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1 WIC Income Webcast Michigan Department of Community Health WIC Division Presenters Terri Riemenschneider Carole Flevaris, PhD

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Page 1: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

1

WIC Income WebcastMichigan Department of Community Health

WIC DivisionPresenters

Terri RiemenschneiderCarole Flevaris, PhD

Page 2: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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WIC Income Eligibility

Purpose: 1, 2, 3-WIC Income Eligibility training will familiarize or review income, residency, identity eligibility determination and documentation processes required for the Michigan WIC Program. The trainee will learn the tricks necessary to quickly and (relatively) painlessly verify income eligibility and accurately complete the WIC Rules/income calculation form. Special eligibility situations such as military pay and foster children will be discussed. There will be opportunity to submit questions during the webcast for the presenter.

Page 3: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

3

Goals of Training

Familiarize staff with WIC requirements forIncome determinationResidency documentationIdentity documentationAccurate and quick completion of WIC income formDiscuss special income eligibility situations

Page 4: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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How to submit your questions?Subjects:

Income ResidencyIdentityFIA/DHS Status & VerificationProxySpecial income (military, foster)Economic UnitOther:________

Page 5: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

5

Training Materials

Training notesTraining notes2007 Income Calculation Reference Sheet2007 Income Calculation Reference Sheet

Page 6: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Calculation Policy and Income Calculation Form…

Policy 2.03-WIC Income GuidelinesIncome Guidelines for 2007-2.03 Exhibit AInstructions on how to complete the form 2.03 Exhibit BWIC Income CalculationReference Sheet

Updated March 2007

WIC Income Calculation

Page 7: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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2007 WIC Income Guidelines

8970774763451172643.1312

64385372481243.10AdditionalMembers

9614580133698184946.2313

8326969403203160240.0411

7683164032956147836.9410

7039358672708135433.859

6395553302460123030.758

5751747942213110727.667

510794257196598324.566

446413721171785921.475

382033184147073518.374

317652648122261115.283

25327211197548812.182

1888915757273649.091

ANNUALLYMONTHLY*BIWEEKLYWEEKLY*HOURLY

SIZE OFECONOMIC

UNIT&

Page 8: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Let’s go over the main ideas in the Income Determination process…

FIA/DHS StatusIncome sourcesVerificationPresent/not presentIdentityResidencyVoter Registration

wic

Page 9: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Eligibility-FIA/DHS benefits in family

If participant is a current recipient of Medicaid/Healthy Kids, Food Stamps or FIP (Family Independence Program) from Department of Human Services (DHS), they are WIC Income EligibleIf family contains Pregnant woman or Infant with Medicaid, the family is income eligible for WICMust VERIFYVERIFY current DHS Program Eligibility through MMIS, Medifax, MCIR or Bridge Card account

Page 10: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Medicaid Income Eligibility-Pregnant women 17 and under

Pregnant teens (17 and under) can apply independently for Medicaid. Parental income is not considered in such cases. These clients are covered by Healthy Kids for Pregnant women.

Page 11: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Maternity Outpatient Medical Services (MOMS Program)Questions and Answers:

Q: What is the MOMS program?A: The MOMS program provides immediate health coverage for pregnant women. The MOMS program is available to provide immediate prenatal care while a Medicaid application is pending. May provide prenatal care coverage for non-citizens who are pregnant.

Q: What medical services does MOMS cover?A: It provides outpatient prenatal coverage only.

Q: Where can I apply for MOMS?A: Contact your Local Health Department to apply for the MOMS program.

