1.0 Administration  

• 1.01  Use of Policy and Procedure Manual
• 1.02 Overview of the WIC Program
• 1.03 Confidentiality
  • WIC/Immunization MOU 
  • WIC Lead 
  • WIC/MIHP
  • Department of Education
  • WIC/Head Start
• 1.04 Fair Hearing Procedures for Clients
  • Rules of Local Agency Fair Hearing Procedures 
  • Fair Hearing Procedure for Client 
• 1.05  Management Evaluation
• 1.06  Records Retention and Destruction
• 1.07  Local Agency Staffing
  • 1.07A  Local Agency Breastfeeding Coordinator 
  • 1.07B  Lactation Consultant/Educator 
  • 1.07C  WIC Peer Counselor Supervisor/Coordinator 
  • 1.07D  WIC Peer Counselor 
  • 1.07E  MSUE Breastfeeding Iniative Peer 
• 1.08 Administrative Appeal 
• 1.09 Civil Rights 
• • 1.09A Discrimination Complaint Form   
• 1.10 Voter Registration
  • 1.10A  Voter Registration Form 

2.0 Eligibility/Certification  

• 2.01 Eligibility/Certification of Clients 
• 2.02 Residency 
• 2.03 Identity 
• 2.04 Income Determination
  • 2.04A Military Pay   
• 2.05 Income Guidelines 
• 2.06 Adjunct Income Eligibility 
• 2.07 Declaration of No Income 
• 2.08 Family Size  
• 2.09 Physical Presence 
• 2.10 Proof of Pregnancy 
• 2.11 Foster Child Services 
• 2.12 Migrant Family Services 
• 2.13  Nutritional Risk Criteria 
  • 2.13A Michigan Risks  
  • 2.13B  State Designated Nutritional High Risk Conditions by WIC Status
• 2.14  Risk Determination
  • Pregnant Woman Health and Diet Questions 
  • Postpartum Woman Health and Diet Questions 
  • Postpartum Women Health and Diet Questions-A 
  • Infant Health and Diet Questions 
  • Infant Mid-Certification Health and Diet Questions 
  • Child Health and Diet Questions 
• 2.15 Anthropometric Risk Determination
  Anthropometric Manual (PDF Package file) 
• 2.16 Hematological Risk Determination
  • Laboratory Manual (PDF)
  • Laboratory Manual Appendices (PDF Package file)
• 2.17 Certification Periods 
• 2.18 Notification of Client Rights and Responsibilities
  • 2.18A Michigan WIC Client Agreement - English
  • 2.18B Michigan WIC Client Agreement - Spanish
  • 2.18C Michigan WIC Client Agreement - Arabic 
• 2.19 VOC 
• 2.20 Notice of Ineligibility, Mid-Certification Termination and Expiration of Certification 
• 2.21 Mid-Certification Income Assessment 

3.0 Program Maintenance  

• 3.01 Processing Timeframes and Appointment Scheduling 
• 3.02 Waiting List Maintenance
  • USDA Priority Ranking of MI WIC Risk Eligibility Criteria 
• 3.03 Dual Participation
  • 3.03A WIC CSFP Dual Participation Letter Template  
• 3.04 Transfers   

4.0 Breastfeeding  

• 4.01 Breastfeeding Promotion, Protection and Support 
• 4.02 Breastfeeding Training 
• 4.03 Clinic Environment 
• 4.04 Breastfeeding Equipment, Inventory and Maintenance
  • 4.04A Loaner Breast Pump Return Receipt 
  • 4.04B Multiple User Electric Breast Pump Repair Procedure for Evenflo/Ameda Elite Pumps 
  • 4.04C Multiple User Electric Breast Pump Repair Procedure for Medeka Lactina Pumps 
• 4.05 Issuance of Multiple User Breast Pumps
  • 4.05A Description of Multi-User Breast Pumps 
  • 4.05B Multi-Use Breast Pump Loan and Release Agreement 
• 4.06 Issuance of Personal Use Electric Breast Pumps
  • 4.06A Description of Personal Use Electric Breast Pumps 
  • 4.06B Single-User Breast Pump Release Agreement 
• 4.07 Issuance of Manual Breast Pumps
  • 4.07A Description of Manual Breast Pumps (Single User) 
• 4.08 Lost/Stolen Breastfeeding Equipment
  • 4.08A Sample Local Agency Breast Pump Retrieval Letter 

