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a. Professionals authorized by the State agency as Competent Professional Authorities (CPAs) to determine nutritional risk include (check all that apply): Can certify for: Qualification Priorities I-III All Priorities RD or Masters Level Nutritionist ☐

☒ Bachelor's Level Nutritionist ☐

☒ Physician ☐

☒ Physician Assistant ☐

☒ Registered Nurse ☐

☒ Licensed Practical Nurse ☐

☐ Home Economist ☐

☐ Paraprofessional ☐

☐ Other (Specify): Dietetic Technician Registered b. The State agency authorizes local agencies to (check all that apply): ☒ Conduct ☒ Anthropometric and ☒ Hematological measurements ☒ Use medical referral data for ☒ Anthropometric and ☒ Hematological measurements ☐ Use data from a state Health Information Exchange (including access to medical referral data via a participant/physician portal) ☐ Use data from a trusted partner trained in taking accurate measurements. Please list or attach partners the state agency accepts data from (list doesn’t need to be all-inclusive): c. The State agency uses only FNS-approved nutrition risk criteria, as referenced in Policy Memorandum #2011-5, WIC Nutrition Risk Criteria, and transmittal memorandum (dated December 17, 2020) that list the revised risk criteria requiring implementation by 10/1/2022, published on the FNS PartnerWeb, to document nutrition risk. (Note: A more recent transmittal memorandum was issued on November 17, 2022, however, the revised risk criteria included in this memorandum are not scheduled to be implemented until October 1, 2024) ☒ Yes ☐ No Please append a list of the nutrition risk criteria used by the State agency in its entirety to this State Agency Plan.

d. The State agency modifies nutrition risk criteria such that criteria definitions are more restrictive than nationally established definitions.