MI-WIC Policy Manual Table of Contents

The MI-WIC Policy Manual contains the policies and procedures necessary to conduct local WIC programs. All the documents on this page are in PDF format.

Quick links to chapters: 

1: Administration

2: Eligibility/Certification

3: Program Maintenance

4: Breastfeeding

5: Nutrition Services

6: Service Coordination and Outreach

7: Food Package

8: Food Benefit Issuance

9: Program Compliance

10: System Management

11: Fiscal Administration

12: Breastfeeding Peer Counseling

      MI-WIC Policy Index

 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 MOU
  • WIC/MIHP MOU
  • WIC/Department of Education MOU
  • WIC/Head Start MOU
• 1.04 Fair Hearing
  • 1.04A Fair Hearing Procedure For WIC Clients
  • 1.04B Request of Fair Hearing/Informal Meeting - Flow Chart
  • 1.04C Fair Hearing - Flow Chart
  • Local Agency Fair Hearing Request
  • Appeal of the Local Agency Fair Hearing Decision Request Form
• 1.05 Management Evaluation
• 1.06 Record Retention and Destruction
• 1.07 Local Agency Staffing and Training
  • 1.07A   Staff Training Plan
• 1.08 Administrative Appeal of State Agency Decisions
• 1.09 Civil Rights
  • 1.09A USDA Program Discrimination Complaint Form Instructions
• 1.10 Voter Registration
  • 1.10A Michigan Voter Registration Application
  • 1.10B Affidavit of Voter Not in Possession of Picture Identification
• 1.11 Annual Quality Services Review
• 1.12 Emergency/Disaster Planning and Coordination

 2.0 Eligibility/Certification  

• 2.01 Eligibility/Certification of Clients 
• 2.02 Proof of Residency
• 2.03 Proof of 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 Eligibility 
• 2.12 Migrant Family Eligibility 
• 2.13 Nutrition Risk Determination 
  • 2.13A Michigan Nutrition Risk Criteria  
  • 2.13B Michigan Nutrition High Risk Conditions by Category
• 2.15 Anthropometric Risk Determination
  • Anthropometric Measurement Procedures (PDF Package file) 
  • Anthropometric Manual Appendices
• 2.16 Hematological Assessment for Anemia
• 2.17 Certification Periods  
• 2.18 Notification of Client Rights and Responsibilities
  • 2.18A WIC Client Agreement
  • Michigan WIC Client Agreement - English
  • Michigan WIC Client Agreement - Spanish
  • Michigan WIC Client Agreement - Arabic  
• 2.19 Verification Of Certification
• 2.20 Notification of Ineligibility, Mid-Certification Termination and Expiration of Certification
• 2.21 Mid-Certification Income Determination
• 2.22 Homeless Facilities, Shelters, and Institutions
  • 2.22A Homeless Facility, Shelter or Institution Agreement
• 2.23 Authorized Person
• 2.24 Mid-Certification Health Evaluation 

3.0 Program Maintenance

• 3.01 Processing Timeframes and Appointment Scheduling
• 3.02 Waiting List Maintenance
  • 3.02A Federal Ranking - Federal Regulations on WIC Priority  
• 3.03 Dual Participation         
• 3.04 Transfers

4.0 Breastfeeding

• 4.01 Local Agency Breastfeeding Responsibilities and Staff Roles
• 4.02 Client Breastfeeding Education
• 4.03 Contraindications or Modifications to Breastfeeding 
• 4.04 Breastfeeding Equipment Ordering, Inventory, Retrieval, and Maintenance
• 4.05 Breastfeeding Equipment Issuance and Documentation
• 4.06 Specialty Feeding Equipment

5.0 Nutrition Services

• 5.01 Nutrition Services Overview 
  • 5.01A Nutrition Education Definitions
  • 5.01B Nutrition Education Materials Evaluation Form
  • 5.01C Nutrition Education Materials Reading Level Evaluation
  • 5.01D Nutrition Education Lesson Plan
  • 5.01E Sample Nutrition Education Plan
• 5.02 Nutrition Education Contacts
• 5.03 Nutrition Education at Certification/Recertification Appointments
• 5.04 Nutrition Education at Mid-Certification Health Evaluation Appointments
• 5.05 Nutrition Education Documentation
  • 5.05A Nutrition Education Documentation Grid  
• 5.06 Nutrition Services for High Risk Clients

6.0 Service Coordination and Outreach

• 6.01 Outreach  
• 6.02 Referrals
• 6.03 Immunization
• 6.04 Lead Services
  • 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

 7.0 Food Package

• 7.01 Food Package Determination and Customization 
• 7.02 Authorized WIC Foods
• 7.03 Food Package for Qualifying Conditions
  • 7.03A Instructions for Michigan WIC Special Formula/Food Request Form (DCH-1325)
  • 7.03B Michigan WIC Special Formula/Food Request Form (DCH-1326)
• 7.04 Maximum 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 and Re-Issuance of Benefits           
• 8.06 Client Education on Using Food Benefits  
• 8.07 Manufacturers' and Stores' Sales Promotions  
• 8.08 Michigan WIC EBT Card Security
  • 8.08A  Michigan WIC EBT Card Inventory Control Log     
• 8.09 Michigan WIC EBT Card Issuance  
  • 8.09A  Michigan WIC EBT Card Issuance Log
• 8.10 Local Agency Formula Distribution
  • 8.10A Local Agency Formula Receipt and Distribution Log

  9.0 Program Compliance 

• 9.01 Client Compliance
  • 9.01A Definitions 
  • 9.01B Violation Types/Sanctions
  • WIC Restitution Settlement Agreement Form   
• 9.02 Employee Compliance  
  • 9.02A Employee Confidentiality and Compliance Agreement Signature Form 
  • 9.02B Violation Types/Sanctions 
  • 9.02C Employee Complaint Log 
  • 9.02D Employee Compliance Complaint Report 
  • 9.02E Employee Compliance Investigation Report
  • 9.02F Employee Notice of Complaint  
•  9.03 Employee Conflict of Interest and Separation of Duties  
  • 9.03A WIC Single Certifier Audit Tool
  • 9.03B WIC Single Certifier Audit Tool Instructions
  • 9.03C WIC Single Certifier Audit Evaluation Tool

 10.0 System Management

• 10.01 System Equipment Inventory
• 10.02 System Equipment Maintenance and Replacement
  • 10.02A MI-WIC Workstation Configuration Procedures   
• 10.03 System Security/MI-WIC Access
  • 10.03A Creating a State of Michigan MILogin Account for State and Third-Party Users, and Subscribing to MI-WIC

 11.0 Fiscal Administration

• 11.01 Program Costs
• 11.02 Program Incentive Items
• 11.03 Transportation Costs

12.0 Breastfeeding Peer Counseling

• 12.01 Peer Counselor Orientation
• 12.02 After-Hours Availability