single or repeated episode of relatively rapid onset and short duration. The infectious disease must be present within the past 6 months. Includes, but not limited to: (High Risk) ● Hepatitis A ● Hepatitis E ● Listeriosis ● Pneumonia ● Meningitis (Bacterial/Viral) ● Bronchitis (3 episodes in last 6 months) ● Parasitic Infections X X X X X 352B Infectious Diseases Chronic* Conditions likely lasting a lifetime and require long-term management of symptoms. Includes, but not limited to: (High Risk) ● HIV (Human Immunodeficiency Virus) ● AIDS (Acquired Immunodeficiency Syndrome) ● Hepatitis B ● Hepatitis C ● Hepatitis D X X X X X 353 Food Allergies* Food Allergies are adverse health effects arising from a specific immune response that occurs reproducibly on exposure to a given food. Risk NRF 353 when a food allergy is diagnosed, documented, or reported by a physician or a medical professional working under a physician’s orders. It may also be assigned when self-reported by the applicant/participant/caregiver, provided there is a prior physician diagnosis. Although reactions can occur from the ingestion of any food, a small number of foods are responsible for most food-induced allergic reactions. The foods that most often cause allergic reactions are listed below (High Risk): ● Peanuts ● Cow’s milk ● Shellfish ● Tree nuts ● Eggs ● Fish ● Wheat ● Soy ● Sesame Clarification: NRF353 applies only to food allergies. It should not be used for X X X X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

non-immunologic adverse reactions to food. Examples of such non-allergic food reactions include wheat sensitivity, lactose intolerance, histamine fish poisoning, and caffeine toxicity. 354 Celiac Disease* An autoimmune disease precipitated by the ingestion of gluten (a protein in wheat, rye, and barley) that result in damage to the small intestine and malabsorption of the nutrients from food. Also known as Celiac Sprue, Gluten- sensitive Enteropathy, and Non-tropical Sprue. (High Risk) X X X X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 355 Lactose Intolerance* The syndrome of one or more of the following: diarrhea, abdominal pain, flatulence, and/or bloating, that occurs after lactose ingestion. (Low Risk) Note: Evidence of the condition may be documented by the WIC staff X X X X X 356 Hypoglycemia* Presence of hypoglycemia. (High Risk) Note: Hypoglycemia can occur as a complication of diabetes, as a condition in itself, in association with other disorders, or under certain conditions such as early pregnancy, prolonged fasting, or long periods of strenuous exercise. Symptomatic hypoglycemia is a risk observed in a substantial proportion of newborns who are small for gestational age. It is uncommon and of shorter duration in newborns who are of the appropriate size for gestational age. X X X X X 357 Drug Nutrient Interactions Use of prescription or over-the-counter drugs or medications that have been shown to interfere with nutrient intake, absorption, distribution, metabolism, or excretion, to an extent that nutritional status is compromised. Medication purpose can be an indicator of potential drug nutrient interactions. Includes but not limted to: (High Risk) ● Diuretic (Midamor, Hygroton, Lasix) ● Antacid (Tums) ● Antibiotic (Ciprofloxacin) ● Proton pump inhibitors (Prevacid, Prilosec) ● Thyroid hormone (Synthroid, Levothroid) ● Antihyperglycemic (Metformin) ● Analgesic (Methadone) ● Antiemetic, Antinauseant (Zofran) ● Antiepileptic (Phenobarbital) ● Corticosteroid (Predninsone) ● Antiulcer, AntiGERD, Antisecretory (Zantac) ● Antidepressant (Zoloft) ● Ulcerative Colitis Treatment (Sulfasalazine) X X X X X 358 Eating Disorders* Eating disorders are characterized by severe disturbances in a person’s eating behaviors and related thoughts and emotions. Eating disorders can include, but are not limited to: anorexia nervosa (AN), Bulimia Nervosa (BN), and Binge-Eating Disorder (BED). The presence of an eating disorder diagnosis can be documented or reported by a healthcare provider or someone working under a physician’s orders, or as self-reported by the applicant/participant/caregiver. X X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