Page 12: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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MMIS-Assess WIC Eligibility

Verify eligibility periodVerify Scope CodeVerify Coverage CodeIF YES to ALL- Automatic WIC Eligible-

verbal income allowed

Coverage CodeC in the S/C fieldWIC Eligible:

E, F, P, T, U, V, YAll Other: NOT WIC Eligible

Scope CodeS in the S/C field

WIC Eligible: 1,2,4All Other: NOT WIC Eligible

Eligibility DateMedicaid eligibility will not

exceed the “THRU” date

MMIS Code Information

Page 13: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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MMIS Inquiry Screen

RECIP 14 <<< Transaction Screen Management System 8V >>> MRI00012

04/14/2007 10:28 MEDICAID ELIGIBILITY Page 1 of 1

Fun: X Rcp ID: 12121212 Name: SPRING, SUMMER

M/C PROV MCLAREN HEALTH PLAN PH (888) 327-0671

LAST UPDATE 20740513

‰‰‰‰‰‰‰‰‰‰‰ ELIGIBILITY ‰‰‰‰‰‰‰‰‰‰‰‰‰‰ ‰‰‰‰‰‰‰‰‰‰ AUTHORIZATIONS ‰‰‰‰‰‰‰‰‰‰‰‰

From Thru S/C P OI Case Ctz From Thru Prov-ID Typ Pay LOC Co

03012007 99999999 1F N 00 X1016041A A 10012003 99999999 4304560 0000 07 00

09012001 10312002 1F L 00 X1016041A A

12012000 08312001 1F N 00 V3706003A A

Page 14: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Other verification options…

Medifax: 1-888-696-3510 if Medicaid # unknownNetwerkes: If your agency bills Medicaid for services provided (MIHP, Immunizations, Family Planning) WIC may have access available.

Page 15: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Bridge Card Benefit verification

Food Stamps, “Cash” benefits for FIP deposited each month if current enrolleeCan ask client to call Customer Service number- 1-888-678-8914 (from WIC phone) on back of card and access account. Need to verify CURRENT MONTH DEPOSITnot a current balance, as these programs do not “wipe out” unspent benefits at the end of the month Press 1 & 5 for last 10 transactions.

Page 16: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Policy

IF no DHS program eligibility…Is there other program eligibility from state or federal program that determined income at not more than 185% of poverty level?

Children’s Special Health Care ServicesFamily PlanningMIChildReduced Price School Lunch Program

Page 17: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Children’s Special Health Care Services (Crippled Children’s Program)

Income checked annuallyHave different rules than WIC for income CSHCS has NO Income limit to qualify, they determine “co-pay” amount based on family incomeIf income is determined to be less than 185% of poverty level, then child is also WIC income eligibleIf family is ABOVE 185% of poverty-NOT ELIGIBLE

Page 18: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Family Planning

Agencies have a sliding fee scale for Family Planning programsIf income determined to be at or below 185% of poverty level, participant is WIC income eligibleFamily Planning should refer to WIC and provide documentation of income eligibility

Page 19: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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NEW! Plan First!

New Medicaid coverage for family planning services onlyWomen who are enrolled on Healthy Kids for Pregnant women during pregnancy will be automatically sent applications

Covers exams, supplies for family planningIf Plan First! Enrolled = WIC eligible

Page 20: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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MiChild

MiChild is an income based health care programChild receives Blue Cross Blue Shield insurance cardIncome guidelines

Infants 185% - 200% of poverty guidelinesChildren 150% - 200% of poverty guidelines

Children between 150-185% of poverty guidelines are WIC income eligibleInfants and children above 185% of poverty guidelines NOT WIC Income Eligible.

Page 21: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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School Lunch Programs

Family receives written notice of free or reduced price lunch program eligibility from the schoolWIC can use to verify income for family members with verbal declaration of income

Page 22: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income in Family

Need income documentationPay stub(s) for the most current week or month prior to certification1040 form signed-most current submitted to IRSWritten verification (notarized) of cash incomeSelf declaration of income

Page 23: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Annual Income

Document income from check stubNote weekly, biweekly, bimonthly, monthly or YTD on the Income formDetermine annual income by multiplying by # of weeks or months paid to reflect 52 weeks total

Weekly x 52 weeks, biweekly x 26, bimonthly x 24…Must include all taxable income (overtime, etc)

Page 24: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Current Income

Verify Annual incomeTax form 1040YTD averaged and annualized

Good for self employedGood for seasonal/variable incomeCan have cash income

Self declaration if migrant or homelessAll others complete “No Proof”process (Policy 2.09)

Page 25: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Current Income

Unemployed, sudden change in income

MUST use current income

Cash (no documentation available)“No Proof of Income” form completedSelf declaration allowed if migrant, homeless or works for cash

NO incomeNeed to review “No Income” statement DCH-0907Is participant part of another economic unit?

