Chapter Two Certification - azdhs.gov

1 Chapter Two Certification Chapter Two Certification Arizona WIC Program Original: March 1997 Policy and Procedure Manual 2-2 Revision: June 2017 Contents Chapter Two Certification .. 2-1 Overview .. 2-8 Policy .. 2-8 In This Chapter .. 2-8 Section A Certification 2-9 Eligibility Determination .. 2-9 Service Timeframe: Within 10 days .. 2-9 Service Timeframe: Within 20 days .. 2-9 Extension of Timetable .. 2-9 Missed Appointment Procedures .. 2-9 Local Agency Responsibility .. 2-10 Components of Certification .. 2-10 Food Benefit Issuance .. 2-10 Documentation Provided .. 2-11 Arizona WIC Program ID Folder/eWIC Card Holder (if applicable).

2 2-11 Certification Periods .. 2-11 Pregnant Women .. 2-11 Postpartum Women .. 2-12 Infant Less Than Six Months Old .. 2-12 Infant More Than Six Months Old .. 2-12 Children .. 2-12 Special Conditions .. 2-13 Women s Nutrition Risk Determination .. 2-13 Section B Physical Presence/Identification .. 2-14 Physical Presence 2-14 Exceptions to Physical Presence .. 2-14 Documentation of Exceptions .. 2-14 Certification of Women and Children in Outreach Locations .. 2-15 Documentation of 2-16 Applicants with No Proof of Identity .. 2-17 Section C Residency .. 2-18 Residency .. 2-18 State Service Area .. 2-18 Documentation of Residency.

3 2-18 Chapter Two Certification Arizona WIC Program Original: March 1997 Policy and Procedure Manual 2-3 Revision: June 2017 Arizona Address Confidentiality Program .. 2-19 Institutional 2-19 Non-Compliant Institutions Participants .. 2-19 Applicants with No Proof of Residency .. 2-20 Homeless Applicants/Participants .. 2-20 Refugees .. 2-20 Section D Ethnicity and Race Data Collection .. 2-21 Race/Ethnicity Determination .. 2-21 Section E Income Eligibility .. 2-22 Policy .. 2-22 Determining Household Size/ Economic Unit .. 2-22 AZ KidsCare .. 2-22 Adopted Child .. 2-22 Foster Child .. 2-23 Military Family.

4 2-23 Pregnant Woman .. 2-23 Resident of Institutions .. 2-24 2-24 Separated Family .. 2-24 Custody .. 2-24 Teen .. 2-24 In-stream Migrant Worker .. 2-24 Refugees .. 2-24 Income Standards .. 2-25 Adjunctive Eligibility .. 2-25 Documentation of Adjunctive Eligibility .. 2-25 Documentation of Income .. 2-26 Applicants with No Proof of Income .. 2-27 Zero Income .. 2-27 No Proof of Income, Identification, or Residency Within Thirty (30) Days of Certification .. 2-28 Migrants .. 2-28 Reassessment of Income .. 2-28 Household Income Ineligible Termination .. 2-29 No Longer Adjunctively Eligible During a Certification Period.

5 2-29 Income .. 2-29 Chapter Two Certification Arizona WIC Program Original: March 1997 Policy and Procedure Manual 2-4 Revision: June 2017 Wages .. 2-29 Active Military Payments .. 2-30 Farm/Self-Employment .. 2-30 Social Security .. 2-30 Dividends/ Trusts/Rental Income .. 2-30 Public Assistance .. 2-30 Unemployment .. 2-30 Disability .. 2-30 Retirement/ Pensions/ Annuities .. 2-30 Alimony and Child Support .. 2-30 Contributions .. 2-31 Royalties .. 2-31 Other Cash Income .. 2-31 Lump Sum Payments .. 2-31 Student Financial Assistance .. 2-31 Census Workers .. 2-31 Military Exclusions .. 2-31 In-Kind/Non-Cash Benefits.

