Table of Contents
Content Information
WIC Definitions (135.08 KB) .pdf
I. VENDOR AND FARMER MANAGEMENT
VENDOR MANAGEMENT
- 450.05 Food Selection Criteria (7.06 KB) .pdf
- 450.07 UPC/PLU Collection (353.88 KB) .pdf
- 450.07a UPC/PLU Collection (Form) (61.36 KB) .docx
- 450.10 Vendor Selection & Management (132.91 KB) .pdf
- 450.10a Grocery Vendor Application Guidance (Form) (160.28 KB) .pdf
- 450.10c Vendor Agreement and Handbook (Booklet) (492.26 KB) .pdf
- 450.11 Price Assessment Reports (136.57 KB) .pdf
- 450.12 Vendor Training (174.31 KB) .pdf
- 450.15 Vendor Management (95.9 KB) .pdf
- 450.20 Vendor Monitoring (170.43 KB) .pdf
- 450.20a Routine Vendor Monitoring Report (Form) (146.11 KB) .pdf
- 450.20b Iowa WIC Educational Buy Form (Form) (80.54 KB) .pdf
- 450.30 Compliance Investigations (197.86 KB) .pdf
- 450.30a Compliance Investigation Form (126.54 KB) .pdf
- 450.40 Sanctions (31.02 KB) .pdf
- 450.50 Reconciliation (138 KB) .pdf
- 450.60 Dual Participation (81.27 KB) .pdf
- 450.60A Dual Participation Sample Data Sharing Agreement (161.89 KB) .pdf
- 450.70 USDA Food and Nutrition Service - Supplemental Nutrition Assistance Program (55.22 KB) .pdf
- 450.70 SNAP WIC MOU (709.75 KB) .pdf
II. NUTRITION SERVICES POLICIES
- Breastfeeding Data Collection (176.86 KB) .pdf
- Breastfeeding Peer Counselors - Scope of Practice and When to Yield (170.04 KB) .pdf
- Breastfeeding Promotion and Support (198.75 KB) .pdf
- Breast Pump Inventory Control (188.45 KB) .pdf
- Children 1 - 4 Years Food Package (275.48 KB) .pdf
- Food Package Administrative Adjustments (210.42 KB) .pdf
- Food Package Nutrition Tailoring (205.83 KB) .pdf
- Fully Breastfeeding Women Food Package (277.52 KB) .pdf
- Infant Food Package (345.51 KB) .pdf
- Infant Formula Returns (197.45 KB) .pdf
- Iowa WIC Approved Foods List (620.86 KB) .pdf
- Issuing Breastfeeding Equipment (189.27 KB) .pdf
- Local Agency Personnel Training (241.54 KB) .pdf
- Medicaid Reimbursement for Enteral Nutrition (159.39 KB) .pdf
- Medical Documentation (180.42 KB) .pdf
- Minimum Client Contact Schedule for Breastfeeding Peer Counselors (142.71 KB) .pdf
- New Participant Education (169.32 KB) .pdf
- Nutrition Care Plans (123.39 KB) .pdf
- Nutrition Education (181.97 KB) .pdf
- Nutrition Education Contacts (179.14 KB) .pdf
- Nutrition Education Materials (210.01 KB) .pdf
- Nutrition Services Documentation (204.17 KB) .pdf
- Peer Counselor Training (195.54 KB) .pdf
- Postpartum or Mostly Formula Feeding Women Food Package (279.14 KB) .pdf
- Pregnant or Partially (Mostly) Breastfeeding Food Package (280.88 KB) .pdf
- Proxies (167.29 KB) .pdf
- Special Children and Women Food Package (293.55 KB) .pdf
- Staff Referrals to Peer Counseling (134.21 KB) .pdf
- State Goals and Objectives (Action Plans) (154.9 KB) .pdf
- WIC Breastfeeding Peer Counseling Programs in Iowa (198.96 KB) .pdf
II. NUTRITION SERVICES FORMS
- Breastfeeding Peer Counseling Time Study Report (162.09 KB) .pdf
- Breastfeeding Peer Counseling Time Study Report (Word) (32.52 KB) .docx
