Evaluation and Selection of Local Agencies


  1. 1. Local Agencies Authorized
  2. 2. The State agency accepts applications from potential local agencies:
  3. 3. Existing local agencies must reapply and compete with new applicant agencies for authorization:
  4. 4. Selection Criteria
  5. 5. The State agency enters into a formal written agreement or contract with each local agency.
  6. 6. The State agency has established statewide fair hearing procedures for local agency appeals.
  7. 7. The State agency maintains a listing of clinic sites that includes the following information. If available, please attach the listing in Appendix F, Part VII of this section:

DOES NOT APPLY (PROCEED TO NEXT SECTION)

1. Local Agencies Authorized

100 number of local agencies authorized to provide WIC services last year

100 number of local agencies planned to provide WIC services this year

ADDITIONAL DETAIL: Organization & Management Appendix F. Part VII, Caseload Management and/or Procedure Manual (citation):

2. The State agency accepts applications from potential local agencies:

  • annually
  • biennially
  • on an on-going basis
  • other (specify) We are not adding any additional WIC agencies at this time.

ADDITIONAL DETAIL: Organization & Management Appendix and/or Procedure Manual (citation):

3. Existing local agencies must reapply and compete with new applicant agencies for authorization:

  • annually
  • biennially
  • not applicable - Checked

ADDITIONAL DETAIL: Organization & Management Appendix and/or Procedure Manual (citation):

4. Selection Criteria

  1. The State agency uses the following criteria in selecting local agencies in new service areas and/or in reviewing applications from existing service areas:
New Service Areas Existing Service Areas
coordination with other health care providers Yes Yes
projected cost of operations/ability to operate with available funds Yes Yes
location/participant accessibility Yes Yes
financial integrity/solvency Yes Yes
relative need in the area Yes Yes
range and quality of services Yes Yes
history of performance in other programs Yes Yes
ability to serve projected caseload Yes Yes
other factors:
  1. The State agency conducts studies (provide date of most recent study: annually during caseload reallocation reviews) of the cost-effectiveness of local agency operations that examine:
    • location and distribution of local agencies in proportion to participants/potential eligibles - Checked
    • clinic procedures to optimize participant access/service (PFA, etc.)
    • staff-to-participant ratios and related staffing analyses
    • comparative analyses of local agency/clinic costs
    • other

ADDITIONAL DETAIL: Organization & Management Appendix and/or Procedure Manual (citation):

5. The State agency enters into a formal written agreement or contract with each local agency.

  • Yes (state duration): 1 year
  • No

ADDITIONAL DETAIL: Organization & Management Appendix and/or Procedure Manual (citation):

6. The State agency has established statewide fair hearing procedures for local agency appeals.

  • Yes, attach local agency fair hearing procedures or specify the location in the Procedure Manual and reference below: - Checked
  • No
  • Not Applicable

ADDITIONAL DETAIL: Organization & Management Appendix and/or Procedure Manual (citation): WIC PPM, Part 3, Section 17

7. The State agency maintains a listing of clinic sites that includes the following information. If available, please attach the listing in Appendix F, Part VII of this section:

  • Location - Checked
  • Type of site (e.g., hospital, health department, community action program) - Checked
  • Service area - Checked
  • Hours of operation - Checked
  • Days of operation - Checked
  • Health services provided on-site
  • Social services provided on-site
  • Participation
  • Other (specify):

ADDITIONAL DETAIL: Organization & Management Appendix and/or Procedure Manual (citation):