Food Package Design


  1. 1. Authorized WIC-Eligible Foods
  2. 2. Nutrition Tailoring
  3. 3. Prescribing Packages

1. Authorized WIC-Eligible Foods

  1. Include a copy of the current State-authorized food list and the individual food package design for each category in the Appendix or cite Procedure Manual reference:
  2. The State agency considers the following when making decisions about authorizing WIC-eligible foods other than infant formula:
    • Federal regulatory requirements  - Checked
    • nutritional value
    • participant acceptance - Checked
    • cost - Checked
    • Statewide availability - Checked
    • participant/client request  - Checked
    • other (specify):
  3. The State agency utilizes additional State nutritional criteria for authorizing foods for the State WIC food list, in addition to the minimum Federal regulatory requirements.
    • Yes
    • No  - Checked
    • If yes, complete the following table citing actual values or criteria identified by the State.
    • Enter "n/a" if not applicable.

State Established Guidelines

Milk Cheese Cereal Juice *Eggs Peanut
Butter
Tuna Dried
Beans/Peas
Carrots
Fat
Sugar
Sodium
Fiber
Artificial
Sweeteners
Artificial
Color /
Flavor
Other (e.g., grade or size of eggs, etc.)

* Category includes fresh eggs and dried egg mix

  1. WIC Formulas:
    1. The State agency establishes policies regarding the issuance of primary contract, contract, and non-contract brand infant formula.
      • Yes  - Checked
      • No
    2. The State agency requires medical documentation for contract infant formula (other than the primary contract formula).
      • Yes  - Checked
      • No
    3. The State agency requires medical documentation for non-contract infant formula.
      • Yes  - Checked
      • No
    4. The State agency requires medical documentation for WIC eligible medical foods.
      • Yes  - Checked
      • No
    5. Rounding
      1. a. Does the State agency intend to implement or has it already implemented the rounding option for issuing infant formula for competitively bid contracts issued on or after 10/01/2004 based on the provision in Public Law 108-265, the Child Nutrition and WIC Reauthorization Act of 2004, enacted on June 30, 2004?
        • Yes
        • No  - Checked
      2. b. If the State agency implemented the rounding option for issuing infant formula, are there established written policies in place?
        • Yes
        • No  - Checked
      3. VI. Check below as applicable to best describe the State agency's policies on issuing these formulas. All of the formulas below are required by the Federal regulations to have medical documentation for issuance purposes:
      4. Ready-to feed Low-iron; low-calorie; high calorie formulas Non- competitively bid infant formula Exempt/WIC-eligible medical foods
        Not authorized by the State agency
        Only authorized for specific diseases / conditions identified by State agency Checked Checked
        Medical documentation required Checked Checked Checked
        State agency approval required
        For religious eating patterns
        Other (specify):
      5. State policies & materials reflect the revised definition of "supplemental foods" as defined in Public Law 108-265, the Child Nutrition and WIC Reauthorization Act of 2004, enacted on June 30, 2004.
        • Yes  - Checked
        • No

ADDITIONAL DETAIL: Nutrition Services Appendix and/or Procedure Manual (citation):

2. Nutrition Tailoring

  1. The State agency provides the maximum amount of all authorized foods allowed by Federal WIC regulations for each of the seven WIC Food Packages (I-VII).
    • Pregnant women - Yes
    • Breastfeeding women - Yes
    • Postpartum, nonbreastfeeding women - Yes
    • Infants 0-3 months - Yes
    • Infants 4-12 months - Yes
    • Children - Yes
    • State agency does not have standard (i.e., pre-tailored) food packages - No
  2. If the standard or routinely issued WIC food package does not provide the maximum amount for every food in accordance with the Federal WIC regulations at Section 246.10, then the State agency specifies participant categories receiving a tailored packages.
Individual tailoring Categorical tailoring
Pregnant women Checked
Breastfeeding women Checked
Postpartum, nonbreastfeeding women Checked
Infants Checked
Children Checked
Other:
  1. The State agency provides a specially tailored package for:
    • Women/children with special dietary needs  - Checked
    • Homeless individuals  - Checked
    • Residents of institutions
    • Other (specify):

Provide a copy of the actual foods included in the homeless and institution packages in the Appendix or cite Procedure Manual reference below.

ADDITIONAL DETAIL: Please attach copies of all food packages that are tailored, Nutrition Services Appendix and/or Procedure Manual (citation):

  1. The State agency develops written nutrition tailoring policies and supportive science based nutrition rationale based on the following participant characteristics:
    • does not develop nutrition tailoring policies
    • develops based on (check all that apply): - Checked
      • category  - Checked
      • age  - Checked
      • nutrition risk/nutrition need  - Checked
      • priority  - Checked
      • participant preference  - Checked
      • household condition  - Checked
      • administrative concerns
      • other (specify):
  2. The State agency allows local agencies to develop specific tailoring guidelines.
    • Yes
    • No  - Checked
    • If yes, check those of the following methods used by the State agency to review or approve local agency tailoring guidelines:
      • Local agencies are required to submit tailoring guidelines for State approval
      • Local agency tailoring guidelines are monitored annually during local agency reviews
      • Other (specify):

ADDITIONAL DETAIL: Nutrition Services Appendix and/or Procedure Manual (citation):

3. Prescribing Packages

  1. Individuals allowed to prescribe food packages:
    • CPA - Standard food package & Individually tailored food package
    • Other (specify):

ADDITIONAL DETAIL: Nutrition Services Appendix and/or Procedure Manual (citation):