Food Packages Before

1

Bolded Text indicates a new food
item.Italicized Text indicates a change, such
as an increase or decrease.Amounts are listed
in monthly quantities.
2
PREGNANT WOMEN

• For All Womens Food Packages
• Whole wheat bread can be substituted for brown
  rice or whole wheat/corn tortillas.
• Only 1 pound of cheese may be substituted for 3
  quarts of milk. Additional cheese can be
  provided with
• medical documentation.
• Soy milk can be substituted for some or all of
  the cows milk without medical documentation.

3
FULLY BREASTFEEDING Mom Baby (Birth through 5
months)
This package is also provided to women Mostly
breastfeeding multiples and women pregnant with
multiples.
4
FULLY BREASTFEEDING Mom Baby (6 through 11
months)
This package is also provided to women Mostly
breastfeeding multiples and women pregnant with
multiples.
5
MOSTLY BREASTFEEDING Less than 50 of monthly
maximum of full formula Mom Baby (Birth
through 5 months)
The 1 can is not automatic but can be issued
after assessment discussion.
6
MOSTLY BREASTFEEDINGLess than 50 of monthly
maximum of full formulaMom Baby (6 through 11
months)
7
SOME BREASTFEEDING More than 50 of monthly
maximum of full formula Mom Baby (Birth
through 5 months)
8
SOME BREASTFEEDING More than 50 of monthly
maximum of full formula Mom Baby (6 through
11 months)
9
FULLY FORMULA FEEDINGMom Baby (Birth through 5
months)
10
FULLY FORMULA FEEDINGMom Baby (6 through 11
months)
11
Food Packages for Women Fully Breastfeeding
Multiple Infants
12
CHILDREN - (12 months 5 years)

• For Childrens Food Packages
• Whole wheat bread can be substituted for brown
  rice or whole wheat/corn tortillas.
• Only 1 pound of cheese may be substituted for 3
  quarts of milk. Additional cheese can be
  provided with
• medical documentation.
• Soy milk can be substituted for some or all of
  the cows milk with medical documentation.

13
Food Package IIIParticipants with Qualifying
Conditions
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Policy Issues To Remember
15
Milk will now be fat specific.

• Whole milk only to children 1 through 23 months
  of age
• 2, 1, or skim milk only to children 2 years of
  age and older and all women
• Exception can receive whole milk with medical
  documentation and receiving formula
• These rules apply to all milk substitutes as well
  such as lactose free/reduced milk, evaporated
  milk, etc.

16
Cheese Only 1 Pound Allowed

• Cheese can be substituted for 3 quarts of milk
  with a maximum of 1 pound substituted.
• Additional cheese can be substituted with medical
  documentation.

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All participants will be offered the max package.

• There will be no more standard and max packages
  for each participant type.
• Documentation must be completed if less than the
  max package is provided. Package Comments link
  on Food Package tab in WICnet.
• Reasons to document include
• Not issuing a food item
• Reducing the amount of a food item (ex. baby
  food)
• Breastfeeding assessments 1 can during the
  first month
• Still very important to review food usage at each
  appointment

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Substitutions

• Juice frozen or plastic containers
• 1 of each could be an option for children
• Cheese 1 pound maximum substitution
• Soy Milk full fluid milk amount
• Women - without medical documentation
• Children only with medical documentation
• Whole Grains bread, tortillas, rice
• Beans dry or canned
• Canned Fish tuna or pink salmon (2 sizes)
• Baby Food jars or plastic

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Staff Resources

• Food Package Summary Sheet
• Food Package Maximums
• Food Package Substitutions
• Substitution Cheat Sheet
• Infant Food Package Summary
• Fully Breastfeeding Multiples Food Package
  Summary

Go to our website at http//www.ndhealth.gov/wic/W
IC20Foods20-20Participant.htm.
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Thanks!

• Thanks to the New Your State WIC program for use
  of their materials to adapt in creating this
  presentation.