Illinois WIC Program Nutrition Practice Standard- Explanation of … · 2018-04-13 · Nutrition Practice Standard- Explanation of WIC Food Benefits Letter July 2016 ... feedings

NPS –Additional Formula Assistance July 2016 1

Illinois WIC Program Nutrition Practice Standard- Explanation of WIC Food Benefits Letter July 2016

Nutrition Practice Standards are provided to assist staff in translating policy into practice. This guidance is intended to be used in conjunction with the Illinois WIC Policy and Procedure Manual. The Illinois WIC Program Formulary includes certain exempt infant formulas and WIC eligible nutritionals. These items comply with the definition in section 412(h) of the Federal Food, Drug and Cosmetic Act (21U.S.C. 350a(h)) and meet the requirements under section 412 of the Federal Food, Drug Act (21 U.S.C. 350a) and regulations at 21 CFR parts 106 and 107. These items are referred to as “Medically Prescribed Formulas.” The Formulary is reviewed on an annual basis to ensure a sufficient variety of products is available, however WIC is a supplemental program and will not meet everyone’s needs. For participants who have a current medical card, Illinois Department of Healthcare and Family Services (HFS) may authorize payment for non-WIC formulas, participants who are 100% tube fed or for quantities exceeding what WIC can provide. Participants must go through a Durable Medical Equipment 1 (DME) provider who will supply the formula and process the necessary paperwork to submit to HFS for payment. The purpose of the Explanation of WIC Food Benefits letter is to assist with program integrity efforts by standardizing communication with HFS to ensure participants are not receiving formula products from both programs.

When to Complete the Explanation of WIC Food Benefits Letter:

WIC participants may present to the clinic with a WIC Formula and Medical Nutritional Prescriptions form requesting: • A WIC approved formula, in which the prescribed amount exceeds the amount provided by WIC, (overage).

o In these instances WIC CHPs may offer a referral for medically prescribed formula assistance from HFS. Staff should make the prescribing health professional aware of the amount WIC can provide.

• A formula not offered on the WIC Formulary (non-WIC formula) o The WIC Formulary is shared annually with HFS therefore a letter from WIC is not needed. Staff should

advise the prescribing health professional of viable options provided through WIC. o If the health professional is not willing to change to a WIC Formulary product participants should be advised

to work through a DME provider who contracts with HFS to try and obtain the product. • A WIC approved formula in which the participant does not consume food orally (NPO) and is fed 100% via a

feeding tube. In these instances, WIC CHP’s may offer a referral for medically prescribed formula assistance from HFS and the participant would not receive benefits through WIC.

o WIC Staff should complete the HFS Explanation of WIC Food Benefits letter so the participant can obtain the full prescription amount through HFS. The participant should be instructed to return to WIC when feedings by mouth resume to be re-evaluated.

NPS –Additional Formula Assistance July 2016 2

FI08- Medically Prescribed Formula: In order to clearly respond to questions regarding possible fraud or abuse of the program and to encourage agency staff to assess potential use of DME services, the following question must be answered when providing a Medically Prescribed formula. “Does the participant receive formula through a DME provider?” See below for guidance on how to answer this question.

Scenario How to Answer Reason

Receiving formula through WIC & DME

Y

Overage: The participant is currently receiving formula through a DME provider. Document what the participant is receiving and the name of the DME provider from whom services are being received in case notes. Other: Participants who are receiving formula through a DME provider and WIC. Determination as to whether this is appropriate needs to be assessed on a case by case basis. Contact your Regional Nutritionist Consultant.

100% tube fed, provided 1 month of formula until DME services initiated

N The participant is not currently receiving formula through a DME provider. Document pertinent information in case notes.

Ineligible, terminated, never certified in WIC

Cornerstone screens would not be completed.

1 Each local agency needs to determine the DME provider(s) available in their community to whom participants may be referred for additional formula assistance.

3

Explanation of WIC Food Benefits:

A. ____________________________________________has been found: (Name) (Date of Birth)

Active in WIC for the time frame of _________________ through _______________ Terminated from WIC on: _________________________ Ineligible for WIC

B. He/She has been prescribed ___________________________

(Name of formula)

C. Participant is: Not receiving formula from WIC, 100% tube fed, no oral intake

Provided 1 month of formula from ________ to ________ until DME process initiated

Receiving formula from WIC in the amounts indicated in the chart below. Amount WIC provides does not meet the needs of the participant as prescribed by the physician.

Month Day (if known) Year Number of Cans

January February

March April May June July

August September

October November December

D. Comments: (include participant contact information)

E. Thank you for your assistance,

________________________________________ ____________________________________________ (signature, date) (name of local agency, phone number)

This institution is an equal opportunity provider.