Page 26: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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What if client brings no proof of income?

Verification of income is required during the certification process, except migrant, homeless and works for cashIf proof can be obtained by contacting MMIS, Medifax or Bridge Card (for Food Stamp Balance inquiry verifying current month deposit) use it

Page 27: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Forgot income verification….???

If forgot income verification and doesn’t qualify for self-declaration (migrant, homeless, works for cash)-CANNOT BE FULLY CERTIFIED

Recommend completion of cert appointment without issuance of benefits…

MUST provide income verification BEFORE certification is completed and benefits are issued

Page 28: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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When can I accept self declaration of income?

Self declaration of income is allowed ONLY under these circumstances…

DHS or other federal/state/local program where income is verified to be not more than 185% of povertyMigrant workersHomeless persons who can’t provide proof of incomeWhere applicant’s family works for cash and and has no verifiable proof of income

See Policy 2.09 for “No Proof of Residency, Identity or Income”

Page 29: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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What if client has NO INCOME?

NO income, not no proof of incomeAsk client to complete “No Income Screening Form”Staff need to review “No Income Screening form”(see Policy 2.10) to make determination:

Is participant part of another economic unit-where do living expenses come from?What are circumstances where household has no income?

If review indicates family is currently without income, record “no income” on Income Calculation form, attach screening form. Document “00001” on CDE.

THIS SHOULD BE RARE.

Page 30: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Economic Unit size

Ask…Tell me how many people are in your family?

How many people are you responsible for?Record current family size (and on CDE)Ask if anyone is pregnant-record # of expected infants, if family includes pregnant womanDetermine income eligibility based on Total Economic Unit (family size + expect. Infants)

Page 31: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Now let’s go onto completion of the Income Calculation Form…

√ FIA/DHS status determine and document all programs

√ Verify identity when new enrollee√ Verify residency at each cert/recert√ Document presence/not present√ Income verification√ Staff who calculated income signature and

date

Page 32: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Calculation form1. Applicant/Authorized Person’s Name

2. Participant/Family Description Section a. WIC Family Identification Number

b. Participant/Child Name ID New

Only

PresentNotpresent

c.Partic. #

d. Dates of Eligibility Beg. End

e. Medicaid#

f. FIA Status

g. Social Security #

-

-

-

-

ResidencyResidency : Verify residency every certi ficationVerify residency every certi fication. Record source of address through codes ordocument other source. Use codes - A, D, F, J or OtherID ID : For new applicants only.: For new applicants only. Record source of ID, A-H or OtherP or NP or N: Record P P for present during certification, N N for not presentA. MA or FIA generated ID F. Voter Registration CardB. Birth Certificate G. Pay Stub C. Immunization Record H. Health BenefitD. Driver License/Mich ID I. Other: E. Work School/Photo ID J. Current Utility Bills or rent or Mortgage receipts h. Instream Migrant: Income Determination Date / /

If Not PresentIf Not Present at certification visit, circle why: Newborn w/birt h infoNewborn w/birt h infoHealthHealth reasonreasonother (explain):

FIA Status Codes Record FIA Status of each applicant orparticipant.1 = Medicaid Only 7 = FS and FIP

2 = No FS, MA or FIP 8 = FIP only

3 = MA and FS 9 = Pregnant or Infant w/MA in Family

4 = MA, FS and FIP Or

5 = MA and FIP Pregnant woman increases total

economic unit

6 = FS only

PresentNotpresent

Page 33: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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When is Identification Required???

