WIC Policy and Procedures Manual

Administrative Program Policies and Practices

100: Program Administration Planning Requirements

100-01 Quality Assurance (PDF)

100-02 Nutrition Services Plan (PDF)

110: Program Compliance Monitoring

110-10 Program Evaluation Process (PDF)
110-20 Maintenance of Specific Program Records (PDF)

110-30 Access to Administrative and General Program Records (PDF)

120: Program Compliance Monitoring

120-10 Access to and Security of Confidential Information (PDF)
120-20 Subpoenas and Search Warrants (PDF)

120-30 Child Abuse Reporting and Release of Confidential Information (PDF)

130: Local Agency Staff Requirements

130-00 Staffing Requirements and Responsibilities Overview (PDF)
130-10 Registered Dietitian: Requirements and Responsibilities (PDF)
130-20 Office Support Staff: Requirements and Responsibilities (PDF)
130-30 WIC Nutrition Assistant (WNA): Requirements and Responsibilities (PDF)
130-40 Dietetic Technician, Registered (DTR): Requirements and Responsibilities (PDF)
130-50 Degreed Nutritionist (DN): Requirements and Responsibilities (PDF)
130-60 Masters Degreed Nutritionist (MDN):Requirements and Responsibilities (PDF)
130-70 Registered Nurse (RN): Requirements and Responsibilities (PDF)
130-80 Staff Eligibility to take Registered Dietitian Exam (RDE): Requirements and Responsibilities (PDF)
130-90 Competency Requirements and Certification: WIC Nutrition Assistants (WNAs) (PDF)

130-100 Local Agency Breastfeeding Coordinator (PDF)

140: Program Integrity

140-10 WIC Services for Employees and Relatives (PDF)

140-20 Employee Security Affidavit and User Identification (PDF)
CDPH 4467 Employee Security Affidavit Form (Fillable PDF)​

150: Program Integrity

150-10 Conflict of Interest: Local Agencies and Vendors (PDF)​
Conflict of Interest Statement (Fillable PDF)​

160: Local Agency Requirements

160-10 “No Smoking” Policy (PDF) 

160-20 Safe Environment (PDF)

170: Local Agency Requirements

170-10 Emergency and Disaster Planning, and Coordination Requirements (PDF)

190: Local Agency Staffing Requirements

190-00 Staff Training (PDF)
190-10 Alcohol and Drug Abuse Prevention Training (PDF)
190-20 Civil Rights Training (PDF)

190-30 National Voter Registration Act (NVRA) Training (PDF)

Certification

200-210: Eligibility Requirements

200-00​​ Physical Presence Waiver for Certifications and Recertifications (PDF)​

200-000 Separation of Duties Waiver (PDF)​ - Implement by January 1, 2025.

200-01 Overview - Eligibility Requirements (PDF)
210-01 General Income Eligibility Guidelines and Procedures (PDF)
210-02 Adjunctive Eligibility (PDF)
210-03 Determination of Income Eligibility (PDF)
210-04 Income Exclusions (PDF)
210-06 Proof of California Residency (PDF)
210-07 Presence Requirement (PDF)
210-08 Proof of Pregnancy (PDF)
210-09 Complete Nutritional Risk Assessment for all Categories (PDF)
210-10 Determining Nutritional Risk Assessment - Anthropometric (PDF)
210-11 Determining Nutritional Risk - Biochemical (PDF)
210-12 Determining Nutritional Risk Assessment - Clinical/Medical/Health (PDF)
210-13 Determining Nutritional Risk Assessment - Dietary (PDF)
210-15 Homeless Individuals (PDF)

210-16 Separation of Duties (PDF)

220: Telehealth WIC Services

220-10 Video and Phone Appointments (PDF)
220-20 Virtual Breastfeeding Support and Telelactation (PDF)

220-30 Telehealth Privacy and Confidentiality (PDF)

230: Factors Affecting Eligibility

230-10 Priority Ranking System (PDF)

230-20 Waiting Lists (PDF)

240: Certification Periods

240-10 Length of Certification (PDF)
240-20 Timeframes for Processing Applications/Applicants (PDF)

240-30 Mid-Certification Nutrition Assessment (PDF)

250: Transfers

250-10 Verification of Certification (PDF)

260: Certification Requirments: Services / Information Provided by the Local Agency at Time of Certification

260-40 WIC Participants Rights and Responsibilities (PDF)

270: Specific Requirements for First Time and Subsequent Certification

270-20 Proof of Identity (PDF)

270-40 Program Orientation (PDF)

280: Ineligibility / Disqualification

280-20.2 Report of Dual Participation / Participant Abuse (PDF)

280-30 Notices of Action (PDF)

290: Designated Recipients of Food Instruments

290-00 Family Representative (PDF)

290-10 Designation of Caretaker (PDF)

WIC Card and Food Benefits

310: WIC Card Stock Management

310-10 WIC Card Stock Security and Inventory (PDF)

320: Food Package

320-10 Food Package Tailoring (PDF)

