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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, 2025: 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 Indicators Staff Assigned 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.

The NCFL will use the CT-WIC Program Special Formula Review Form to conduct a minimum of 3 chart audits per local agency with an Off-Year Self Evaluation. Approximately 20 charts per year will be evaluated by the NCFL.

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 discussed during Local agencies will demonstrate proficiency with:

Following policy and process in assisting participants in ordering of special formula received through WIC or assisting participants dually enrolled in HUSKY/Medicaid and WIC in obtaining special formula.

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/evaluation documented.

Nutrition Unit Nutrition Monitor NCFL Epidemiologist Liaisons