ID√-New Only (Policy 2.08)New enrollees onlyAt first certification

Make sure you document what was used Make sure you document what was used as proofas proofList for documentation in Residency √ area

a. MA or DHS generated ID e. Work/school/Photo IDb. Birth Certificate f. Voter Registration Cardc. Immunization record g. Pay Stubd. Driver’s license/Mich ID h. Health Benefit

i. Other:______________

Page 34: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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ID b. Participant/Child Name ID

NewOnly

PresentNotpresent

c.Partic. #

d. Dates of Eligibility Beg. End

e. Medicaid#

f. FIA Status

g. Social Security #

- - - -

ResidencyResidency : Verify residency every certificat ionVerify residency every certificat ion. Record source of address through codes or document other source. Use codes - A, D, F, J or OtherID ID : For new applicants only.: For new applicants only. Record source of ID, A-H or OtherP or NP or N: Record P P for present during certification, N N for not presentA. MA or FIA generated ID F. Voter Registration CardB. Birth Certificate G. Pay Stub C. Immunization Record H. Health BenefitD. Driver License/Mich ID I. Other: E. Work School/Photo ID J. Current Utility Bills or rent or Mortgage receipts h. Instream Migrant: Income Determination Date / /

If Not PresentIf Not Present at certification visit, circle why: Newborn w/birth infoNewborn w/birth infoHealt hHealth reasonreasonother (explain):

FIA Status Codes Record FIA Status of each applicant orparticipant.1 = Medicaid Only 7 = FS and FIP

2 = No FS, MA or FIP 8 = FIP only

3 = MA and FS 9 = Pregnant or Infant w/MA in Family

4 = MA, FS and FIP Or

5 = MA and FIP Pregnant woman increases total

economic unit

6 = FS only

MA = Medicaid FS = Food Stamps FIP = Family IndependenceProgram

ResidencyResidency : Verify residency every certificat ionVerify residency every certificat ion. Record source of address through codes or document other source.

Grayson White 03 9/13/06-3/13/07 1234567 3B

Page 35: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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When is Residency √ Required?Check Residency at Check Residency at eacheachcertification (2.02)certification (2.02)Document source of Document source of verificationverificationChecking to see if address accurate and if Michigan ResidentMOST ERRORS-no source of residency documented

(often √ only)

Page 36: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Residency √b. Participant/Child Name ID

NewOnly

PresentNotpresent

c.Partic. #

d. Dates of Eligibility Beg. End

e. Medicaid#

f. FIA Status

g. Social Security #

- - - -

ResidencyResidency : Verify residency every certificat ionVerify residency every certificat ion. Record source of address through codes or document other source. Use codes - A, D, F, J or OtherID ID : For new applicants only.: For new applicants only. Record source of ID, A-H or OtherP or NP or N: Record P P for present during certification, N N for not presentA. MA or FIA generated ID F. Voter Registration CardB. Birth Certificate G. Pay Stub C. Immunization Record H. Health BenefitD. Driver License/Mich ID I. Other: E. Work School/Photo ID J. Current Utility Bills or rent or Mortgage receipts h. Instream Migrant: Income Determination Date / /

If Not PresentIf Not Present at certification visit, circle why: Newborn w/birth infoNewborn w/birth infoHealt hHealth reasonreasonother (explain):

FIA Status Codes Record FIA Status of each applicant orparticipant.1 = Medicaid Only 7 = FS and FIP

2 = No FS, MA or FIP 8 = FIP only

3 = MA and FS 9 = Pregnant or Infant w/MA in Family

4 = MA, FS and FIP Or

5 = MA and FIP Pregnant woman increases total

economic unit

6 = FS only

MA = Medicaid FS = Food Stamps FIP = Family IndependenceProgram

ResidencyResidency : Verify residency every certificat ionVerify residency every certificat ion. Record source of address through codes or document other source.

Grayson White B P 03 5/13/06-5/9/07 1234567 3

A

Page 37: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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What if no proof of ID or residency?

