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Objective Strategies/Activities Baseline Indicators Progress

The NCFL will use the CT-WIC Program Special Formula Review Form to conduct a minimum of 5 chart audits per local agency, for those local agencies conducting an Off-Year Self Evaluation. per local agency. Approximately 20 charts per year will be evaluated by the NCFL. See indicators column, for performance standards for WIC Special Formula and Eligible Nutritionals’ issuance as well as HUSKY/Medicaid issuance.

Based on results, local agency liaisons will discuss areas for improvement and address questions or concerns during local agency TA visits. Outstanding formula issues identified will be topic for discussion during training sessions at local agency staff meetings, Program Nutritionists and/or statewide meetings.

Confirm baseline for compliance with special formula policies and practices for participants dually enrolled in HUSKY/Medicaid and WIC. (HUSKY as first payer). Determine useful tracking reports.

100% Medical Documentation Form Up to Date

70% Medical Documentation Form accurately completed by MD/HCP

90% Medical Documentation correlates with HUSKY and/or WIC prescription issuance on Family Benefit List (FBL)

80% Appropriate Growth Assessment/evaluatio n documented.

50% of verbal orders for medical documentation are obtained within 24 hours (WIC only).

25% of Nutritionists follow-up with MD/HCP when indicated. 60% CT-WIC Risk Screen updated based on new information.

accurately completed by MD/HCP, 73% Medical Documentation correlates with HUSKY and/or WIC prescription issuance on Family Benefit List (FBL), 25% Appropriate Growth Assessment/evaluation documented, and 41% CT- WIC Risk Screen updated based on new information.

Some of the above indicators show progress from last year. However, local agency staff need improvement in Care Plan documentation and consistency. Further, more focus is needed on confirming with HCP when HUSKY/Medicaid has covered special formula. Only 38% of charts showed that staff documented in CT-WIC when HUSKY/Medicaid covered special formula. The NCFL made some modifications to chart audit indicators in 2024 based on 2023 results. This process will continue to evolve.