5.0 Nutrition Services 

• 5.01 Content of Nutrition Education
  • Nutrition Education Lesson Plans
  • Developing a Nutrition Education Plan for WIC Clients
• 5.02  Required Services for Nutritional High Risk Clients
  • Sample Format for Local Agency's Nutritional High Risk Procedures
• 5.03 Documentation of Nutrition Services
  • 5.03A  Documentation of Nutrition Education Data 

6.0 Service Coordination and Outreach 

• 6.01 Outreach  
• 6.02 Referrals 
• 6.03 Immunization
  • 6.03A  MI Childhood Immunization Registry Law 
• 6.04 Lead Screening
  • 6.04A  Michigan Public Act 286 of 2006 
• 6.05  Maternal Child Outreach and Coordination
• 6.06 Reporting of Suspected Child Abuse
  • 6.06A  Excerpts from the Child Protection Law 
• 6.07  Nutrition Education Collaborations
  • Sample Written Cooperative Agreements Between WIC and MSU Extension

7.0 Food Package 

• 7.01 Food Package Determination 
• 7.02 Authorized WIC Foods 
• 7.03 FoodPackage for Qualifying Conditions
  • Instructions for Michigan WIC Medical Documentation 
  • Medical Documentation for WIC Formula and Authorized WIC Foods Infants and Children (through 4 years of age) 
  • Medical Documentation for WIC Formula and Authorized WIC Foods Pregnant, Breastfeeding and Non-lactating Postpartum Women 
  • Coordination of Dietary Formula Authorization Among Children's Special Health Care Services, Medicaid and WIC Program 
  • Approval Process and Assurances for Local Agencies with MDCH WIC Division Authorization 
  • Evaluating Appropriate Use of WIC Formulas 
• 7.04 Maximum Food Package 
• 7.05 Customized Food Package 

8.0 Food Benefit Issuance/EBT Card Security 

• 8.01 Benefit Issuance 
• 8.02 Benefit Proration  
• 8.03  Proxy Policy 
• 8.04 Replacement of Food Benefits 
• 8.05 Returned Formula
  • 8.05A  Returned Formula Log 
• 8.06 Client Education on Using Food Benefits 
• 8.07 Manufacturers' and Stores' Sales Promotions  
• 8.08 Michigan WIC Bridge Card Security
  • 8.08A  Michigan WIC Bridge Card Issuance Log 
  • 8.08B  Michigan WIC Bridge Card Daily Inventory Control Log  
• 8.09 Michigan WIC Bridge Card Issuance  
  • 8.09A  Michigan WIC Bridge Card Issuance Log 
  • 8.09B  Michigan WIC Bridge Card Cardholder Signature Form 

  9.0 Program Compliance 

• 9.01 Participant Compliance
  • 9.01A Definitions 
  • 9.01B Violation Types/Sanctions 
• 9.02 Employee Compliance  
  • MI-WIC Signature Form 
  • Violation types-Sanction 
  • WIC Employee Complaint Log 
  • Compliance Complaint Report 
  • Employee Compliance Investigation Report 
  • Employee Notice of Complaint 
• 9.03 Employee Conflict of Interest 

10.0 Equipment Management  

• 10.01 Equipment Inventory
  • 10.01A  Sample Inventory Form 
• 10.02 Equipment Maintenance and Replacement 
• 10.03 System Security/MI-WIC Access 

MI-WIC Policy Manual Package 

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Back to WIC MANUAL 

Last Revised:  9/24/2010