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Program Functional Area 9: Certification & Eligibility Goal 9: Improve and maintain program integrity in the areas of certification and eligibility. By September 30, 2024: Objective: 9.1 Investigate during MER (Nutrition Monitor) and State audits (Nutrition Consultant Formula Lead (NCFL)), local agency compliance with State WIC Special Formula and Eligible Nutritional policies. Objective: 9.2 Monitor local agency implementation of updated risk criteria.

Objective Strategies/Activities Baseline Indicators Progress 9.1 Investigate during MER (Nutrition Monitor) and State audits (NCFL), local agency compliance with State WIC Special Formula and Eligible Nutritionals policies.

For local agencies with MER scheduled, the Nutrition Monitor will use the CT-WIC Program Special Formula Review Form to determine if 80% of agencies reviewed comply with special formula procedures.  Select 5 (per permanent site) participant records with WIC Medical Documentation forms to determine frequency of insufficient “medical rationale” and if process was followed for HUSKY issuance of special formula.  Based on monitoring results, determine areas for improvement in staff training and clarify WIC formula policies and procedures and provide technical assistance as needed.

Established in 2018

Local agencies will demonstrate proficiency with:

Following policy and process in assisting participants in ordering of special formula received through WIC.

Following policy and process for assisting participants dually enrolled in HUSKY/Medicaid and WIC in obtaining special formula.

Local agency report of improved knowledge base and comfort-level in interactions with HCP’s.

In FY24, three agencies reviewed had special formula issuance findings. Most findings were related to missing documentation, inadequate follow-up tolerance or failure to assign risk factors/medical conditions identified on the medical documentation form. For one local agency there is no medical documentation form on file for participants who received special formula through WIC. 58% of completed WIC Medical Documentation forms were up to date and included information regarding HUSKY/Medicaid coverage. 80% of MER charts reviewed showed the CT-WIC Risk screen was updated based on medical conditions identified on medical documentation forms. The NCFL completed 21 chart reviews as required. The results show 84% Medical Documentation Forms Up to Date, 77% Medical Documentation Forms