Should WIC provide higher fat milk if a participant brings a Milk Substitute form from the MD requesting whole milk with “Underweight” checked as the reason, but the childs BMI is at the 15%?
Only participants determined to be underweight by WIC risk code definition (i.e., risk codes 101 and 103) may receive whole milk for the reason “Underweight”. That situation should be unusual. In most cases it is the CPA who initiates the discussion and provides the form to the participant to take to their health care provider. CPAs should determine when whole milk or additional cheese would be appropriate and provide the form only to those participants. Participants who request whole milk, but who do not meet the criteria, should not be given the form. In cases where the Health Care Provider may have acquired copies of the approval form and inappropriately initiated a request for a milk substitute, the Local Agency should contact the physician and work with him or her in understanding WIC procedures. It is recommended that one staff person, such as the WIC Coordinator, Nutrition Coordinator or High Risk CPA, be the WIC contact person for local medical providers so that they may develo
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