Policy 2.09Look for all available sources of proof…(Medicaid, MCIR, Bridge Card)No Proof of Identification, Residency or IncomeComplete No Proof formDocument so proof obtained at next certification

Page 38: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Document if Present or Not Present at Certification

Record “P” if present at certificationRecord “NP” if not present at certification

Must document reason for not present in participant chart

Policy 4.01Documentation procedure in 2.03 Exhibit B, 2b

Page 39: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Present/Not Present1. Applicant/Authorized Person’s Name

2. Participant/Family Description Section a. WIC Family Identification Number

b. Participant/Child Name ID New

Only

PresentNotpresent

c.Partic. #

d. Dates of Eligibility Beg. End

e. Medicaid#

f. FIA Status

g. Social Security #

-

-

-

-

ResidencyResidency : Verify residency every certi ficationVerify residency every certi fication. Record source of address through codes ordocument other source. Use codes - A, D, F, J or OtherID ID : For new applicants only.: For new applicants only. Record source of ID, A-H or OtherP or NP or N: Record P P for present during certification, N N for not presentA. MA or FIA generated ID F. Voter Registration CardB. Birth Certificate G. Pay Stub C. Immunization Record H. Health BenefitD. Driver License/Mich ID I. Other: E. Work School/Photo ID J. Current Utility Bills or rent or Mortgage receipts h. Instream Migrant: Income Determination Date / /

If Not PresentIf Not Present at certification visit, circle why: Newborn w/birt h infoNewborn w/birt h infoHealthHealth reasonreasonother (explain):

FIA Status Codes Record FIA Status of each applicant orparticipant.1 = Medicaid Only 7 = FS and FIP

2 = No FS, MA or FIP 8 = FIP only

3 = MA and FS 9 = Pregnant or Infant w/MA in Family

4 = MA, FS and FIP Or

5 = MA and FIP Pregnant woman increases total

economic unit

6 = FS only

PresentNotpresent

Kelly Burns 03 NP

Page 40: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Voter Registration Policy 1.23

Offer voter registration or update at each certification/recert/infant evaluation or when address changes for all over 18 years of age or will be 18 by next electionNSP-938B the Voter Registration form will be completed at each certificationParticipant can…

Complete declination area at topComplete voter registration on bottom

Page 41: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Completion of Income Calculation Form

Give copy of WIC Rules form to client to read, ask if she/he has any questions…Document offer of voter registration

Complete voter registration form or declination form areaProvide “Participant Information” to client if new on how to use coupons, vendor, proxy, IDVOC folder, food cardIf recert or “experienced” WIC client, ask if any problems using couponsStaff Initial and dateAsk client to sign and date WIC Rules, retain white copy in record give pink copy to client

Page 42: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Staff checklist for WIC RulesIncome Calculation form

Back side of form…Offer voter registration, check on back of formProvide new clients with new client education (WIC Video) and document on back of form

Participant Information (Initial when completed)

Purpose of the WIC Program“Supplemental food program”WIC eligible foodsHow to use coupons, where to use couponsReview of IDVOC folder

RecertDiscuss if had problems using coupons

WICVendor

franks

Hand's

Main St..

Harold’s

Page 43: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Proxy Policy 4.11

Use WIC Proxy Authorization Form in clinic, review at each visitDCH-0920IDVOC folderProxy sticker

WIC Proxy Authorization Form

Family ID# I give my permission for the following person(s) to receive nutrition education (if appropriate), pick-up and/or redeem my WIC benefits.

Proxy Name Date of ProxyDesignation

Date ProxyCanceled

I understand that WIC may release information in my file to this person such as appointmentdate and time. I understand that I am responsible for proper use of the food benefits andunderstand that WIC will be unable to replace any benefits used improperly or not madeavailable to the WIC Participant by the designated proxy. I understand that I can change orcancel this request at any time by contacting the WIC Clinic.