4

How to Complete the Explanation of WIC Food Benefits Letter: Step 1: Obtain a completed WIC Formula and Medical Nutritional Prescriptions form; ensure all required information

is documented as indicated in the Illinois WIC PPM, Supplemental Food section. (If the participant is terminated/ineligible, a prescription form is not required)

Step 2: Complete the Explanation of WIC Food Benefits letter

A. Name of participant Date of Birth Check the appropriate box regarding the participants eligibility status:

• if active, indicate the certification and termination dates • if terminated, indicate the date participant terminated from the program • if not eligible, indicate ineligible for WIC

If the participant is terminated or ineligible for the program, continue with E. and complete the remaining steps

B. Indicate name of formula prescribed C. Check the appropriate box regarding what WIC is providing to the participant:

• Not receiving formula from WIC o ingesting formula solely through a feeding tube and is not taking anything by mouth o if 1 month of formula is provided until the DME process is initiated, check this box and

indicate the date ranges on the food instruments • Receiving formula from WIC

• If the participant takes formula or food orally but the amount that WIC provides does not meet the amount prescribed by the physician. Complete the chart indicating the amount of formula provided by WIC for each month according to the WIC formulary for the entire certification period of the participant. If there is a change in the product prescribed during this timeframe and an overage is still warranted, a new referral letter should be completed.

D. Include participant contact information and any pertinent comments to clearly explain the situation and assist with the approval request from WIC’s perspective. For example, a change in formula resulting in completion of a new letter, etc.

E. Sign, date, include name of local agency and telephone number Step 3: Keep a copy of the WIC Formula and Medical Nutritional Prescriptions form and letter in the participant file.

Document pertinent information in case notes. Step 4: Instruct the participant/caretaker to take the completed letter with original WIC Formula and Medical

Nutritional Prescriptions form to a DME provider who contracts with HFS. The DME will then submit the request to HFS for approval and subsequent reimbursement. Allow 30 days for HFS approval/authorization for the request.

If the DME provider or HFS should decline the referral/request, the participant should be referred to the Family Case Manager and/or sources of financial or food assistance in the community. Formula manufacturers may also have patient assistance programs available; refer to the appropriate website for further information. In addition, the participant should be instructed to communicate with their physician regarding the denial, ability of the participant to obtain the prescribed formula, the amount of formula they are receiving and what products are available through WIC.

Abbott Products http://www.abbott.com Mead Johnson http://www.mjn.com Nestle http://www.nestle-nutrition.com/default.aspx Nutricia North America

http://www.shsna.com/index.htm

http://www.abbott.com/

http://www.mjn.com/

http://www.nestle-nutrition.com/default.aspx

http://www.shsna.com/index.htm

Pregnant Multiples

FP Tables- Pregnant with Multiples-10.15.doc, revised 1.11; 5.14; 10.14; 1.15; 10.15

Package Number Milk Cheese Cereal Whole grain Eggs Juice FVV Beans Peanut

Butter Tuna/ Salmon

Standard for Multiple Gestation-Only for women pregnant with 2 or more fetuses.

150 6 gallons 1 lb 36 oz 1 lb

whole wheat bread or pasta

2 doz 144 fl oz (3- 48 oz cont.) $11

1lb dry

beans

18 oz peanut butter

6- 5 oz cans

155 6 gallons 1 lb 36 oz 1 lb

brown rice, tortillas or oatmeal

2 doz 144 fl oz (3- 48 oz cont.) $11

4 cans canned beans

18 oz peanut butter

6- 5 oz cans

Low Lactose-Multiple Gestation-Only for women pregnant with 2 or more fetuses.

160 12 -1/2 gallons

lactose free 0 36 oz

1 lb whole wheat

bread or pasta 2 doz 144 fl oz

(3- 48 oz cont.) $11 1lb dry

beans

18 oz peanut butter

6- 5 oz cans

165 12 -1/2 gallons

lactose free 1 lb 36 oz

1 lb brown rice, tortillas or oatmeal

2 doz 144 fl oz (3- 48 oz cont.) $11

1lb dry

beans

18 oz peanut butter

6- 5 oz cans

Soy Milk-Multiple Gestation-Only for women pregnant with 2 or more fetuses.

170 11-1/2 gallons soy 0 36 oz


2 doz 144 fl oz (3- 48 oz cont.) $11

1lb dry

beans

18 oz peanut butter

6- 5 oz cans

Food Allergy-multiple gestation-Only for women pregnant with 2 or more fetuses.

175 6 gallons milk 1 lb 36 oz


0 144 fl oz (3- 48 oz cont.) $11

2 lbs dry

beans 0 6- 5 oz

cans

No Refrigeration-Multiple Gestation-Only for women pregnant with 2 or more fetuses.