- Documentation of Nutrition Products (100.83 KB) .pdf
- New Employee Training Checklist (474.86 KB) .pdf
- Proxy Cards (109.29 KB) .pdf
- Special Formula and Food Documentation Form (839.29 KB) .pdf
- New Employee Training Record (222.11 KB) .pdf
II. NUTRITION SERVICES PROCEDURES
- BFPC Contact Observation Procedure (82.26 KB) .pdf
- Breastfeeding Peer Counseling Time Study Procedure (184.19 KB) .pdf
- Evaluation and Maintenance of Scales (123.07 KB) .pdf
- Local Agency Formula Warehouse Process (195.92 KB) .pdf
- Peer Counselor Contact Observation Tool (142.13 KB) .pdf
- Peer Counselor Documentation Review Procedure (129.97 KB) .pdf
- Selecting Medical Supplies and Equipment (168.71 KB) .pdf
- Women with Breastfeeding Category Changes (162.43 KB) .pdf
III. MANAGEMENT INFORMATION SYSTEMS POLICIES
- Data Request Guidelines (112.8 KB) .pdf
- Local WIC Agency Data Processing (119.65 KB) .pdf
- 430.80 Data System Equipment Support (18.04 KB) .pdf
- 430.85 Data System Continuity of Service (36.86 KB) .pdf
III. MANAGEMENT INFORMATION SYSTEMS FORMS
IV. ORGANIZATION AND MANAGEMENT POLICIES
- Appointment Contacts (291.67 KB) .pdf
- Breastfeeding Peer Counselor (346.58 KB) .pdf
- Breastfeeding Peer Counseling Coordinator (359.83 KB) .pdf
- Clinic Environment (448.66 KB) .pdf
- Competent Professional Authority (CPA) (358.55 KB) .pdf
- Contract Agency Policies and Procedures (344.76 KB) .pdf
- Document Retention (302.75 KB) .pdf
- Equal Opportunity Affirmative Action Officer (240.5 KB) .pdf
- Hiring Breastfeeding Peer Counselors (314.08 KB) .pdf
- Hiring Personnel (374.65 KB) .pdf
- 360.65 Infection Control Guidelines (165.57 KB) .pdf
- 360.60 Infectious Disease Control (176.23 KB) .pdf
- Iowa WIC Agencies (230.8 KB) .pdf
- Licensed Dietitian (366.4 KB) .pdf
- Licensed Practical Nurse (363.95 KB) .pdf
- Local Agency Breastfeeding Coordinator (412.05 KB) .pdf
- Local Agency Nutrition Coordinator (341.27 KB) .pdf
- Nutrition Educator (363.73 KB) .pdf
- Registered Nurse (362.36 KB) .pdf
- Section 504/Americans with Disabilities Coordinator (381.19 KB) .pdf
- Staff Conflict of Interest (314.71 KB) .pdf
- State of Iowa Equal Opportunity, Affirmative Action, Anti-Discrimination, and Substance Abuse (280.29 KB) .pdf
- State WIC Office Staff (149.74 KB) .pdf
- Subcontracts (343.62 KB) .pdf
- Support Staff (357.55 KB) .pdf
- WIC Coordinator (369.8 KB) .pdf
- WIC Designated Breastfeeding Expert (DBE) (297.78 KB) .pdf
- WIC Nutrition Assistant (349.22 KB) .pdf
IV. ORGANIZATION AND MANAGEMENT FORMS
IV. ORGANIZATION AND MANAGEMENT PROCEDURES
- 300.15 Disruptive Participants (397.69 KB) .pdf
- WIC Disaster Plan - Local Agencies (370.87 KB) .pdf
- WIC Service Delivery (291.64 KB) .pdf
V. NUTRITION SERVICES & ADMINISTRATION (NSA) EXPENDITURES POLICIES
- Advances (290.2 KB) .pdf
- Equipment Purchasing Guidelines (189.89 KB) .pdf
- Financial Management (339.34 KB) .pdf
- Financial Requirements (339.31 KB) .pdf
- Local Agency Funding and Caseload Allocation Method (290.79 KB) .pdf