6 2-32 Federal Program Benefits .. 2-32 Loans .. 2-33 Lump Sum/Large Cash Payments .. 2-33 Employer Contributions .. 2-33 Income of/Payments to Native Americans .. 2-33 Section F Categorical Eligibility .. 2-34 Pregnant Woman .. 2-34 Postpartum Woman .. 2-34 Breastfeeding Woman .. 2-34 Infant .. 2-34 Child .. 2-34 Section G Health and Nutrition Assessment .. 2-35 Policy .. 2-35 USDA Criteria .. 2-35 Arizona Risk Criteria .. 2-35 Other Risk Factors .. 2-35 Certifiers .. 2-36 Chapter Two Certification Arizona WIC Program Original: March 1997 Policy and Procedure Manual 2-5 Revision: June 2017 Health and Nutrition Assessment.

7 2-36 Frequency of Assessment .. 2-37 Completing an Assessment and Documentation .. 2-37 Monitoring of Assessment .. 2-38 Section H Risk Identification .. 2-39 Policy .. 2-39 Documentation .. 2-39 Self-Reporting or Self- Diagnosis .. 2-39 Section I Priorities .. 2-40 Special Note .. 2-40 Priority I .. 2-40 Priority II .. 2-40 Priority III .. 2-40 Priority IV .. 2-40 Priority V .. 2-40 Priority VI .. 2-40 Priority VII .. 2-40 Out-of -State Transfers .. 2-41 Section J WIC Rights and Obligations .. 2-42 WIC Rights and Obligations .. 2-42 Documentation .. 2-42 Paper Rights and Obligations form .. 2-42 Availability of Health Services.

8 2-43 Food Delivery System .. 2-43 Section K Voter Registration .. 2-45 WIC Voter Registration .. 2-45 Arizona Voter Registration Form .. 2-45 WIC Program Offer of Voter Registration Form .. 2-45 HANDS Documentation .. 2-46 Voter Registration Documentation .. 2-46 Section L WIC Rules and Regulations and Education .. 2-47 Documentation .. 2-47 Education .. 2-47 WIC Rules and Regulations .. 2-47 Section M Referrals .. 2-48 Chapter Two Certification Arizona WIC Program Original: March 1997 Policy and Procedure Manual 2-6 Revision: June 2017 Documentation .. 2-48 Referrals .. 2-48 Updated List of Referrals .. 2-48 Release of 2-48 Section N Ineligibility.

9 2-49 Notification of Ineligibility .. 2-49 Information About Reapplication .. 2-49 Right to Fair Hearing .. 2-49 Referrals .. 2-49 Timeline .. 2-49 Section O Authorized Representative .. 2-50 Policy .. 2-50 Procedures for Naming Authorized Representatives .. 2-50 Change of Authorized Representative during a Certification period ( Change of Guardianship and/or Custody) .. 2-51 Section P Proxies .. 2-53 Policy .. 2-53 Procedure .. 2-53 Section Q Waiting Lists .. 2-55 Policy .. 2-55 Use of Waiting Lists .. 2-55 Managing Caseload .. 2-55 Predicting Caseload .. 2-55 10/20 Day Rule .. 2-56 Waiting 2-56 Files .. 2-57 Notification/ Recall from Waiting List.

10 2-57 Date of Ineligibility .. 2-57 False Expectation .. 2-58 Referrals to Other Programs .. 2-58 Breastfeeding Women Who Quit Breastfeeding .. 2-58 Transfers (After Certification ) .. 2-58 Notification of Referral Agencies .. 2-58 Section R Transfer of Certification .. 2-59 Verification of Certification (VOC) .. 2-59 Chapter Two Certification Arizona WIC Program Original: March 1997 Policy and Procedure Manual 2-7 Revision: June 2017 Partially Complete Verification of Certification (VOC) .. 2-59 Retention of VOC/Rights and Obligation .. 2-59 Transfer When a Waiting List Exists .. 2-59 Special Conditions .. 2-60 In-State Transfers.