180 3 -25.6 oz

boxes non-fat dry milk (24 qts)

0 36 oz 1 lb

whole wheat bread

0 18- 8 oz

containers (144) fl oz

$11 4 cans canned beans

18 oz peanut butter

6- 5 oz cans

Pregnant Tables

FP Tables- Pregnant 10.15 FINAL.docxrevised 10.14; 1.15; 10.15

Pregnant

Package # Milk Cheese Cereal Whole grain Eggs Juice FVV Beans Peanut Butter

Standard-single gestation

100 5 gallons and 2 qts milk 0 36 oz 1 lb

whole wheat bread or pasta

1 doz 3 - 48 oz

containers (144 fl oz)

$11 1lb dry beans

18 oz peanut butter

105 4 gallons and 3 qts milk 1 lb cheese 36 oz


1 doz 3 - 48 oz



18 oz peanut butter

Low Lactose-Single Gestation

110 11-1/2 gallons lactose free milk 0 36 oz

1 lb whole wheat

bread or pasta 1 doz

3 - 48 oz containers (144 fl oz)

$11 1lb dry beans

18 oz peanut butter

115 9-1/2 gallons and 1 qt lactose free milk

1 lb cheese 36 oz


1 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

Soy Milk-single gestation

120 11-1/2 gallons soy milk 0 36 oz


1 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

Food Allergy-single gestation

125 4 gallons and 3 qts milk 1 lb cheese 36 oz


0 3 - 48 oz


$11 2 lbs dry beans 0

No Refrigeration-single gestation

130 2 -25.6 oz & 2 -9.6 oz boxes non-fat dry milk

(22 qts) 0 36 oz

1 lb whole wheat

bread 0

18 -8oz containers (144 fl oz)

$11 0 2-18 oz peanut butter

**additional specialized packages on back**

Pregnant Tables

FP Tables- Pregnant 10.15 FINAL.docxrevised 10.14; 1.15; 10.15

Package # Milk Cheese Cereal Whole Grain Eggs Juice FVV Beans Peanut

Butter Tuna/

Salmon Women who are partially or exclusively breastfeeding and become pregnant

185 6 gallons milk

1 lb cheese 36 oz

1 lb whole wheat

bread or pasta 2 doz

3 -48 oz containers (144 fl oz)

$11 1 lb dry beans

18 oz peanut butter

6-5oz cans

190 6 gallons milk

1 lb cheese 36 oz


2 doz 3- 48 oz



18 oz peanut butter

6- 5oz cans

Basic Packages- Fully Formula Dyad

basic 2.2017.docxOctober 10.2015; 12.2015; 2.2016; 2.2017

Basic – Infant (Birth - 3 months)

Package # Quantity

of Formula

Total Ounces/ Month

Type Cereal Baby Food (Fruit/Veg)

Baby Food

(Meats) Comments

Milk Based (Federal Maximum Monthly Allowance- 806 - 870 fl oz)

410 9 810 fl. oz Enfamil Infant powder 0 0 0 27 oz/day

411 31 806 fl. oz Enfamil Infant concentrate 0 0 0 26 oz/day

412 17 6-packs 816 fl. oz Enfamil Infant

RTU- 8oz 0 0 0 27 oz/day

Soy

429 9 837 fl. oz Prosobee powder 0 0 0 27 oz/day

430 31 806 fl. oz Prosobee concentrate 0 0 0 26 oz/day

431 17 6-packs 816 fl. oz Prosobee


Partially Hydrolyzed

454 9 810 fl oz Gentlease powder 0 0 0 27 oz/day

Rice Thickened

455 9 819 fl. oz Enfamil AR powder 0 0 0 27 oz/day

456 17 6-packs 816 fl. oz Enfamil AR




Basic Infant (4 & 5 months)

Package # Quantity

of Formula

Total Ounces/ Month


Baby Food

(Meats) Comments


510 10 900 fl.oz Enfamil Infant powder 0 0 0 30 oz/day





554 10 900 fl. oz Gentlease powder 0 0 0 30 oz/day

Soy





Rice Thickened

555 10 910 fl.oz Enfamil AR powder 0 0 0 30 oz/day





Basic Infant (6-11months)

Package # Quantity

of Formula

Total Ounces/ Month


Baby Food

(Meats) Comments

Milk Based (Federal Maximum Monthly Allowance- 624 -696 fl oz)

610 7 630 fl. oz Enfamil Infant powder 24 oz 32- 4 oz

containers 0 21 oz/day

611 24 624 fl. oz Enfamil Infant concentrate 24 oz 32- 4 oz



RTU- 8oz 24 oz 32- 4 oz containers 0 20 oz/day


654 7 630 fl. oz Gentlease powder 24 oz 32- 4 oz


Soy

600 7 651 fl. oz Prosobee powder 24 oz 32- 4 oz


634 24 624 fl. oz Prosobee concentrate 24 oz 32- 4 oz




Rice Thickened

655 7 637 fl. oz Enfamil AR powder 24 oz 32- 4 oz






Basic- Women

Package # Milk Cheese Cereal Whole grains Eggs Juice FVV Legumes

Standard w/Peanut Butter

200 4 gallons 0 36 oz 0 1 doz 2 - 48 oz

containers (96 fl oz.)