330: WIC Card and Food Benefits Security and Accountability

330-00 WIC Card and Food Benefits Issuance (PDF)
330-10 Single / Double / Triple Food Instrument Issuance (PDF)
330-20 Lost, Stolen or Damaged WIC Card (PDF)

330-30 Remote Issuance of Food Benefits (PDF)

390: Distribution of Therapeutic Formula and Medical Foods

390-10 Provision of Therapeutic Formulas and WIC-Eligible Nutritionals (PDF)
390-20 Coordinating with Medi-Cal​ (PDF)
390-30 Surplus Therapeutic Formula and WIC-Eligible Nutrtionals (PDF)​

Nutrition Education

400: Nutrition Education Requirements

400-00 Standards of Education (PDF)
400-01 Element 1 - Nutrition Assessment (PDF)
400-02 Element 2 - Nutrition Messages (PDF)
400-03 Element 3 - Counseling Methods and Teaching Strategies (PDF)
400-04 Element 4 - Select Delivery Medium (PDF)
400-05 Element 5 - Reinforcement of Nutrition Education (PDF)
400-06 Element 6 - Follow-Up and Support (PDF)
400-07 Documentation of Nutrition Education Contacts (NEC) (PDF)
400-08 Frequency of Nutrition Education (PDF)
400-09 Nutrition Education Coordinator (PDF)
400-10 Lesson Plans and Materials (PDF)

400-11 Postpartum Exit Counseling (PDF)
400-12 Care Plan (PDF)

Participant Rights

510: Treatment of Individuals

510-10 Nondiscrimination / Examples (PDF)
510-20 Use of the Nondiscrimi​nation Statement (PDF)
510-30 Program Accessibility (PDF)
510-40 Complaints of Discrimination (PDF)
510-50 Racial / Ethnic Categories (PDF)

510-60 Sexual Orientation and Gender Identity (PDF)

520: Fair Hearings

520-10 Fair Hearing Requests and procedures (PDF)

530: Program Accessibility

530-10 Site Hours of Operation (PDF)

Breastfeeding Promotion and Support

600: Breastfeeding Promotion and Support

600-00 Overview (PDF)
600-10 Supporting Fully Breastfeeding for the First 30 Days (PDF)
600-20 Local Agency Breastfeeding Promotion Policy (PDF)

600-30 Agency Environment and Employee Support (PDF)

620: Lactation Support Equipment

620-10 Breast Pumps: Overview (PDF)
620-20 Issuance Documentation Follow-Up (PDF)

620-30 Inventory, Maintenance, and Retrieval (PDF)

630: Peer Counseling

630-10 Overview (PDF)
630-11 Peer Counseling Supervisor / IBCLC: Requirements and Responsibilities (PDF)
630-12 Peer Counselors: Requirements and Responsibilities (PDF)
630-13 Contacts (PDF)
630-14 Training Requirements (PDF)
630-15 Continuous Quality Improvement (CGI) (PDF)

630-16 Fiscal Requirements (PDF)

Outreach and Referrals

700: Requirements

700-01 Overview (PDF)

700-02 Referral Requirements at Certification (PDF)

700-06 Guidelines for Implementing the NVRA (PDF)

700-07 Coordination with Local Health Programs and Services (PDF)

700-08 Outreach Activities Requirements (PDF)

Farmers’ Market Nutrition Program

800: Farmers’ Market Nutrition Program

800-00 Program Overview and Administrative Requirements (PDF)

800-10 Conflict of Interest: Local Agencies and Farmers (PDF)
800-20 Instruction on Using FMNP Benefits (PDF)
800-30 Nutrition Education and Documentation (PDF)

800-41 FMNP Accountability and Integrity (PDF)​
800-42 Verification of Check Shipment (PDF)
800-43 Issuance of FMNP Checks (PDF)

800-50 FMNP Program Complaints (PDF)

Job Aids

960: Nutrition Risks

960-01 Nutrition Risk Criteria (PDF)

970: Procedures and Protocols

970-10 Glossary (PDF)

970-80 Weight and Height Conversion Charts Job Aid (PDF)

980: Administrative Forms and Supplies

980-1060 WIC Inco​me Guidelines (PDF)
980-1060 WIC Income G​uidelines - Spanish (PDF)
980-1065 Medi-Cal Income Guidelines (PDF)
980-1065 Medi-Cal Income Guidelines - Spanish (PDF)

980-1070 Medi-Cal Eligibility Codes (PDF)

1000: Miscellaneous

1000-30 Required Trainings for Employees (PDF)

1000-40 Ethnicity and Race Documentation Job Aid (PDF)
1000-70 Separation of Duties Job Aid (PDF)
1000-80 Alternate Procedures Separation of Duties (PDF)
1000-90 Equipment Guide (PDF)
1000-120 Acronyms (PDF)
1000-130 Family Representative and Caretaker Job Aid (PDF)

1000-140 WIC WISE Forms Job Aid (PDF)

Contract Management

1000: Contract Management

1000-06 Opening a New Site (PDF)
1000-06-A New Site Application and Evaluation Criteria​ (PDF)