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(EFNEP) ☒ Medicaid ☐ Other food assistance program (TEFAP, FDPIR,

CSFP, etc.) ☐ CHIP

☐ Breastfeeding promotion ☐ IHS facilities ☐Child protective services ☐ MCH (clinics/facilities) ☐Head Start ☐ Early and Periodic Screening, Diagnostic and Treatment (EPSDT) ☐ Early Head Start ☐ Family planning ☐ Healthy Start ☐ Prenatal care ☒ Substance abuse program ☐ Postnatal care ☐ Child abuse counseling ☐ Immunization ☐ Foster care agencies ☐ Dental services ☐ Homeless facilities ☐ Private physicians ☐ Mental health services ☐ Hospitals ☐ Rural/migrant health centers ☒ Well-child programs ☒ Lead Screening ☐ Other (specify): Click or tap here to enter text.

ADDITIONAL DETAIL: Certification and Eligibility Appendix and/or Procedure Manual (citation): Click or tap here to enter text.

2. Local Agency Referral Procedures a. The State agency ensures that local agencies make available to all adults applying or re-applying for the WIC Program for themselves or on behalf of others the following types of information: ☒ State Medicaid Program, including presumptive eligibility determinations, where available ☐Child support services ☒ SNAP ☒ Substance abuse counseling/treatment programs ☐ TANF, including presumptive eligibility determinations, where available ☐Other State-funded medical insurance programs (specify): Click or tap here to enter text. ☐ Other nutrition services (specify): Click or tap here to enter text. ☐ EPSDT Program ☐ Children’s Health Insurance programs (s) ☐ Other (specify): Click or tap here to enter text.