$11 18 oz peanut butter

Standard w/Beans

205 4 gallons 0 36 oz 0 1 doz

2 - 48 oz containers (96 fl oz.)

$11 1 lb dry beans/peas

210 3 gallons and 1 quart 1 lb 36 oz 0

1 doz



Low Lactose

215 8 -1/2 gallons lactose free milk 0 36 oz 0

1 doz



Soy Milk

220 4 gallons soy milk 0 36 oz 0

1 doz



Food Allergy

225 3 gallons and 1 quart milk 1 lb 36 oz 0

1 doz



No Refrigeration

230 2 -25.6 oz boxes non-fat dry milk

(16 qts) 0 36 oz 0 0



Breastfed Multiples Dyads

FP Tables Breastfeeding MULTIPLES effective 10.2015; 2.2016

The following packages are designed for two or more infants who are exclusively breastfed, all of which must receive one of the following food packages.

Exclusively Breastfed Multiples- Infant

Package # Quantity

of Formula

Total Ounces/ Month


Baby Food (Meats) Comments

Exclusively Breastfeeding 0-12 months

422 0 0 Breastmilk is

Mom's Priceless Gift

0 0 0 Issue from birth up to 3 months.



0 0 0 Issue from 4 months up to 5 months.

605 0 0

Breastmilk is Mom's Priceless

Gift

24 oz. infant cereal

64 -4 oz containers/month

31-2.5 oz containers/month Issue from 6 months to 12 months.



The following packages are designed for women who are Exclusively Breastfeeding two or more infants. For the participant to receive the Full Nutritional Benefit allowed, which is 1.5 times the amount of food for an exclusively breastfeeding woman, the CHP must enter two different packages. For example, for a woman who prefers bread the CHP would enter FP #250 for 1 month and FP #150 for the next month. This cycle would continue for the length of the certification period.

Exclusively Breastfeeding Multiples- Women


Tuna/ Salmon

Standard


2 lbs whole wheat

bread/buns or pasta

4 doz 288 fl oz juice $22

2 lbs dry

beans

36 oz peanut butter

12 cans


1 lb whole wheat

bread/buns or pasta

2 doz 144 fl oz (3- 48 oz cont.) $11

1 lb dry

beans

18 oz peanut butter

6 cans


2 lbs brown rice, tortillas or oatmeal

4 doz 288 fl oz juice $22

2 lbs dry

beans

36 oz peanut butter

12 cans

155

6 gallons milk 1 lb 36 oz


2 doz 144 fl oz (3- 48 oz cont.) $11

4 cans canned beans

18 oz peanut butter

6 cans





Tuna/ Salmon

Low Lactose

260 24-1/2 gallons lactose free

milk 2 lb 72 oz

2 lbs whole wheat

bread/buns or pasta

4 doz 288 fl oz juice $22 2 lbs dry

beans

36 oz peanut butter

12 cans


milk

0 36 oz 1 lb

whole wheat bread/buns or

pasta

2 doz 144 fl oz

(3 - 48 oz cont)

$11 1lb dry beans

18 oz peanut butter

6 cans


milk 2 lb 72 oz


4 doz 288 fl oz juice $22 2 lbs dry

beans

36 oz peanut butter

12 cans


milk

1 lb cheese

36 oz


2 doz 144 fl oz (3 - 48 oz cont) $11

1lb dry

beans

18 oz peanut butter

6 cans

Soy Milk

270 22-1/2 gallons soy milk

2 lb 72 oz


4 doz 288 fl oz juice $22 2 lbs dry beans

36 oz peanut butter

12 cans



2 doz 144 fl oz (3 - 48 oz cont) $11 1lb

dry beans

18 oz peanut butter

6 cans





Tuna/ Salmon

Food Allergy

275 12 gallons milk

2 lbs 72 oz


0 288 fl oz juice $22 2 lbs dry beans 0 12

cans

175 6 gallons milk

1 lb cheese 36 oz


0 144 fl oz (3 - 48 oz cont) $11

2 lb dry

beans 0 6 cans

No Refrigeration

280 6 -25.6 oz

boxes non-fat dry milk (48 qts)

0 72 oz Cereal

2 lbs whole wheat bread/buns

0 36- 8 oz cans

Juice (288 fl oz)

$22 8 cans canned Beans

0 12 cans

180 3 -25.6 oz

boxes non-fat dry milk

0 36 oz

1 lb whole wheat bread/buns

0 18- 8oz



18 oz peanut butter

6 cans



The following packages are designed for two or more infants who are partially breastfed, all of which must receive one of the following food packages.

Partially Breastfed Multiples- Infant Birth up to 1 month of age

Package # Quantity of Formula

Total Ounces/ Month


Baby Food

(Meats) Comments

No supplemental formula is provided in the first month.

