WIC Operations Manual (WOM)
This page contains policies for the Missouri WIC Program. Note: This manual was designed for Missouri WIC Local Agencies and is not intended for the general public. It contains terms, abbreviations, and acronyms that may not be familiar to those outside of WIC and the field of nutrition or healthcare.
USDA Federal Regulations
WIC Operations Manual (WOM) Definitions
USDA Definitions and Justification
- 101 Underweight (Women): USDA Definition
- 103 Underweight or At Risk of Underweight (Infants & Children): USDA Definition
- 111 Overweight (Women): USDA Definition
- 113 Obese (Children 2-5 Years of Age): USDA Definition
- 114 Overweight or At Risk of Overweight (Infants and Children): USDA Definition
- 115 High Weight-for Length (Infants and Children < 24 Months of Age): USDA Definition
- 121 Short Stature or At Risk of Short Stature (Infants and Children): USDA Definition
- 131 Low Maternal Weight Gain: USDA Definition
- 133 High Maternal Weight Gain: USDA Definition
- 134 Failure to Thrive: USDA Definition
- 135 Slowed/Faltering Growth Pattern: USDA Definition
- 141 Low Birth Weight and Very Low Birth Weight: USDA Definition
- 142 Preterm or Early Term Delivery: USDA Definition
- 151 Small for Gestational Age: USDA Definition
- 152 Low Head Circumference: USDA Definition
- 153 Large for Gestational Age: USDA Definition
- 201 Low Hematocrit/Low Hemoglobin: USDA Definition
- 211 Elevated Blood Lead Levels: USDA Definition
- 301 Hyperemesis Gravidarum: USDA Definition
- 302 Gestational Diabetes: USDA Definition
- 303 History of Gestational Diabetes: USDA Definition
- 304 History of Preeclampsia: USDA Definition
- 311 History of Preterm or Early Term Delivery: USDA Definition
- 312 History of Low Birth Weight: USDA Definition
- 321 History of Spontaneous Abortion, Fetal or Neonatal Loss: USDA Definition
- 331 Pregnancy at a Young Age: USDA Definition
- 332 Short Interpregnancy Interval: USDA Definition
- 333 High Parity and Young Age: USDA Definition
- 334 Lack of or Inadequate Prenatal Care: USDA Definition
- 335 Multi-fetal Gestation: USDA Definition
- 336 Fetal Growth Restriction: USDA Definition
- 337 History of Birth of a Large for Gestational Age Infant: USDA Definition
- 338 Pregnant Woman Currently Breastfeeding: USDA Definition
- 339 History of Birth with Nutrition Related Congenital or Birth Defect: USDA Definition
- 341 Nutrient Deficiency or Disease: USDA Definition
- 342 Gastrointestinal Disorders: USDA Definition
- 343 Diabetes Mellitus: USDA Definition
- 344 Thyroid Disorders: USDA Definition
- 345 Hypertension and Prehypertension: USDA Definition
- 346 Renal Disease: USDA Definition
- 347 Cancer: USDA Definition
- 348 Central Nervous System Disorders: USDA Definition
- 349 Genetic and Congenital Disorders: USDA Definition
- 351 Inborn Errors of Metabolism: USDA Definition
- 352a Infectious Diseases - Acute: USDA Definition
- 352b Infectious Diseases - Chronic: USDA Definition
- 353 Food Allergies: USDA Definition
- 354 Celiac Disease: USDA Definition
- 355 Lactose Intolerance: USDA Definition
- 356 Hypoglycemia: USDA Definition
- 357 Drug Nutrient Interactions: USDA Definition
- 358 Eating Disorders: USDA Definition
- 359 Recent Major Surgery, Physical Trauma, Burns: USDA Definition
- 360 Other Medical Conditions: USDA Definition
- 361 Depression: USDA Definition - USDA Guidance
- 362 Developmental, Sensory or Motor Disabilities Interfering with the Ability to Eat: USDA Definition
- 363 Pre-Diabetes: USDA Definition
- 371 Maternal Smoking: USDA Definition
- 372 Alcohol and Substance Use: USDA Definition
- 381 Oral Health Conditions: USDA Definition