- Nutrition Services and Administration (NSA) Costs (203.69 KB) .pdf
- Reporting WIC Personnel Costs (371.83 KB) .pdf
- Vehicle Costs (106.02 KB) .pdf
V. NUTRITION SERVICES & ADMINISTRATION (NSA) EXPENDITURES FORMS
- WIC Time Study Report (66.1 KB) .pdf
- Vehicle Purchase Justification Worksheet (Email us to get this)
V. NUTRITION SERVICES & ADMINISTRATION (NSA) EXPENDITURES PROCEDURES
VI. FOOD FUNDS MANAGEMENT POLICIES
- 315.41 Breast Pump Purchasing Guidelines (136.6 KB) .pdf
- 410.08 Bid Solicitation and Billing (27.8 KB) .pdf
VII. CASELOAD MANAGEMENT POLICIES
- Caseload Management (370.86 KB) .pdf
- Eligible Population (295.11 KB) .pdf
- Funding Shortage and Participant Waitlists (299.91 KB) .pdf
- Homeless Participants (390.63 KB) .pdf
- Migrant Participants (319.18 KB) .pdf
- Outreach (420.2 KB) .pdf
- Participation Data (120.58 KB) .pdf
- Program Incentive Items (396.16 KB) .pdf
VII. CASELOAD MANAGEMENT PROCEDURES
VIII. CERTIFICATION, ELIGIBILITY AND COORDINATION OF SERVICES POLICIES
- Adjunctive Eligibility (192.88 KB) .pdf
- Anthropometric Measurements (246.48 KB) .pdf
- Blood Lead Screening (166.94 KB) .pdf
- Blood Tests (233.87 KB) .pdf
- Certification Forms and Program Explanation (155.53 KB) .pdf
- Confidentiality of Participant Information (193.19 KB) .pdf
- Health Updates (202.52 KB) .pdf
- Household Size (163.71 KB) .pdf
- Identification Requirements (170.97 KB) .pdf
- Immunizations (159.6 KB) .pdf
- Income Determination (197.04 KB) .pdf
- Income Guidelines (124.32 KB) .pdf
- Mandatory and Optional Mid-Certification Actions (173.15 KB) .pdf
- Missed Appointment Follow-up (168.66 KB) .pdf
- Nutrition and Health Assessment (215.82 KB) .pdf
- Nutrition Risk Definitions (627.39 KB) .pdf
- Nutrition Risk Priorities (131.32 KB) .pdf
- Nutrition Risk Requirements (171.07 KB) .pdf
- Participant Categories and Certification Periods (188.84 KB) .pdf
- Physical Presence Requirements (315.04 KB) .pdf
- Processing Standards and Notice of Eligibility (160.89 KB) .pdf
- Providing Access to Health Services (82.89 KB) .pdf
- Referrals (176.9 KB) .pdf
- Referrals to Medicaid and hawk-i (147.77 KB) .pdf
- Referrals to Programs and Agencies (186.77 KB) .pdf
- Release and Requests of Information (288.47 KB) .pdf
- Residency Requirements (176.32 KB) .pdf
- Rights and Responsibilities (164.89 KB) .pdf
- Separation of Duties (109.52 KB) .pdf
- Separation of Duties in Extreme Circumstances (152.74 KB) .pdf
- Substance Use and Screening and Referral (185.85 KB) .pdf
- Terminations (229.79 KB) .pdf
- Verification of Certification (182.79 KB) .pdf
- Voter Registration (192.22 KB) .pdf
VIII. CERTIFICATION, ELIGIBILITY AND COORDINATION OF SERVICES FORMS
- Appointment Reminder (125.4 KB) .pdf
- Authorization for Release of Information (115.71 KB) .pdf
- Information Collection Form (614.57 KB) .pdf
- Notice of Ineligibility (90.72 KB) .pdf
- Notice of Missed Appointment (109.75 KB) .pdf
- Notice of Termination (111.17 KB) .pdf
- Referral From WIC (477.23 KB) .pdf