1 month up to 3 months of age (Federal Maximum Monthly Allowance- 364 – 435 fl oz)









Partially Breastfed Multiples- Infant 4th and 5th months (Federal Maximum Monthly Allowance- 442 – 522 fl oz)


Total Ounces/ Month


Baby Food

(Meats) Comments







6 to 12 months (Federal Maximum Monthly Allowance- 312 – 384 fl oz)

607 2 180 fl. oz Enfamil Infant powder


32- 4 oz containers 0 6 oz/day




651 2 186 fl. oz Prosobee powder






696 2 180 fl. oz Gentlease powder








The following packages are designed for women who are Partially Breastfeeding two or more infants. These women are eligible to receive the same amount of foods as women who exclusively breastfeed one infant.

Partially Breastfeeding Multiples- Women


Tuna/ Salmon

Standard

150 6 gallons milk

1 lb cheese

36 oz

1 lb

whole wheat bread/buns or

pasta

2 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

6

cans

155 6 gallons milk

1 lb cheese

36 oz

1 lb


2 doz 3 - 48 oz


$11

4 cans canned beans

18 oz peanut butter

6 cans

Low Lactose

160

12-1/2 gallons

lactose free milk

0 36 oz

1 lb whole wheat

bread/buns or pasta

2 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

6 cans

165

12-1/2 gallons

lactose free milk

1 lb cheese

36 oz


2 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

6 cans

Soy Milk

170 11-1/2 gallons soy milk

0 36 oz


2 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

6 cans



Food Allergy

175 6 gallons milk

1 lb cheese

36 oz


0 3 - 48 oz


$11 2 lb dry beans 0

6 cans

No Refrigeration

180

3 -25.6 oz

boxes non-fat dry

milk

0 36 oz


0 18- 8oz



18 oz peanut butter

6 cans

Partially Breastfeeding Multiples- Women


Tuna/ Salmon

Breastfeeding Basic Dyad- Infant receives max formula, mom breastfeeding

breastfeeding basic 2.2017.docx10.2015; 12.2015; 2.2016; 2.2017

Breastfeeding Basic – Infant (Birth - 3 months)

Package # Quantity

of Formula

Total Ounces/ Month


Baby Food

(Meats) Comments







454 9 810 fl oz Gentlease powder 0 0 0 27 oz/day

Soy





Rice Thickened

455 9 819 fl. oz Enfamil AR powder 0 0 0 27 oz/day





Breastfeeding Basic Infant (4 & 5 months)

Package # Quantity

of Formula

Total Ounces/ Month


Baby Food

(Meats) Comments


510 10 900 fl.oz Enfamil Infant powder 0 0 0 30 oz/day






Soy





Rice Thickened

555 10 910 fl.oz Enfamil AR powder 0 0 0 30 oz/day





Breastfeeding Basic Infant (6-11months)

Package #

Quantity of

Formula

Total Ounces/ Month


Baby Food (Meats) Comments

Milk Based (Federal Maximum Monthly Allowance- 624 -696 fl oz)

610 7 630 fl. oz Enfamil Infant powder 24 oz 32- 4 oz


611 24 624 fl. oz Enfamil Infant concentrate 24 oz 32- 4 oz





654 7 630 fl. oz Gentlease powder 24 oz 32- 4 oz


Soy

600 7 651 fl. oz Prosobee powder 24 oz 32- 4 oz


634 24 624 fl. oz Prosobee concentrate 24 oz 32- 4 oz




Rice Thickened

655 7 637 fl. oz Enfamil AR powder 24 oz 32- 4 oz






Breastfeeding Basic- Women

Package # Milk Cheese Cereal Whole grains Eggs Juice FVV Legumes


200 4 gallons 0 36 oz 0 1 doz 2 - 48 oz



Standard w/Beans

205 4 gallons 0 36 oz 0 1 doz




1 doz



Low Lactose

215 8 -1/2 gallons lactose free milk 0 36 oz 0

1 doz



Soy Milk

220 4 gallons soy milk 0 36 oz 0

1 doz



Food Allergy


1 doz



No Refrigeration


(16 qts) 0 36 oz 0 0



Women over 6 months postpartum who breastfeed, but infant receives full formula package240 Your Child Has You and You Have WIC

Grand Deluxe- Exclusively Breastfeeding Dyad

grand deluxe 2.2016.docxrevised 10.15; 2.2016

Grand Deluxe--Exclusively Breastfed- Infant Food Pkg.# Quantity

of Formula

Total Ounces/ Month


Baby Food (Meats)

Comments

Exclusively Breastfeeding 0-12 months



0 0 0 Issue from birth up to 3 months.



0 0 0 Issue from 4 months up to 5 months.

605 0 0

Breastmilk is Mom's Priceless

Gift 24 oz. infant cereal 64 -4 oz

containers/month 31-2.5 oz

containers/month Issue from 6 months to 12 months.

