11 Month Old Participants

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

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

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

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 Birth 12/17/14

Food Package First Date To Use Date

Last Infant Food Package

11/18/15 – 12/16/15

First Child Food Package 12/17/15 or later

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 FPC C09Infant Last Food Package

P17

Feeding Type S

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

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

Sample Voucher Issuance

Issuance Months DatesCertification Dec, Jan, Feb 12/22, 1/26,

2/23Nutrition Education

March, April, May

3/23, 4/27, 5/25

Midcert June, July, Aug 6/22, 7/27, 8/24Nutrition Education

Sept, Oct, Nov 9/28, 10/26, 11/23

Child Cert Dec, Jan, Feb 12/28, 1/25, 2/22

DOB: 12/17/14

Initial Cert: 12/22/14

PUC: 4A

*Red bold – Infant packages

Caution: Date not matching pick-up code could cause over or under issuance

Child Package Starts

Breastfeeding Dyad• Infant’s Last Food Package

– Must be feeding type specific (EBF, MBF, SBF)– Must match mother’s last food package

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

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

When?• Effective January 4:

M&M / AEGIS / NETSMART

Note: HN2 will implement in December

SYSTEM CHANGESOther Upcoming

County Codes• Update county codes file

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

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

88.8No Hemoglobin Available Code

Nutrition Education Contact Provided• Added a new code for Midyear Assessment

– Used for midcert, half cert and Mid-AssessmentCode Definition

L Low RiskH High RiskM Midyear AssessmentN Not provided or MissedP Primary

Note: Implementation Date - January 4, 2016

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