WIC Toolkit for Children and Youth
with Special Health Care Needs
Listed below are fact sheets, forms and other information about
WIC's services to children and youth with special health care needs
(CYSHCN). For more information about special health care needs, consult
the website for Wisconsin's CYSHCN
Program.
| 1. |
Model for identification and
intervention |
PDF, 13
KB |
| A. |
Flow chart for identification and
intervention |
PDF, 28
KB |
| B. |
Roles and requirements for WIC
staff |
PDF, 19
KB |
| C. |
Guidance for the ROSIE diet tabs
|
PDF, 29
KB |
| D. |
Guidance for the ROSIE health
tabs |
PDF, 39
KB |
| E. |
Table of medical conditions |
PDF,
33 KB |
| F. |
Referral and communication
sheet |
PDF, 10
KB
|
| G. |
Formula
and medical nutritional prescriptions
|
PDF,
21 KB |
| H. |
Fax for special formula
requests |
Word-fillable,
59 KB |
| I. |
Prescription-required
WIC approved child formulas, medical foods and other foods
|
PDF,
46 KB |
| J. |
WIC
services for CYSHCN |
PDF, 82
KB |
| K. |
WIC
formulas and medical foods for infants and children |
PDF, 133
KB |
| L. |
Vitamin
and mineral supplements funded by Medicaid |
PDF,
39 KB |
| M. |
Prior authorization: health
check reimbursement
|
PDF, 73
KB |
| N. |
Letter explaining formula denial
|
Word-fillable,
44 KB |
| O. |
List of CYSHCN WIC nutritionists |
PDF,
14 KB |
| P. |
List of CYSHCN dietitians |
PDF,
31 KB |
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WIC Home Page
Last Revised: September 24, 2009
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