- 382 Fetal Alcohol Spectrum Disorders: USDA Definition
- 383 Neonatal Abstinence Syndrome (NAS): USDA Definition
- 401 Failure to Meet Dietary Guidelines for Americans: USDA Definition
- 411 Inappropriate Nutrition Practices for Infants: USDA Definition - USDA Justification
- 425 Inappropriate Nutrition Practices for Children: USDA Definition - USDA Justification
- 427 Inappropriate Nutrition Practices for Women: USDA Definition - USDA Justification
- 428 Dietary Risk Associated with Complementary Feeding Practices: USDA Definition
- 501 Possibility of Regression: USDA Definition
- 502 Transfer of Certification: USDA Definition
- 503 Presumptive Eligibility for Pregnant Women: USDA Definition
- 601 Breastfeeding Mother of Infant at Nutritional Risk: USDA Definition
- 602 Breastfeeding Complications or Potential Complications (Women): USDA Definition
- 603 Breastfeeding Complications or Potential Complications (Infants): USDA Definition
- 701 Infant Up to 6 Months Old of WIC Mother or of a Woman Who Would Have Been Eligible During Pregnancy: USDA Definition
- 702 Breastfeeding Infant of Woman at Nutritional Risk: USDA Definition
- 801 Homelessness: USDA Definition
- 802 Migrancy: USDA Definition
- 901 Recipient of Abuse: USDA Definition
- 902 Woman or Infant/Child of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food: USDA Definition
- 903 Foster Care: USDA Definition
- 904 Environmental Tobacco Smoke Exposure: USDA Definition
Search for a WOM Policy
Policy Title |
Policy Number |
|---|---|
| I. RETAILER MANAGEMENT | |
| Local Agency and Authorized WIC Retailer Roles | 1.1.010 |
| Conflict of Interest | 1.1.020 |
| II. NUTRITION SERVICES | |
| 1. Breastfeeding | |
| Breastfeeding Coordinator | 2.1.010 |
| Supportive Breastfeeding Environment | 2.1.020 |
| Breast Pump Policy | 2.1.030 |
| 2. Breastfeeding Peer Counseling | |
| Breastfeeding Peer Counselor Job Description | 2.2.010 |
| Breastfeeding Peer Counseling Program Coordinator Job Description | 2.2.020 |
| Senior Breastfeeding Peer Counselor Job Description | 2.2.030 |
| Compensation of Peer Counselors | 2.2.040 |
| Documentation of Participant Contacts | 2.2.050 |
| Referrals of Breastfeeding Participants | 2.2.060 |
| Breastfeeding Peer Counseling Social Media | 2.2.070 |
| Local Agency Cell Phone Usage | 2.2.080 |
| 3. Food Package | |
| WIC Approved Food List | 2.3.010 |
| Issuance of Food Package I and II to Infants | 2.3.020 |
| Issuance of Food Package III | 2.3.030 |
| Issuance of Food Package IV to Children | 2.3.040 |
| Issuance of Food Package V, VI and VII to Women | 2.3.050 |
| Guidelines for Food Issuance: Homeless Women, Infants and Children | 2.3.060 |
| Prorated Food Packages | 2.3.070 |
| Return, Donation, and Disposal of Formula | 2.3.080 |
| Primary Contract Infant Formula | 2.3.090 |
| Exempt Infant Formula and WIC-Eligible Nutritional Selection | 2.3.100 |
| Food Selection Criteria | 2.3.110 |
| Food Package: State and Local Agency Responsibility | 2.3.120 |
| Direct Shipment of Formula | 2.3.130 |
| 4. Nutrition | |
| Training Local WIC Providers | 2.4.010 |
| State Agency Responsibility: Nutrition Education | 2.4.020 |
| Nutritionist | 2.4.030 |
| Nutrition Coordinator | 2.4.040 |
| Competent Professional Authority (CPA) | 2.4.050 |
| WIC Certifier | 2.4.060 |
| Health Professional Assistant (HPA) | 2.4.070 |
| Serving Homeless Persons | 2.4.090 |
| Guidelines for Nutrition Education: Approved Resources | 2.4.100 |
| Effective Nutrition Education | 2.4.110 |
| III. INFORMATION SYSTEMS | |
| Equipment Inventory | 3.1.010 |
| WIC Equipment: Temporary Loan, Repair and Replacement | 3.1.020 |
| Income Guidelines | 3.1.030 |