Authorized Person Signature Date

WIC Proxy Authorization Form

Mary Smith 4/13/07

Wic Mom 4/13/07

12745

Page 44: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Proxy on IDVOC folder at cert/recert

Print NameProxy NameProxy NameCross out “Print Name and Signature” lines if proxy NOT designatedAsk Authorized Person to have Proxy Sign ASAP!

Authorized Person responsible for training proxy and proxy use of benefits

Authorized Proxies: Only persons who have signed below may pick up benefits at the WIC Office or use them at a WIC approved store. The authorized proxy must sign the identification folder before shopping for WIC foods. You must have this ID folder with you.

SIGNATURE- Mary Smith

Proxy Name - Mary Smith

SIGNATURE- ___________________

Proxy Name- ______________________

IMMUNIZE YOUR LITTLE MICHIGANDER

An Immunization Record:•Keeps track of vaccinations•Shows vaccination schedule•Shows when vaccinations are needed•Is necessary for school entry, preschool and day care

Call your physician or localhealth department1-888-76-SHOTS

In accordance with Federal law and US Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age or disability. To file a complaint of discrimination, writeUSDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.

Michigan Department of Community HealthAuthority: Act 368 P.A. 1978

Completion of this form is mandator

Page 45: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Proxy Sticker on IDVOC

If Authorized Person has a usable IDVOC folder place Proxy Sticker on back

Print proxy namePrint proxy nameCross out “Print Name and Signature” lines if proxy NOT designated

Authorized Proxies: Only persons who have signed below may pick up benefits at the WIC Office or use them at a WIC approved store. The authorized proxy must sign the identification folder before shopping for WIC foods. You must have this ID folder with you.

SIGNATURE: Many Smith

Proxy Name: Mary Smith

SIGNATURE:

Proxy Name:

Page 46: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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What are YOUR Questions?

Page 47: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Considerations

Foster/adopted childrenMilitary payJoint custodySelf employedChild supportExamples from yourcalls….

Page 48: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Considerations - Foster child

Family declined payment for foster child. Over income using family income. How can they qualify?Foster child has Medicaid. Automatic income eligibility for foster child.Income recorded as $00001 on CDEIncome recorded as $0 on Income form

Page 49: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Adopted Children

Are adopted children treated like foster children?No, adopted children are considered members of the family and the family’s income supports them. Some children are provided Medicaid, even after adoption.If the family is in the process of adoption, the child may be considered a “ward of the state” and have Medicaid coverage.

Page 50: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Considerations-Military PayWhat DOES count:

• Base pay – the soldier’s regular rate of pay.

• Basic Allowance for Subsistence (BAS)

• Foreign Language Pay (FLPP)• Hazardous Duty Pay (HZD PAY)• Family Separation Allowance

(FSA)• Jump Pay, Dive Pay, Sea Pay,

Flight Pay, Imminent Danger Pay, etc.

• Clothing Maintenance Allowance (CMA) – Can be averaged for the year

• Bonus Pay (Bonus) – Can be averaged for the year

What DOES NOTcount:

• Basic Allowance for Housing (BAH or BAQ)

• Family Separation Housing (FSH)

• Family Subsistence Supplemental Allowance (FSSA)

• Overseas Housing Allowance (OHA)

• Overseas Continental United States Cost of Living Allowance (OCONUS COLA)

Page 51: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Considerations-Joint custody

Mom with joint custody for 3 days/week. Dad over income for WIC. Does child qualify?

Mom can apply for child as long as child in residenceFood should be shared for benefit of child enrolled

Policy 2.03 B 11

Page 52: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Income Considerations - Self employed

Self employed person with business expenses. Does gross or net income apply for eligibility?For business persons, use 1040 and “net income” or statement from accountant.

Page 53: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Self Employed…

Phone Call…Mother (pregnant) has been denied Medicaid (MA looked a gross income)Husband is self employed and has brought in Schedule C (Profit/Loss) and mother makes some money. Together the profit from the business and mother’s income do not exceed income eligibility. Can she be on WIC?Yes! Self employed or farm income uses net income to determine eligibility.

Page 54: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Separated???