Grand Deluxe--Exclusively Breastfeeding- Women Package Number Milk Cheese Cereal Whole grain Eggs Juice FVV Beans Peanut

Butter Tuna/

Salmon Standard-single infant

150 6 gallons milk

1 lb cheese

36 oz

1 lb whole wheat

bread/buns or pasta

2 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

6- 5oz cans

155 6 gallons milk 1 lb

cheese

36 oz

1 lb brown rice, tortillas

or oatmeal

2 doz 3 - 48 oz


$11

4 cans canned beans

18 oz peanut butter

6- 5oz cans

Grand Deluxe- Exclusively Breastfeeding Dyad

grand deluxe 2.2016.docxrevised 10.15; 2.2016

Low Lactose-single infant

160 12-1/2 gallons

lactose free milk

0 36 oz 1 lb

whole wheat bread/buns or pasta

2 doz 3 - 48 oz


$11 1lb dry beans

18 oz peanut butter

6- 5oz cans

165 12-1/2 gallons

lactose free milk

1 lb cheese

36 oz


or oatmeal 2 doz


$11 1lb dry beans

18 oz peanut butter

6- 5oz cans

Soy Milk-single infant



or oatmeal 2 doz


$11 1lb dry beans

18 oz peanut butter

6- 5oz cans

Food Allergy-single infant

175 6 gallons milk

1 lb cheese

36 oz


or oatmeal

0 3 - 48 oz


$11 2 lb dry beans 0 6- 5oz cans

No Refrigeration-single infant

180 3 -25.6 oz boxes non-fat dry milk 0 36 oz


0 18- 8oz



18 oz peanut butter

6- 5oz cans

Deluxe Packages –Partially Breastfeeding Dyad

deluxe february 2016.docx1.15; 10.2015; 2.2016

Deluxe- Infant Birth up to 1 month of age


Total Ounces/ Month


Baby Food

(Meats) Comments

No supplemental formula is provided in the first month.

1 month up to 3 months of age (Federal Maximum Monthly Allowance- 364 – 435 fl oz)









Deluxe- Infant 4th and 5th months (Federal Maximum Monthly Allowance- 442 – 522 fl oz)


Total Ounces/ Month


Baby Food

(Meats) Comments







6 to 12 months (Federal Maximum Monthly Allowance- 312 – 384 fl oz)





















Deluxe- Women Package

# Milk Cheese Cereal Whole grain Eggs Juice FVV Beans Peanut Butter

Standard-single gestation

100 5 gallons and 2 qts

milk 0 36 oz

1 lb whole wheat

bread/buns or pasta

1 doz 3 - 48 oz


$11 1lb dry beans/peas

18 oz peanut butter

105 4 gallons and 3 qts milk

1 lb cheese 36 oz


1 doz 3 - 48 oz



18 oz peanut butter

Low Lactose-Single Gestation

110 11-1/2 gallons lactose free milk 0 36 oz

1 lb whole wheat

bread/buns or pasta

1 doz 3 - 48 oz



18 oz peanut butter

115 9-1/2 gallons and

1 quart lactose free milk

1 lb cheese 36 oz


1 doz 3 - 48 oz



18 oz peanut butter

Soy Milk-single gestation



1 doz 3 - 48 oz



18 oz peanut butter

Food Allergy-single gestation

125 4 gallons and 3 qts milk

1 lb cheese 36 oz


0 3 - 48 oz


$11 2lb dry beans/peas 0

No Refrigeration-single gestation

130 2 -25.6 oz and 2 -9.6 oz boxes non-fat dry milk

(22 qts)

0 36 oz


0 18 -8oz


$11 0 2-18 oz peanut butter

Toddler Packages

FP Tables- Toddler 2.16.doc1.15; 2.2016

Toddler (12-23 months) Package Number

Milk (whole) Cheese Cereal Whole grains Eggs Juice FVV Legumes Comments


300 4 gallons 0 36 oz 2 lbs


1 doz 2 - 64 oz



305 3 gallons and 1 qt 1 lb 36 oz

2 lbs brown rice, tortillas or

oatmeal 1 doz



Standard w/Beans



1 doz 2 - 64 oz





oatmeal 1 doz



Low Lactose

320 8- 1/2 gallons lactose free milk 0 36 oz

2 lbs whole wheat

bread/buns or pasta 1 doz



325 6 --1/2 gallons and

1 quart lactose free milk

1 lb 36 oz 2 lbs


1 doz 2 - 64 oz



Soy Milk

330 8- 1/2 gallons soy milk 0 36 oz


oatmeal 1 doz



Food Allergy



oatmeal 0





oatmeal 0 128 fl oz

(2 - 64 oz cont) $8 1 lb dry beans/peas

No Refrigeration


(16 qts) 0 36 oz

2 lbs whole wheat bread/buns

0 16 -8 oz containers $8 18 oz

peanut butter

Child Packages

FP Tables- Child 2.2016.doc1.15; 2.2016

Child (age 2 and up) Package # Milk Cheese Cereal Whole grains Eggs Juice FVV Legumes Comments