| WIC Applications, Access, User Names, Passwords and Security | 3.1.040 |
| Certification and Backup Forms | 3.1.050 |
| IV. ORGANIZATION AND MANAGEMENT | |
| WIC Coordinator | 4.1.010 |
| Administrative/Clerical | 4.1.020 |
| Using Volunteers | 4.1.030 |
| No-Smoking Policy | 4.1.040 |
| Local Agency Plan | 4.1.050 |
| Emergency and Disaster Preparedness for Local Agencies | 4.1.060 |
| Social Media Communications and Outreach | 4.1.070 |
| V. NUTRITION SERVICES AND ADMINISTRATION | |
| Monthly Administrative Cost Reports | 5.1.010 |
| Line Item: Personnel Compensation | 5.1.020 |
| Line Item: Personnel Benefits | 5.1.030 |
| Line Item: Contract Services | 5.1.040 |
| Line Item: Conference and Training | 5.1.050 |
| Line Item: Travel | 5.1.060 |
| Line Item: Equipment Purchases | 5.1.070 |
| Line Item: Nutrition and Breastfeeding Materials | 5.1.080 |
| Line Item: Administrative Office Costs | 5.1.090 |
| Line Item: Medical Materials | 5.1.100 |
| Line Item: Computer Hardware/Software | 5.1.110 |
| Line Item: Facilities Costs | 5.1.120 |
| Line Item: Indirect Costs | 5.1.130 |
| Line Item: Special Funds | 5.1.140 |
| In-Kind Costs | 5.1.150 |
| Local Agency Outside Contracting | 5.1.160 |
| WIC Program Income | 5.1.170 |
| VI. FOOD FUNDS MANAGEMENT | |
| VII. CASELOAD MANAGEMENT | |
| Outreach | 7.1.010 |
| Contracted Caseload Participation | 7.1.020 |
| No Shows: Follow Up | 7.1.030 |
| Waiting Lists | 7.1.040 |
| Clinic Access | 7.1.050 |
| VIII. CERTIFICATION ELIGIBILITY AND COORDINATION OF SERVICES | |
| Participant Confidentiality | 8.1.010 |
| Participant Referrals | 8.1.020 |
| Conflict of Interest and Separation of Duties | 8.1.030 |
| Value of WIC Benefits | 8.1.040 |
| Proof of Pregnancy | 8.1.050 |
| Physical Presence at Certification or Mid-Certification Assessment | 8.1.060 |
| Guidelines for Annual Certification and Mid-Certification Assessment (MCA) Data Collection and Risk Factor Assignment | 8.1.070 |
| Participant Explanation | 8.1.080 |
| Weight Standards for Women and Adolescent Females | 8.1.090 |
| Exit Counseling (Next Steps for Health) | 8.1.100 |
| Timelines for Applicant Processing | 8.1.110 |
| Residence Requirements for Participants | 8.1.120 |
| Income Assessment and Documentation | 8.1.130 |
| Determining Household Size | 8.1.140 |
| Voter Registration | 8.1.150 |
| Transfer of Certification and Verification of Certification (VOC) | 8.1.160 |
| Notification of Ineligibility, Termination, or Expiration of Certification | 8.1.170 |
| Schedule Certification Periods | 8.1.180 |
| Authorized Representatives and Alternative Representatives | 8.1.190 |
| Proxies | 8.1.200 |
| Proof of Identity | 8.1.210 |
| Nutrition Risk Criteria | 8.1.220 |
| Care Plans and High-Risk Risk Factors | 8.1.230 |
| IX. FOOD DELIVERY/FOOD INSTRUMENT ACCOUNTABILITY AND CONTROL | |
| Food Instrument Accountability and Liability | 9.1.010 |
| Food Benefit Issuance Cycles | 9.1.020 |
| Food Instrument Replacement | 9.1.030 |
| Food Instrument Inventory Management | 9.1.040 |
| X. MONITORING AND AUDITS | |
| WIC Local Agency Nutrition Services Contract and Attachments | 10.1.010 |
| Participant Violations | 10.1.020 |
| State and Local Agency Monitoring Process | 10.1.030 |
| Management Evaluation System | 10.1.040 |
| Local Agency Administrative Appeals | 10.1.050 |
| Audit | 10.1.060 |
| Local Agency Record Retention and Destruction/Audit Letter | 10.1.070 |
| Local Agency Collections | 10.1.080 |
| XI. CIVIL RIGHTS | |
| State Agency: Civil Rights Compliance | 11.1.010 |
| Local Responsibility: Civil Rights Compliance and Public Notification | 11.1.020 |
| Participant Fair Hearings | 11.1.030 |
| Civil Rights Impact Analysis | 11.1.040 |