1. 11 Month Old Participants Presentation to: Nutrition Service Directors Presented by: Julianne Gaston MPH, R.D., L.D. Date: December 2-3, 2015

2. What is the problem? Per USDA all participants < 12 months old – Must receive an infant food package – Must be counted as an infant for participation reporting purposes

3. How is participation counted? By Voucher Issuance – Voucher(s) issued (not voided) = counted – Participant type is based on WIC type sent with VMARS voucher printing request

4. How is the issue being fixed? Infant certified at > 6 months – First child package issued after 12 month – Based on First Day to Use Date on Voucher Date of Birth12/17/14

5. How is it being Fixed? Example: 11 month old certified as child (child first cert) – Added a new field in the front end WIC system to enter “Infant’s Last Food Package” – Feeding Type Required CPA FPCC09 Infant Last Food PackageP17 Feeding TypeS

6. How will this Work? The first set of vouchers for 11 month old certification will be for the food package entered in “Infant’s Last Food Package” line – First Day to Use is before first birthday All other vouchers for the certification will be for the food package entered in “CPA FPC” Date of Birth 12/17/14

7. Voucher Schedule for Child Certification at 11 Months of Age One set of infant vouchers (if not already issued) – December Two sets of child vouchers – January, February

8. Sample Voucher Issuance IssuanceMonthsDates CertificationDec, Jan, Feb12/22, 1/26, 2/23 Nutrition EducationMarch, April, May3/23, 4/27, 5/25 MidcertJune, July, Aug6/22, 7/27, 8/24 Nutrition EducationSept, Oct, Nov9/28, 10/26, 11/23 Child CertDec, Jan, Feb12/28, 1/25, 2/22 DOB: 12/17/14Initial Cert: 12/22/14PUC: 4A *Red bold – Infant packages Caution: Date not matching pick-up code could cause over or under issuance Child Package Starts

9. Breastfeeding Dyad Infant’s Last Food Package – Must be feeding type specific (EBF, MBF, SBF) – Must match mother’s last food package

10. No Proration for Last Month’s Benefit’s Last Month’s benefit is not prorated – Infant receives full package If First Day to Use (and print date) is < First Birthday – Breastfeeding Mom receives full package If First Day to Use (and print date) is < Date of Delivery + 12 months

11. Applied to All Participants Last Month’s benefit is not prorated for any participant – If First Day to Use (and print date) is < Certification Due Date – If First Day to Use (and print date) is < Termination Date Applies to Some Breastfeeding Woman’s last “food” package prior to FPC W80

12. When? Effective January 4: M&M / AEGIS / NETSMART Note: HN2 will implement in December

13. SYSTEM CHANGES Other Upcoming

14. County Codes Update county codes file – Districts will receive a memo providing additional detail on how to use county codes in your WIC system.

15. Hemoglobin Code – 88.8 Remove restriction of printing only two (2) month’s of vouchers when 88.8 is entered / used at the mid-assessment Effective January 4, 2016 88.8 No Hemoglobin Available Code

16. Nutrition Education Contact Provided Added a new code for Midyear Assessment – Used for midcert, half cert and Mid-Assessment CodeDefinition LLow Risk HHigh Risk MMidyear Assessment NNot provided or Missed PPrimary Note: Implementation Date - January 4, 2016

17. Prenatal to Breastfeeding or Non- breastfeeding VMARS will not longer accept a change from WIC type “P” to “B” or “N” with an update transaction A Subcert is required to make this change