Nutrition Education
The WIC Program Explanation must be documented in MI-WIC during which type of appointments?
What are the 4 things listed in the program explanation?
What is... the certification/recertification appointment (CERT/RECERT)
The WIC Program Explanation is summarized on the printed Nutrition Education Plan: The purpose of the WIC program is to provide nutrition education and tips for a healthy diet, supplemental foods, referrals and breastfeeding support.
(Policy 5.03, 5.05)
WIC clients are adjunctively income eligible if they receive services from the following programs (name at least 2)
1. Medicaid
2. Food Assistance Program (FAP) benefits [i.e., (SNAP)/Food Stamps, The Emergency Food Assistance Program (TEFAP)].
3. Family Independence Program (FIP)/Temporary Assistance to Needy Families (TANF) benefits
(Policy 2.06)
Where is the Qualifying Medical Condition documented in MI-WIC?
What is the Nutrition Health and Summary Screen.
If client is issued a special formula, the Qualifying Condition is documented and the client is determined high risk (red heart).
(Policy 5.06)
If the client requests breastfeeding assistance, an immediate referral shall be made to appropriate breastfeeding staff and follow-up shall be provided within ____ business days.
1-2 business days
(Policy 4.02, #3, C)
True or False: Breast pumps can be given prenatally to WIC clients.
FALSE
Clients must be certified in MI-WIC as BE or BP.
(Policy 4.05, 4.06, 4.07)
When should the client receive a copy of the VOC?
At each certification/recertification appointment.
(Policy 2.19)
When should the client receive a copy of the NE plan?
At each certification/recertification and infant/child evaluation.
(Policy 5.03, #3)
List 4 types of acceptable forms of proof of residency
Michigan ID; Voter registration; Utility or rent/mortgage receipt; Passport/Visa; Homeless shelter address; Mihealth card; Driver’s license; (or Other records that the WIC State Agency considers adequate to establish residency.)
(Policy 2.02)
How do you identify High Risk Clients?
Any WIC client with the following designates the client as high risk
a. One or more high risk codes.
b. An assigned WIC food package with a Class III formula.
c. Multiple conditions or client circumstances that, per WIC CPA/RD determination, designate the client as high risk.
(Policy 5.06)
An attempt to contact a client for breastfeeding support must be made within ______ business days after notification of a baby’s birth and the family’s intention to breastfeed.
1-2 business days NOTE: If the family calls to report the birth of their baby or request a new appointment, breastfeeding support will be offered during the call.
(Policy 4.02, #3, B)
What qualifies a mother to receive a manual breast pump?
Manual breast pumps may be made available for: a. Mothers who need help in resolving temporary breastfeeding issues such as engorgement, oversupply, plugged duct. b. Mothers who have infrequent separations from their infants.
(Policy 4.07)
Documentation of High Risk: What must be documented in MI-WIC by the CPA/RD when a client is identified as being high risk?
A client’s high risk condition(s) must be documented in MI-WIC when identified. The CPA/RD must: a. Validate client’s self-reported medical diagnoses. b. Confirm the high risk conditions(s) assigned by MI-WIC. c. Manually assign any additional high risk conditions(s) identified. d. Check the High Risk box (MI-WIC Nutrition Health Summary screen) if the CPA designates a client as high risk based on multiple conditions/ circumstances e. Document additional information important for the RD in the Problem List tab of the MIWIC Care Plan section.
(Policy 5.06 #3)
What must be completed/documented on the NE screen during a Certification/Recertification?
What must be completed/documented on the NE screen during an Infant/Child Evaluation?
At recertification AND EVAL appointments, CPAs must follow-up on previous nutrition education prior to providing new nutrition education. (Documentation must include Follow-up Date, Follow-up Initials, and Evaluation on the NE screen.)
(Policy 5.05)
List 4 types of acceptable forms of proof of identity
Immunization Record • Birth Certificate • Hospital Record/Crib Card • Health Insurance Identification • Social Security Card • Photo Identification • Driver’s License • Student Identification Card • State Identification Card • Work Identification Card • Pay Stubs • Voter Registration Card • DHS Identification (MiHealth card, Food Stamps Identification) • Michigan WIC Bridge Card • WIC/WIC Overseas records from other states/jurisdictions • Other records that the WIC State Agency considers adequate to establish identity (passport, immigration papers, etc.)
(Policy 2.03)
True or False. The CPA must enter the expiration date of the formula package in accordance with the duration indicated on the Special Formula/Food Request.
True.
(Policy 7.03 #14)
Pregnant clients opting to receive peer counseling services shall be contacted during the prenatal period to provide anticipatory guidance on how WIC supports breastfeeding. Describe documentation in MI-WIC.
1) Add a call back in the BF Support Section (top of the screen) for 2 business days.
2) Add a breastfeeding note in the BF Support Section (bottom of the screen). Include relevant info.
3) Add a referral in the referral screen for the BF-Peer Counselor.
(Policy 4.02 A, #3)
If a client is issued a manual breast pump from WIC, the client must be educated on what 3 things?
What is...
