CT: 3 Physical Presence

Effective Date: 12/00 Downloads: PDF Version    Revised Date: 01/05
   

Policy

Individuals seeking participation in the WIC Program will be physically present at the initial WIC certification and subsequent certifications, except in certain limited circumstances.

Procedure

All applicants/participants will be physically present at initial and subsequent certifications. Clinic staff will mark on each participant’s medical/nutrition questionnaire whether they were physically present at certification or not.

 

If the participant is not physically present there needs to be an indication of why an exception was granted and/or a copy of the document(s) in the file which explains the reason for the exception. Exceptions will be documented on the “WIC Participant Statement/Documentation” form.

 

Physical Presence must be reassessed at each certification.

 

Exceptions to the Physical Presence Requirement Due to a Disability

Local agencies are required to exempt from the physical presence requirement applicants who are qualified individuals with disabilities and are unable to be physically present at the WIC clinic because of their disabilities. However, all persons with disabilities are not automatically exempt from the physical presence requirement. Only those disabilities that create a current barrier to the physical present requirement.

 

1.  Exceptions for providing reasonable accommodations of disabilities for women, infants, and children at certification and subsequent certifications include;An applicant or parent/caretaker of an applicant who is a qualified individual with disabilities and is unable to be physically present at the WIC clinic because of his/her disabilities may be certified and subsequently certified without being physically present.

Conditions which meet this standard are:

a)  a medical condition that necessitates the use of medical equipment that is not easily transportable;

b)  a medical condition that requires confinement to bed rest; or

c)  a serious illness that may be exacerbated by coming into the clinic.

2.   Under certain circumstances, an infant or child may be exempt from being physically present at subsequent certifications, only if being physically present would cause an unreasonable barrier.

a)  An infant or child who was present at his/her initial WIC certification and has documented ongoing health care from a provider.

b)  An infant or child who was present at his/her initial WIC certification and was present at a WIC certification or recertification determination within the 1-year period ending on the date of the most recent certification or recertification determination and is under the care of one or more working parents/caregivers whose working status presents a barrier to bringing the infant or child to the WIC clinic. If there are two parents/caregivers, the working status of both must present a barrier to bringing the infant or child to the WIC clinic.

c)  An infant under 8 weeks of age who cannot be present at certification and has documented ongoing health care from a provider. All necessary certification information must be provided.

In all cases Anthropometric/Biochemical data must be obtained by another provider.

Definitions

Applicant:  A pregnant, breastfeeding or postpartum woman; infant; or child who is applying to receive WIC Program benefits and includes individuals who are subsequently applying after the expiration of a certification period.

 

Individuals with Disabilities:

Individuals who have a physical and/or mental condition that causes substantial and ongoing functional limitations in one or more of the following areas: mobility, self care, communication/social interaction, learning, self-direction, vision, hearing, capacity for independent living, or capacity for economic self-sufficiency.

 

Severe Disabilities:

A person with severe disabilities requires or has the potential to require the individual and/or his family/caregivers (in relationship to the individual’s care) to access a complex array of services from public/private service providers in order to achieve optimal care for the individual and the access/coordination of these services may exceed the immediate capabilities of the family/caregivers. The services are anticipated to be lifelong or of extended duration and require individualized planning and coordination.