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North Carolina WIC Program Manual
Table of Contents
Chapter 1: INTRODUCTION TO WIC
Section 1.
Overview of WIC .....................................................................................................1
Section 2.
No Smoking Policy In Local Agency Facilities ......................................................5
Section 3.
Program Policies And Procedures ...........................................................................7
Section 4.
Staff Conflict Of Interest .........................................................................................9
Section 5:
Program Materials Available From The Nutrition Services Branch .....................11
Chapter 2: STATE AGENCY ORGANIZATION
Section 1.
Nutrition Services Branch Overview .......................................................................1
Section 2.
State Agency WIC Program Staff ............................................................................3
Chapter 3: LOCAL AGENCY AGREEMENTS/CONTRACTS
Section 1.
Annual Process ........................................................................................................1
Section 2.
Sub-Contracts...........................................................................................................3
Chapter 4: CIVIL RIGHTS
Section 1.
Nondiscrimination Policy ........................................................................................1
Section 2.
Public Notification ...................................................................................................3
Section 3.
Complaints Of Discrimination .................................................................................5
Section 4.
Ethnicity And Race Data Collection ........................................................................7
Section 5.
Staff Training ...........................................................................................................9
Chapter 5: NUTRITION EDUCATION
Section 1.
Required Nutrition Education Topics ......................................................................1
Section 2.
Frequency Of Nutrition Education ..........................................................................3
Section 3.
Providing Nutrition Education .................................................................................5
Section 4.
Documentation Of Nutrition Education ...................................................................9
Section 5.
Nutrition Education Resources ..............................................................................11
Chapter 6: CERTIFICATION/PARTICIPATION (comprised of six sub-chapters)
Chapter 6A: APPLICATION PROCESS
Section 1.
Eligibility Criteria ...................................................................................................1
Section 2.
Application Process ................................................................................................3
Section 3.
Physical Presence .....................................................................................................5
Section 4.
Proof Of Identity ......................................................................................................7
Section 5.
Proof Of Residency ..................................................................................................9
Section 6.
Representatives For Infants/Children At Certification ..........................................13
Section 7.
National Voter Registration Act (NVRA) ............................................................15
Section 8.
Certification Periods ..............................................................................................17
NC WIC Interim Program Manual Table of Contents
May 2014
Chapter 6B: INCOME ELIGIBILITY
Section 1.
Determining Income Eligibility ..............................................................................1
Section 2.
Determining Adjunctive Income Eligibility ...........................................................3
Section 3.
Determining Gross Income By Family Size (Economic Unit) ................................7
Section 4.
Military Families – Economic Unit And Income………………………… ..........13
Section 5.
Proof Of Income ...................................................................................................17
Section 6.
Changes In Income During A Certification Period ...............................................19
Chapter 6C: NUTRITION ASSESSMENT
Section 1.
Nutrition Assessment And Care Plan ......................................................................1
Section 2.
Anthropometric Data Collection ..............................................................................5
Section 3.
Bloodwork Requirements ........................................................................................9
Section 4.
Staff Who May Determine Nutritional Eligibility For WIC ..................................13
Section 5.
Temporary Eligibility For Pregnant Women .........................................................15
Section 6.
Immunization Screening And Referral ..................................................................17
Section 7.
WIC’s Role In Lead Testing And Referral ............................................................19
Chapter 6D: PARTICIPANT NOTIFICATIONS
Section 1.
Participant Rights And Responsibilities .................................................................1
Section 2.
Participant Notices ...................................................................................................3
Chapter 6E: CERTIFICATION IN SPECIAL SITUATIONS
Section 1.
Transfer of Certification .........................................................................................1
Section 2.
Residents Of Institutions And Homeless Facilities .................................................5
Section 3.
Certifications Occurring Outside The Local Agency ..............................................7
Section 4.
Waiting Lists ............................................................................................................9
Chapter 6F: PROGRAM ABUSE BY PARTICIPANTS
Section 1.
Participant Violations And Sanctions .....................................................................1
Section 2.
Dual Participation ....................................................................................................5
Section 3.
Recovering Funds ....................................................................................................7
Chapter 7: FOOD PACKAGE
Section 1.
Maximum Monthly Quantities Of Food Packages ..................................................1
Section 2.
WIC Supplemental Foods ........................................................................................5
Section 3.