1 doz 2 - 64 oz



355 3 gallons and 1 qt 1 lb 36 oz 2 lbs brown rice,

tortillas or oatmeal 1 doz 2 - 64 oz



Standard w/Beans



1 doz 2 - 64 oz



365 3 gallons and 1 qt 1 lb 36 oz 2 lbs brown rice,

tortillas or oatmeal 1 doz 2 - 64 oz



Low Lactose

370 8--1/2 gallons lactose free milk 0 36 oz

2 lbs whole wheat




375 6 --1/2 gallons and

1 qt lactose free milk

1 lb 36 oz 2 lbs brown rice, tortillas or oatmeal 1 doz



Soy Milk


2 lbs whole wheat




Food Allergy

385 3 gallons and

1 qt cow’s milk

1 lb 36 oz 2 lbs brown rice, tortillas or oatmeal 0



395 8- 1/2 gallons soy milk 0 36 oz 2 lbs brown rice,

tortillas or oatmeal 0 128 fl oz (2 - 64 oz

cont) $8 1 lb dry

beans/peas

No Refrigeration

390 2 -25.6 oz boxes

non-fat dry milk (16 qts)

0 36 oz 2 lbs

whole wheat bread/buns

0 16 -8 oz containers $8 18 oz

peanut butter

Table X‐ Medically Fragile

table x medically fragile 2.2017.docx 12.2015; 2.2016; 2.2017 1

All packages in this table require a completed IL WIC prescription form

Medically Fragile‐ Infants 0‐3 months

Package Number Quantity Type Formula Cereal

Baby Food (F/V)

Baby Food (Meat)

Comments

Premature and Transitional Formulas

705 10 cans powder Similac Neosure 0 0 0 13.1 oz can‐ 87 fl oz

713 10 cans powder Enfamil EnfaCare 0 0 0 12.8 oz can‐ 82 fl oz

716 17 (6‐packs) ready to use Enfamil EnfaCare 0 0 0 8 oz bottle

Casein Hydrolysate Formulas

831 10 cans powder Alimentum 0 0 0 12.1 oz can‐ 87 fl oz

733 26 cans ready to use Alimentum 0 0 0 32 oz can

703 8 cans powder Pregestimil 0 0 0 16 oz can‐ 112 fl oz

700 10 cans powder Nutramigen w/Enflora LGG 0 0 0 12.6 oz can‐ 87 fl oz

Amino Acid Based Formulas

792 9 cans powder PurAmino DHA & ARA 0 0 0 14.1 oz can‐ 98 fl oz

972 9 cans powder EleCare 0 0 0 14.1 oz can‐ 95 fl oz

985 10 cans powder Neocate Infant 0 0 0 14.1 oz can‐ 97 fl oz

Other Specialized Pediatric Nutrition Products

904 8 cans powder Similac PM 60/40 0 0 0 14.1 oz can‐ 102 fl oz



Medically Fragile‐ Infants 4‐5 months

Package Number

Quantity of Formula Type Formula Cereal

Baby Food (F/V)

Baby Food (Meat)

Comments


775 11 cans powder Similac Neosure 0 0 0 13.1 oz can‐ 87 fl oz

749 11 cans powder Enfamil EnfaCare 0 0 0 12.8 oz can‐ 82 fl oz

799 19 (6‐packs) ready to use Enfamil EnfaCare 0 0 0 8oz bottle


832 11 cans powder Alimentum 0 0 0 12.1 oz can‐ 87 fl oz

770 28 cans ready to use Alimentum 0 0 0 32 oz can

753 8 cans powder Pregestimil 0 0 0 16 oz can‐ 112 fl oz

750 11 cans powder Nutramigen w/Enflora LGG 0 0 0 12.6 oz can‐ 87 fl oz


794 10 cans powder PurAmino DHA & ARA 0 0 0 14.1 oz can‐ 98 fl oz

712 10 cans powder EleCare 0 0 0 14.1 oz can‐ 95 fl oz

925 11 cans powder Neocate Infant 0 0 0 14.1 oz can‐ 97 fl oz


885 9 cans powder Similac PM 60/40 0 0 0 14.1 oz can‐ 102 fl oz



Medically Fragile‐ Infants 6‐ 12 months

Package Number

Quantity of Formula Type Formula Cereal Baby Food

(F/V) Baby Food (Meat) Comments


795 8 cans powder Similac Neosure 24 oz 32‐ 4 oz containers 0 13.1 oz can‐ 87 fl oz

779 8 cans powder Enfamil EnfaCare 24 oz 32‐ 4 oz containers 0 12.8 oz can‐ 82 fl oz

