CIVIL RIGHTS
GENERAL
CERTIFICATION
LAB / OTHER
NUTRITION ED & COUNSEL
100

Clinic staff must ask this question at every applicant/participant visit. 

What is "Do you need free communication assistance"?

100

This FORM should be completed at each certification visit and Mom-To-Be evaluation.

What is the NVRA-1?

100

This document should be scanned into Crossroads to support the absence of physical presence at Mom-To-Be certifications.

What is the Mom-To-Be form?

100

This act provides security and confidentiality of records if an employee walks away from their desk.

What is locking your computer?

100

When a baby smacks their lips, puts hands to mouth, turns head to look for breast or bottle.


What are examples of hunger cues?



200

Participants/Applicants should read this during certifications (including transfers into state),and then their signature should be obtained.

What is the WIC Rights and Responsibilities?

200

This NUMBER of attempts should be made to contact each pregnant woman who does not keep their initial certification appointment.

What is one attempt?

200

These are the 3 clerical education topics that are required at each certification visit.

What is...

1. WIC is a supplemental food

2. WIC foods are for the participant

3. Redeeming WIC food benefits

200

This tool should be used to measure the height of a child who is at least 2 years old.

What is the stand alone stadiometer?

200

This method of counseling leads to an open dialog and two-way communication in a patient-centered approach.

What is VENA?

300

It is preferred that this information is self-identified rather than observed at each initial and subsequent certification visits, including Mom-To-Be visits.

What is Race and Ethnicity?

300

This should be printed and given to a participant/applicant when income exceeds guidelines. 

What is the Notice of Ineligibility?

300

When transferring into state using the VOC procedure, "VOC" should be entered into this section on the income details screen. Then the VOC should be scanned in.

What is "Zero Income Declaration Reason"?

300

This is the number of times it should take to completely fill a microcuvette.

What is one time?

300

These are the CPA required nutrition education topics.

What is..

1. Participant risk factor

2. WIC Food package

400

This STATEMENT should be read to each initial certification and subsequent visit.

What is the Race and Ethnicity statement?

400

The following categories of persons shall be issued food benefits WITHIN THIS TIME FRAME when the initial visit is requested.

1. Prenatals

2. Infants under 6 months

3. Breastfeeding women

4. Members of migrant farm worker households who soon plan to leave the jurisdiction of the local agency

What is 10 days?

400

This should be selected under Verification Document if an applicant's Medicaid is being verified by MSIQ.

What is Medicaid ID Document?

400

This should happen before weighing an infant to ensure their weight is accurate.

What is..

Remove shoes, hats, jackets, heavy clothing, etc. and make sure they have a dry diaper?

400

Medical conditions should be reported on this screen to create system assigned risk factor(s).

What is the Health information screen?

500

This should be completed if free communication assistance is denied, and the participant with Limited English Proficiency (LEP) brings their own interpreter. 

What is the interpreter policy (ADPH-2019-007)?

500

The NUMBER OF DAYS LEFT prior to their certification end day when each participant must be advised by giving the Next Certification Due Notice.

What is 15 days (18 days if mailed)?

500

Infants who are breastfeeding at Mom-To-Be certifications should be referred to this staff member(s).

Who is a nutritionist?

500

Height/length and weight can be obtained from outside providers within this time frame (and be reflective of the current categorical status)

What is 60 days?

500

On the Family Assessment screen, the question, "Does anyone smoke inside your house?" must instead be asked this way.

What is..

"In the past 7 days, have you and/or child been in an enclosed space while someone used tobacco products?"

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