- Rights and Responsibilities of a WIC Participant (174.67 KB) .pdf
- Amharic (202.47 KB) .pdf
- Arabic (203.33 KB) .pdf
- Arabic (Sudan) (205.56 KB) .pdf
- Bosnian (Latin) (131.81 KB) .pdf
- Burmese (235.67 KB) .pdf
- Chin Falam (97.37 KB) .pdf
- Chin Hakha (97.51 KB) .pdf
- Chin Tedim (96.8 KB) .pdf
- Chin Mizo (97.66 KB) .pdf
- Chuukese (528.43 KB) .pdf
- Farsi (203.13 KB) .pdf
- French (113.53 KB) .pdf
- Haitian Creole (98.56 KB) .pdf
- Hmong (102.31 KB) .pdf
- Karen (142.58 KB) .pdf
- Kayah (503.78 KB) .pdf
- Kinyarwanda (102.3 KB) .pdf
- Kirundi (Rundi) (98.95 KB) .pdf
- Korean (221.46 KB) .pdf
- Kunama (130.77 KB) .pdf
- Laotian (169.26 KB) .pdf
- Lingala (98.06 KB) .pdf
- Mandarin (Simplified Chinese) (188.88 KB) .pdf
- Marshallese (97.33 KB) .pdf
- Nepalese (264.85 KB) .pdf
- Oromo (109.26 KB) .pdf
- Pashto (185.45 KB) .pdf
- Russian (158.96 KB) .pdf
- Pohnpeian (98.24 KB) .pdf
- Somalian (107.93 KB) .pdf
- Spanish (111.97 KB) .pdf
- Swahili (104.66 KB) .pdf
- Thai (160.26 KB) .pdf
- Tigrinya (213 KB) .pdf
- Vietnamese (229.88 KB) .pdf
- VOC Card (160.64 KB) .pdf
VIII. CERTIFICATION, ELIGIBILITY AND COORDINATION OF SERVICES PROCEDURES
- Certifications Outside of Clinic (180.4 KB) .pdf
- Deceased Parent Guardian/Head of Household (138.38 KB) .pdf
- Foster Care (179.21 KB) .pdf
- Measuring Hemoglobin with Hemocue (141.82 KB) .pdf
- Measuring Hemoglobin with Pronto (148.71 KB) .pdf
- Serving Families with Two WIC Eligible Adults in the Household (355.08 KB) .pdf
- Split Custody (132.54 KB) .pdf
IX. FOOD DELIVERY AND FI ACCOUNTABILITY AND CONTROL POLICIES
- Food Instrument inventory and Security (170.22 KB) .pdf
- Issuing Food Instruments (196.62 KB) .pdf
- Lost or Stolen Food Instruments (178.03 KB) .pdf
- Missed Appointments and Food Instruments (171.8 KB) .pdf
X. MONITORING AND AUDITS POLICIES
- Local Agency Audits (291.37 KB) .pdf
- On-Site Agency Reviews (193.8 KB) .pdf
- Required Reports (366.89 KB) .pdf
X. MONITORING AND AUDITS FORMS
- Agency Administrative On-Site Review (392.59 KB) .pdf
- Clinic Services Record Audit (230.59 KB) .pdf
- WIC Agency Office Visit (343.54 KB) .pdf
- WIC Clinic Visit (367.58 KB) .pdf
XI. CIVIL RIGHTS POLICIES
- Civil Rights Training (330.64 KB) .pdf
- Collecting Race and Ethnicity Data (320.73 KB) .pdf
- Complaints (452.47 KB) .pdf
- Limited English Proficiency Participants (312.09 KB) .pdf
- Notification of Program Changes (213.12 KB) .pdf
- Participants with Disabilities (288.55 KB) .pdf
- USDA Nondiscrimination Statement (126.04 KB) .pdf
XI. CIVIL RIGHTS FORMS
- Information Collection Form (614.57 KB) .pdf
- Iowa WIC Program Request for Clinic Approval Form (221.04 KB) .pdf
- WIC Clinic Access Survey Form (537.2 KB) .pdf
PROGRAM INTEGRITY POLICIES
- 225.80 Participant Violations and Sanctions (348.88 KB) .pdf
- 300.17 Collecting Fraud and Abuse Data (321.36 KB) .pdf
- 450.40 Sanctions (51.51 KB) .pdf
- 450.60 Dual Participation (83.5 KB) .pdf
- Participant, Vendor, and Local Agency Appeals and Fair Hearings (281.49 KB) .pdf