Phone call..I have a daughter who is currently separated from her husband and has filed for divorce. She is currently pregnant and has a 3 year old. She is unemployed and living with me. Will WIC use her husband’s income? Is she eligible for WIC?WIC will allow your daughter to define her “family”, if she is not living with her husband, and he is providing no support, they would ask if she has other sources of income. If so, this would be considered. If your daughter or her child is enrolled or determined to be eligible for Medicaid, they would be WIC income eligible.

Page 55: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Participant name…

Do we need to write the Participant name on the Income Calculation Form (2b), if the participant is authorized person herself? (In other words, do we need to write the name twice?)Yes-can use Mary 01 instead of writing out the whole name

Page 56: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Medicaid ID?

Do we need to write the Medicaid # (e) on the income form? If yes on what conditions? And if no on what conditions? Yes

Page 57: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Economic Unit Size….Do we need to fill the whole equation (3) under Economic Unit, when the participant is not pregnant? For instance which one of the following is the right way to complete: (Non pregnant)

_________2___________ + ________0____________ +_______2______

WIC Economic Unit Number of Infants Total WIC Income Size from CDE Expected Eligibility Unit (TEU)

OR____________________ + __________________ +_______2______

WIC Economic Unit Number of Infants Total WIC Income Size from CDE Expected Eligibility Unit (TEU)

Yes-to make sure that the question was asked -sometimes moms come in for other cert/recert and WIC is

not aware of a pregnancy.

Page 58: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Medicaid Pending…

Participant has a Medicaid application pending-not enrolled or approved yet. Lives with boyfriend who supports her, but did not bring his proof of income. Can she complete the WIC enrollment?If she has submitted a Medicaid application online or at an agency she may have received a guarantee letter, if she has a letter, she is eligible to enroll on WIC based on presumed Medicaid eligibility. If no letter, must bring income info or Medicaid.

Page 59: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Baby over income…

During Infant Evaluation of Breastfeeding mother and baby, mom was found to be over income. Is the rest of the family WIC eligible?No, if infant doesn’t have Medicaid, all family members are no longer WIC eligible.

Coming Soon….

Breastfeeding women will be certified through infants’first birthday!

Page 60: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Children’s Special Health Care Services…

Client was certified due to infant enrolled on Medicaid. Johnny, the infant turned 1 in November and is no longer covered by Medicaid. Johnny is covered by CSHCS, but they used WIC eligibility to qualify at that time. What to do?Contact CSHCS to determine income amount used for eligibility. If less than 185% of poverty, child is income eligible.

Page 61: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Residency…

Clinic called regarding applicant who is illegal alien, but staying with local family. Can she be enrolled on WIC?Yes, if income eligible. WIC does not look at immigration status of participants. If she is working as a migrant, then verbal declaration of income applies.

Page 62: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Paying child support…

Applicant called to ask if all the child support her husband pays can be subtracted from family’s income?No, child support payments cannot be subtracted from payers income and children cannot be counted in economic unit.

Page 63: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Overtime pay….

Husband’s income variable due to overtime. $2213 for 2 week period, (annually $57,538) for a family of 7. Staff aware of pregnant mom, dad, 2 children, but don’t know WHO is 7th person in family. Can they ask for verification?Biweekly amount allowable, WIC should use YTD and divide by # weeks x 52 if variable incomeEconomic unit size is self declared.

Page 64: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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What are YOUR Questions?

Page 65: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Webcast

Webcast will be available at this address soonIf we didn’t answer your question…the questions and answers will be posted on WIC website when completed. A TIPS notice will be posted on MTRACX.Can view September 2006 income webcast at www.michigan.gov/WIC

Page 66: WIC Income Webcastwebcast.mihealth.org/wic/IncomeWebcast.pdf7 2007 WIC Income Guidelines 12 43.13 1726 3451 7476 89707 3.10 124 248 537 6438 Additional Members 13 46.23 1849 3698 8013

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Thank YOU!

For your attention and the excellent and caring services you

provide EVERY DAY!!!