WIC Formulas ........................................................................................................11
Section 4.
Prescribing Food Packages ....................................................................................15
Section 5.
Medical Documentation Requirements .................................................................19
Section 6.
Ordering Formula And Other Products From the Nutrition Services Branch ......25
Section 7.
Inventory And Issuance Of Formula And Other Products ...................................27
Section 8.
Inventory and Issuance of Metabolic Products…………………………………..29
Chapter 8: FOOD BENEFIT ISSUANCE
NC WIC Interim Program Manual Table of Contents
May 2014
Section 1.
Section 2.
Section 3.
Section 4.
Section 5.
Section 6.
Section 7.
Section 8.
Section 9.
Food Instruments And Cash-value Vouchers ..........................................................1
Initial Food Benefit Issuance ...................................................................................5
Subsequent Food Benefit Issuance ..........................................................................9
Food Benefit Issuance To A Proxy .......................................................................11
Food Benefit Issuance In Special Situations..........................................................13
Mailing Food Benefits ...........................................................................................15
Replacing Food Benefits ........................................................................................19
Invalidating Food Benefits.....................................................................................23
Storage, Security and Accountability ...................................................................25
Chapter 9: BREASTFEEDING PROGRAM MANAGEMENT
Section 1.
Breastfeeding Promotion And Support ....................................................................1
Section 2.
Staff Training ...........................................................................................................3
Section 3.
Breastfeeding Coordinator .......................................................................................5
Section 4.
Breast Pumps, Collection Kits & Breastfeeding Aids .............................................7
Section 5.
Inventory, Issuance, And Maintenance Of Breastfeeding Supplies .....................11
Section 6.
Breastfeeding Peer Counselor Programs .............................................................. 17
Chapter 10: OUTREACH
Section 1.
Purpose Of Outreach ................................................................................................1
Section 2.
Targeting Priority Groups I & II ..............................................................................3
Section 3.
Annual Media Release .............................................................................................5
Section 4
Eliminating Barriers To Participation .....................................................................7
Section 5.
Program Referrals ....................................................................................................9
Section 6
Documentation of Outreach Activities ..................................................................11
Chapter 11: VENDOR MANAGEMENT
Section 1.
Authorizing WIC Vendors ...................................................................................... 1
Section 2.
Maintaining Vendor Status ......................................................................................9
Section 3.
Store Changes ........................................................................................................13
Section 4.
Transacting WIC Food Instruments And Cash-value Vouchers ...........................15
Section 5.
Replacing Food Instruments And Cash-value vouchers ........................................19
Section 6.
Replacing/Returning Vendor Stamps ....................................................................23
Section 7.
Vendor Routine Monitoring...................................................................................25
Section 8.
Vendor Sanction System ........................................................................................27
Section 9.
Appeals ..................................................................................................................29
NC WIC Interim Program Manual Table of Contents
May 2014
Chapter 12: FISCAL MANAGEMENT
Section 1.
Program Budget .......................................................................................................1
Section 2.
Personnel Costs ........................................................................................................5
Section 3.
Non-Personnel And Shared Program Costs .............................................................7
Section 4.
Program Incentive Items ..........................................................................................9
Section 5.
Equipment ..............................................................................................................13
Section 6.
Purchase, Rental, And Renovation Of Property ....................................................17
Section 7.
Foreign Language Translators And Interpreters For The Hard Of Hearing ..........21
Section 8.
Audits and Legal Expenses ....................................................................................23
Chapter 13: RETENTION
Section 1.
Records Retention And Disposition Schedule .........................................................1
Chapter 14: ADMINISTRATIVE APPEALS
Section 1.
Participant Fair Hearings .........................................................................................1
Section 2.
Contested Case Hearings .........................................................................................7
Chapter 15: MONITORING/AUDITING
Section 1.
State Agency Monitoring of Local Agencies ..........................................................1
Section 2.
Local Agency Self-Assessment ...............................................................................3
Section 3.
Audits .......................................................................................................................5
Chapter 16: CONFIDENTIALITY
Section 1.
Confidentiality Of Applicant And Participant Information .....................................1
Section 2.
Confidentiality Of Vendor Information ...................................................................5
Section 3.
Subpoenas And Search Warrants .............................................................................7
NC WIC Interim Program Manual Table of Contents
May 2014