November 2012. Agenda Overview of one year certification periods Rationale for change Procedures for...
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Transcript of November 2012. Agenda Overview of one year certification periods Rationale for change Procedures for...
November 2012
AgendaOverview of one year certification periodsRationale for changeProcedures for one year certificationsTimeline
OverviewOne-year certification periods
New for ChildrenBreastfeeding Women (Current but guidance
new) Infants (current)
Similar to requirements for one year certification of infants. Option for states to utilize. Transfers from other states may have 6 month
certification periods
Certification PeriodsInfant: To the last day of the month the
infant turns one year oldBreastfeeding Woman: To the last day of
the month in which her infant turns one year old or until the woman stops breastfeeding
Child: Yearly ending with the last day of the month in which the child turns five years old
Why extend certification periods?Increase time spent on providing nutrition
servicesCritical to achieving mission of WIC Program
Prevent nutrition-related health problemsImprove health status
Not intended as a cost saving measure
Mid Certification AppointmentsOne year certifications must include midpoint
nutrition assessmentSimilar to infant mid certification
Components of Mid CertificationsAnthropometric measurementsBloodwork (when necessary)Health and Nutrition AssessmentImmunization check or follow upNutrition counseling or educationReferrals, if neededFood package changes, if needed
Not RequiredProof of IncomeProof of AddressProof of IDRights and Responsibilities
Height and WeightCollect at mid certificationReferral data less than 60 days old
acceptable
BloodworkAccording to bloodwork scheduleInfants: screening between 9-12 months of ageChildren over 1:
6 months after infant test Around 15-18 months of age Most vulnerable time for children to manifest iron
deficiency anemia2-5 Years Old: Yearly, if normal
Breastfeeding women: At CertificationFollow up for low hemoglobinReferral data acceptable
Health and Diet AssessmentAbbreviated assessment to identify major changes in
health statusFound at end of each VENA Tab listing of questionsIncludes
Review of last certification information (1st question)New concerns of participantNew medical diagnosisChanges in eating pattern/food intakeChanges in physical activityCheck on immunizations, if appropriate
Follow up on nutrition risks identified at certification
Other componentsNutrition educationReferralsFood Package
Enhancement to HuBERT
Mid Certification Assessment screenSimilar to CGS
Only Height, Weight, Blood required linkOthers to help guide appointment
HuBERT GuidanceEnter information via the participant folder
Height, Weight and Blood TabVENA TabReferral, if neededNutrition educationFood package, if needed
Benefit issuance
Timing of Mid CertificationsInfants: at 9 months SAMEChildren: 6th month of certification (5-7
month time frame)Breastfeeding women: 6th month of
certification OR with Infant’s mid-certification appointment
1. Income verification is not a part of the mid certification appointment.
2. An infant certified on his birthday will be certified for one year.
3. The Infant Mid Cert appointment should take place at 6 months.
4. All of the questions asked at certification should also be asked at the mid certification appointment.
5. Bloodwork will never be required at a mid cert appointment.