Updated 2-2020 Connecticut WIC Program Manual
WIC 300-11 SECTION: Nutrition Services
SUBJECT: High Risk Participants Federal Regulations: §246.7(e) 1-4; New and Revised WIC Nutrition Risk Criteria, 2018 Revision Nutrition Services Standard: 7 POLICY High-risk participants are participants satisfying one or more of the following criteria: High Risk Pregnant Women:
• Teenager ≤15 years or 16 to 19 years if within 3 years of menarche • Interval since last pregnancy ≤12 months • Diagnosed disease requiring special therapeutic diet • Inadequate preconceptional weight/height (≤80% standard) • Low material weight gain during pregnancy (≥6 lbs. below preferred weight gain range on prenatal weight grid) • Poor obstetrical history characterized by prior low birth weight infant or neonatal death or multiple spontaneous abortions, including fetal deaths • Smoking (≥2 packs per day), any alcohol consumption (ongoing in pregnancy), any illegal substance use or abuse of prescription medications • Multiple pregnancy
High Risk Postpartum/Breastfeeding Women:
• Alcohol consumption (High risk drinking: ≥8 drinks per week or ≥4 drinks per day; Binge drinking: Routine consumption of ≥4 drinks within 2 hours) • Substance Use (Illegal or abuse of prescription medications) • A teenager ≤15 years or 16 to 19 years if within 3 years of menarche • Diagnosed chronic disease requiring special therapeutic diet • Poor obstetrical history characterized by low birth weight infant or neonatal death or multiple spontaneous abortions, including fetal deaths
High Risk Infants/Children:
• Infants up to 1 year of age who were <5.5 pounds at birth • Failure to thrive (Infants) • Neonatal Abstinence Syndrome (NAS) (Infants) • Diagnosed chronic disease requiring special therapeutic diet • Serious nutritional anemia (Hgb≤10 grams/dl or HCT ≤31%) • Weight for length ≤5%ile (Infants) • Obese (children 2-5 years) BMI ≥95%
The presence of “Other Medical Conditions” for any category.
Updated 2-2020 Participants with any other documented condition which, in the professional judgment of the CPA or referring physician, warrants the development of a nutrition care plan.