Note: Evidence of the condition may be documented by the WIC High Risk Counselor 359 Recent Major Surgery, Trauma, Burns Major surgery (including C-sections), trauma or burns severe enough to compromise nutritional status. Any occurrence: (High Risk) ● Within the past two months may be self-reported. ● More than two months previous must have the continued need for nutritional support diagnosed by a physician or a health care provider working under the orders of a physician. X X X X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 360 Other Medical Conditions * Diseases or conditions with nutritional implications that are not included in any of the other medical conditions. The current condition, or treatment for the condition, must be severe enough to affect nutritional status. This includes, but is not limited to: (High Risk) ● Juvenile Idiopathic Arthritis (JIA) ● Systemic Lupus Erythematosus ● Polycystic Ovary Syndrome (PCOS) ● Cardiovascular Disease ● Persistent Asthma (moderate or severe) requiring daily medication ● Cardiovascular Disease ● Cystic Fibrosis The presence of medical condition(s) diagnosed, documented, or reported by a healthcare provider or someone working under a physician’s orders, or as self- reported by applicant/participant/caregiver. X X X X X 361 Mental Illness* A syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. Associated with significant distress or disability in social occupations, or other important activities. Mental illnesses where the condition, or treatment for the condition may affect nutrition status include, but are not limited to: ● Depression ● Post-Traumatic Stress Disorder (PTSD) ● Personality Disorders ● Schizophrenia ● Anxiety Disorders ● Obsessive-Compulsive Disorder (OCD) ● Bipolar Disorders ● Attention-Deficit/Hyperactivity Disorder (ADHD)(High Risk) The presence of a mental illness is diagnosed, documented, or reported by a healthcare provider or someone working under a physician’s orders, mental health provider or as self-reported by an applicant, participant, or caregiver. X X X 362 Developmental, Sensory or Motor Disabilities Interfering with the Ability to Eat Developmental, sensory, or motor disabilities that restrict the ability to chew or swallow food or require tube feeding to meet nutritional needs. Disabilities include but are not limited to: (High Risk) ● Minimal brain function ● Feeding problems due to a developmental disability such as pervasive development disorder (PDD) which includes autism X X X X X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

● Birth injury ● Head trauma ● Brain damage ● Other disabilities 363 Pre-Diabetes* Impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) are X X referred to as pre-diabetes. These conditions are characterized by hyperglycemia that does not meet the diagnostic criteria for diabetes mellitus. (High Risk) 371 Nicotine and Tobacco Use Use of any product that contains nicotine and/or tobacco to include but not limited to cigarettes, pipes, cigars, electronic nicotine delivery systems (e- X X X cigarettes, vaping devices), hookahs, smokeless tobacco (chewing tobacco, snuff, dissolvable), or nicotine replacement therapies (gums, patches). Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

NRF Code Compass Description Definition Categories P B N I C 372 Alcohol and Substance Use 372A Alcohol Use Pregnant: ▪ Any current alcohol use** (High Risk) Breastfeeding (High Risk) & Non-Breastfeeding Postpartum (Low Risk): ▪ High Risk Drinking: Routine consumption of ≥8 drinks per week or ≥4 drinks on any day. ▪ Binge Drinking: Routine consumption of ≥4 drinks within 2 hours. Note: One drink is 1 can (12 oz) of beer; 5 oz wine; 1 ½ fluid oz liquor. X X X X X X 372B Substance Use Pregnant & Breastfeeding: (High Risk) ▪ Any illegal substance use and/or abuse of prescription medications. ▪ Any marijuana use in any form. Non-Breastfeeding Postpartum: (High Risk) ▪ Any illegal substance use and/or abuse of prescription medications. Note: 372B is not assignable to non-breastfeeding women who use marijuana. 381 Oral Health Conditions* Oral health conditions include, but are not limited to: (Low Risk) ● Dental caries, often referred to as “cavities” or “tooth decay” ● Periodontal diseases (stages include gingivitis and periodontitis) ● Tooth loss, ineffectively replaced teeth or oral infections which impair the ability to ingest food in adequate quantity or quality Note: Evidence of the condition may be documented by the WIC staff X X X X X 382 Fetal Alcohol Spectrum Disorders* Fetal Alcohol Spectrum Disorders (FASDs) are a group of conditions that can occur in a person whose mother consumed alcohol during pregnancy. Effects can include physical, mental, behavioral, and/or learning disabilities with lifelong implications. Infants & Children (High Risk) Pregnant, Breastfeeding & Non-Breastfeeding (Low Risk) X X X X X 383 Neonatal Abstinence Syndrome* Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome that occurs among drug-exposed (primarily opioid-exposed) infants as a result of the mother’s use of drugs during pregnancy. NAS is a combination of physiologic and neurologic X Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026

symptoms that can be identified immediately after birth and can last up to 6 months after birth. (High Risk) * Presence of the condition diagnosed, documented, or reported by a physician or someone working under a physician’s orders, or as self-reported by applicant/participant/caregiver. A self-reported diagnosis (My doctor says that I have/my son or daughter has…”) should prompt the CWA to validate the presence of the condition by asking more pointed questions related to that diagnosis. Colorado WIC Program Policies and Procedures Section 8: Certification, Eligibility and Coordination Revised: 03/01/2026