DC WIC POLICY & PROCEDURE MANUAL

Policy 9.006 1 | P a g e Title: Children Food Packages Category: Food Delivery CFR Reference: 246.10 Policy Number 9.006 Effective Date: 3/2022 Revised Date: 03/01/2026

POLICY STATEMENT: The State Agency will make available in the MIS children food packages based on the child’s age that allow up to the Maximum Monthly Allowance (MMA)* of authorized supplemental foods in accordance with 7 CFR 246.10(e)(4). Each child will receive a tailored food package based on a nutrition assessment conducted in accordance with DC WIC policy 2.003 Nutrition and Breastfeeding Assessment that meets the cultural, medical, and dietary needs of the DC WIC participant. *See DC WIC policy 9.004 Federal Food Packages for definition of MMA. PROCEDURE The CPA or CPPA must provide each child with a tailored food package based on the MMAs established and allowable substitutions for each age and category below: Child 1-year-old (C1) Authorized Supplemental Food Food Package IV, Part A Juice 64 fl oz full substitution: - $3 CVB Whole milk 4 gallons (i.e. 16 quarts) partial substitutions: - 1 lb of cheese (in place of 3 quarts of milk) - Up to 64 oz of yogurt* (32 oz per 1 quart of milk) - Up to 4 quarts of kefir (1 quart of kefir per 1 quart of milk) full substitutions: - 1 lb of tofu for each quart of milk - Any additional authorized milk (e.g. dry powdered milk, lactose-free, soy, goat’s milk, UHT milk, etc) for each quart of milk** Breakfast cereal 36 oz Eggs 1 dozen full substitution: - 1 lb of tofu or - 1 CTR of dry or canned beans, peas, lentils, or 16 to 18 of peanut butter or nut or seed butter Fruits and vegetables $26*** CVB Whole wheat bread or other whole grain option 24 oz Canned fish 6 oz Mature legumes 1 lb dry beans or 64 oz canned beans or 1 CTR of 16 to 18 oz peanut butter or nut and seed butters

DC WIC POLICY & PROCEDURE MANUAL

Policy 9.006 2 | P a g e WIC formula (see DC WIC policy 9.008) Up to 455 fl oz of liquid concentrate (powdered and RTF may be substituted at equivalent rates). *Yogurt – whole fat or low-fat yogurts are standard issuance when substituting yogurt. Nonfat yogurt may be issued to 1-year-old children for whom overweight or obesity is a concern as determined by a CPA **Authorized milk – see a full listing of authorized milks in the DC WIC Authorized Foods List *** CVB amounts may be adjusted annually.

Reduced-fat milk issuance to 1-year-olds Reduced fat (2%) milks can be issued to 1-year old children only when determined appropriate by a CPA. The need for reduced fat milk must be based on an individual nutritional assessment and if issued, must be documented in the participant’s TGIF note. A DC WIC Medical Prescription form is not required to issue reduced-fat milk to 1-year-olds as part of Food Package IV, Part A. Nonfat yogurt issuance to 1-year-olds Nonfat yogurt may be issued to 1-year-old children only when determined appropriate by a CPA. The need for nonfat yogurt must be based on an individual nutritional assessment and if issued, must be documented in the participant’s TGIF. A DC WIC Medical Prescription form is not required to issue nonfat yogurt to 1-year-olds as part of Food Package IV, Part A. Additional food package tailoring options for 1-year-olds Additional food item tailoring options may be considered as part of Food Package III issuance including infant fruits and vegetables, infant cereal, and special formula as determined appropriate by a healthcare provider per medical documentation. See DC WIC policy 9.008 Qualifying Medical Conditions for more information. Child 2 years to 4 years (C2, C3, C4) Authorized Supplemental Food Food Package IV, Part B Juice 64 fl oz full substitution: - $3CVB Low-fat or nonfat milk 4 gallons (i.e. 16 quarts) partial substitutions: - 1 lb of cheese (in place of 3 quarts of milk) - Up to 64 oz of yogurt* (32 oz per 1 quart of milk) - Up to 4 quarts of kefir (1 quart of kefir per 1 quart of milk) full substitutions: - 1 lb of tofu for each quart of milk - Any additional authorized milk (e.g. dry powdered milk, lactose-free, soy, goat’s milk, UHT milk, etc)** Breakfast cereal 36 oz Eggs 1 dozen full substitution: - 1 lb of tofu or - 1 CTR of dry or canned beans, peas, lentils, or 16 to 18 of peanut butter or nut or seed butter

DC WIC POLICY & PROCEDURE MANUAL

Policy 9.006 3 | P a g e Fruits and vegetables $26*** CVB Whole wheat bread or other whole grain option 24 oz Canned fish 6 oz Mature legumes 1 lb dry beans or 64 oz canned beans or 1 CTR of 16 to 18 oz peanut butter or nut and seed butters WIC formula (see DC WIC policy 9.008) Up to 455 fl oz of liquid concentrate (powdered and RTF may be substituted at equivalent rates). *Yogurt – low-fat and nonfat yogurts are standard issuance for 2 to 4-year-olds. Whole fat yogurt may be authorized per medical documentation by a healthcare provider. **Authorized milk – see a full listing of authorized milks in the DC WIC Authorized Foods List *** CVB amounts may be adjusted annually.

Whole milk issuance to 2 to 4-year-olds Whole milk may be issued to 2 to 4-year-olds in place of low-fat and nonfat milk only when determined appropriate by a healthcare provider per medical documentation and must be assigned as part of Food Package III (see DC WIC policy 9.008 Qualifying Medical Conditions). Reduced-fat milk (2%) issuance to 2 to 4-year-olds Reduced-fat milk (2%) may be issued to 2 to 4-year-olds in place of low-fat and nonfat milk only as determined, at minimum, by a CPA based on an individual nutritional assessment and its justification documented in the participant’s record. A DC WIC Medical Prescription form is not needed to issue reduced-fat milk as part of Food Package IV, Part B. Additional food package tailoring options for 2 to 4-year olds Additional food tailoring options may be considered as part of Food Package III issuance including infant fruits and vegetables, infant cereal, whole milk yogurt, and special formula as determined appropriate by a healthcare provider per medical documentation. See DC WIC policy 9.008 Qualifying Medical Conditions for more information. REFERENCES 7 CFR 246.10 DC WIC policies 2.003 Nutrition and Breastfeeding Assessment, 9.004 Federal Food Packages, 9.008 Qualifying Medical Conditions ATTACHMENTS & FORMS DC WIC Medical Prescription Form DC WIC Authorized Foods List