1) Hand Expression
2) Cleaning the Pump
3) Storing the breast milk
(Policy 4.07)
True or False: The CLIENT is responsible for prevention and resolution of dual participation of clients within the WIC Program.
False, the AGENCY is responsible.
Local agencies shall take the following steps to prevent dual enrollment:
a. Perform a statewide search of all clients prior to completing precertification.
b. If an existing client record is identified, use that record.
c. If an existing client record is not identified, complete precertification.
d. Resolve potential dual enrollees that occur on the precertification screen immediately. i. Upon precertification, if a potential WIC/WIC dual enrollee is identified, WIC staff shall evaluate the information to determine if the client is a duplicate enrollee.
(Policy 3.03)
What is the number of education topics required for a cert period of 10-12 months.
4 education
Cert/Recert-> Edu -> I/Ceval -> Edu
(Policy 5.02)
# of Months of Certification Number of Required Contacts
List at least 2 types of acceptable forms of proof of pregnancy which is required to certify a pregnant woman
a. A written statement from a physician/health care provider b. Ultrasound documentation c. WIC referral form d. Physical appearance e. Other: (describe verification accepted in system note)
(Policy 2.10)
Describe an SFFR completed correctly.
What is...
1) Clients full name + correct birthday (baby boy/girl not acceptable)
2) A qualifying medical condition is selected. Please note conditions such as rash, non-specific intolerance, underweight, fussiness, colic, spitting-up, vomiting, gas and constipation will NOT be considered indications for a special formula. Also, preterm is less than 37 weeks. LBW is less than or equal to 5#8oz.
3) Amount must be selected for the formula
4) If a milk substitution is not selected in section #4, the default milk will be assigned.
5) Medical provider must include credentials. Can only be completed by a health care provider licensed to write prescriptions under state law.
6) Date must be included, this determines the end date.
7) Must be on the most up-to-date SFFR. (9-20)
Please check for completeness. Must be scanned in.
(WIC Special Formula/Food Request Instructions DCH-1325)
Describe the difference between putting a call back in MI-WIC for the BF-PC and referring to the IBCLC in MI-WIC.
To have the BF-PC follow up with the client, go to the Breastfeeding Screen. You must put a call back in the BF Support Screen -> Contact History.
To have the LC follow up with the client, go to the Referral Screen. You must double click BF-Lactation Consultant, click add, select Urban League of Detroit IBCLC.
What must the client do when being issued a manual Harmony Breast Pump?
What is...
1) Sign for the pump
2) The WIC client must be able to perform a return demonstration of the proper assembly and use of the breast pump before leaving the local agency.
(Policy 4.07)
True or False: It is optional for WIC staff to assess all clients for history/diagnosis of an elevated blood lead level (BLL) during certification/recertification/mid-certification (IEVAL/CEVAL) appointments, and assign respective WIC risk code if applicable.
False.
During child certification/recertification and mid-certification (CEVAL) appointments, WIC staff shall assess the history of blood lead testing for every child. If a child has not had a blood lead test, s/he must be referred for blood lead testing. Prior to making the referral, the parent or caregiver shall be asked if the child has had blood drawn for a lead test at the primary care provider’s office in the past 30 days. Note: Michigan law, MCL § 400.111l requires all children who participate in the WIC Program receive lead testing. (See Exhibit A, MCL § 400.111l). Medicaid requires all children be tested at 12 and 24 months of age, and for children between 36 and 72 months not previously tested, to be tested at least once.
(Policy 6.04)
True or False: The Planned NE Method should always be Counseling.
False: Should be counseling when client is high risk.
Otherwise individual or internet.
(Policy 5.06)
For Infants and Children, in cases where there is difficulty in appointment scheduling due to illness or to synchronize appointments with other family members, a time variation of plus or minus _____ days from the certification due date is permissible.
What is... 30 days
(Policy 2.17, A, 4)
True or False: SFFRs must be scanned into MI-WIC within 2 days.
True or False: Clients with a Class II or Class III formula must be scheduled for an eduo.
True or False: The Special Formula/Food Request must not exceed a 6-month duration
True (Policy 7.03. #10, g)
False, must be scheduled for an NCRDV. (Policy 5.06, A,#5, d)
True (Policy 7.03. #10, f)
Generally describe the food packages for NPP, BP and BE clients.
BP and BE clients receive more juice, more milk, whole grains, more Peanut Butter/legumes, more fruits and veggies, and are eligible for food benefits for up to one year postpartum compared to NPP clients.
BE client receive more cheese, more eggs, and receive canned fish, compared to BP and NPP clients.
(Policy 7.04)
Describe the documentation in MI-WIC when issuing a manual breast pump.
What is...
1) Issue the pump in the BF-Aids section
2) Add a call back in the BF Support Section (top of the screen) for 2 business days.
3) Add a breastfeeding note in the BF Support Section (bottom of the screen). Include relevant info.
4) Scan in Single User Breast Pump Release Agreement
True or False: Food Package assigned should not exceed 4 full months.
False.
Food benefits are to be issued for no more than three full months. An additional partial month of benefits may be issued to a newly certified family member in order to align the family’s Benefits Valid Through (BVT) date. (Policy 8.01 #4)