732 13 (6‐packs) ready to use Enfamil EnfaCare 24 oz 32‐ 4 oz containers 0 8oz bottle


833 8 cans powder Alimentum 24 oz 32‐ 4 oz containers 0 12.1 oz can‐ 87 fl oz

822 20 cans ready to use Alimentum 24 oz 32‐ 4 oz containers 0 32 oz can

793 6 cans powder Pregestimil 24 oz 32‐ 4 oz containers 0 16 oz can‐ 112 fl oz

790 8 cans powder Nutramigen w/Enflora LGG 24 oz 32‐ 4 oz containers 0 12.6 oz can‐ 87 fl oz


796 7 cans powder PurAmino DHA & ARA 24 oz 32‐ 4 oz containers 0 14.1 oz can‐ 98 fl oz

710 7 cans powder EleCare 24 oz 32‐ 4 oz containers 0 14.1 oz can‐ 95 fl oz

929 8 cans powder Neocate Infant 24 oz 32‐ 4 oz containers 0 14.1 oz can‐ 97 fl oz

Nutrient Dense Feedings

967 78 cans ready to use PediaSure (with or without Fiber) 24 oz 32‐ 4 oz

containers 0 8 fl oz can


785 7 cans powder Similac PM 60/40 24 oz 32‐ 4 oz containers 0 14.1 oz can‐ 102 fl oz

Contract formula for infants with a qualifying diagnosis who cannot tolerate foods 667 10 cans powder Enfamil Infant 0 0 0 12.5 oz can‐ 90 fl oz

689 10 cans powder Gentlease 0 0 0 12.4 oz can‐ 90 fl oz



Medically Fragile‐ Child No Food Package Number

Quantity of Formula Type Formula Food Comments

Milk Based

836 9 cans powder Enfamil Infant 0 12. 5 oz can‐ 90 fl oz

Soy

826 9 cans powder Enfamil ProSobee 0 12.9 oz can‐ 93 fl oz


895 10 cans powder Gentlease 0 12.4 oz can‐ 90 fl oz

Rice Thickened Formula

857 9 cans powder Enfamil AR 0 12.9 oz can‐ 91 fl oz


835 10 cans powder Alimentum 0 12.1 oz can‐ 87 fl oz

891 28 cans ready to use Alimentum 0 32 oz can

843 8 cans powder Pregestimil 0 16 oz can‐ 112 fl oz

840 11 cans powder Nutramigen w/Enflora LGG 0 12.6 oz can‐ 87 fl oz


798 9 cans powder PurAmino DHA & ARA 0 14.1 oz can‐ 98 fl oz

991 14 cans powder EleCare Jr 0 14.1 oz can‐ 60 fl oz

941 14 cans powder Neocate Junior 0 14.1 oz can powder‐flavored ‐ 63 fl. oz unflavored ‐59 fl oz

984 113 boxes ready to use E028 Splash 0 8 oz drink box




916 113 cans ready to use Pediasure (with or without Fiber) 0 8 oz can

912 107 cans ready to use Nutren Jr (with or without Fiber) 0 8.45 oz can

Other Specialized Nutrition Products

937 107 cans ready to use Peptamen Junior (with or without Fiber) 0 8.45 oz can

791 113 ready to use PediaSure Peptide 1.0 Cal 0 8 oz can



Medically Fragile‐ Children with Food Package Number Formula Milk Cheese Cereal Whole grain Eggs Juice FVV Peanut

Butter Comments

Milk Based

900 9 cans Enfamil Infant 4 gallons 0 36 oz

2 lbs Whole Wheat Bread/Buns

1 doz 128 fl oz (2 ‐ 64 oz cont) $8 18 oz

peanut butter

Soy

915 9 cans Enfamil ProSobee

0 0 36 oz 2 lbs

Whole Wheat Bread/Buns


peanut butter


910 10 cans Gentlease 4 gallons 0 36 oz



peanut butter

Rice Thickened

920 9 cans Enfamil AR 4 gallons 0 36 oz



peanut butter


935 11 cans

Nutramigen w/Enflora LGG

0 0 36 oz 2 lbs



peanut butter

940 8 cans Pregestimil 0 0 36 oz



peanut butter

945 10 cans Alimentum 0 0 36 oz



peanut butter

950 28 cans

Alimentum RTU

0 0 36 oz 2 lbs



peanut butter




955 9 cans

PurAmino DHA & ARA

0 0 36 oz


0 128 fl oz (2 ‐ 64 oz cont) $8 1 lb

dry beans

960 14 cans EleCare Jr 0 0 36 oz


0 128 fl oz (2 ‐ 64 oz cont) $8 1 lb

dry beans

970 14 cans Neocate Junior 0 0 36 oz


0 128 fl oz (2 ‐ 64 oz cont) $8 1 lb

dry beans

975 113 boxes E028 Splash 0 0 36 oz


0 128 fl oz (2 ‐ 64 oz cont) $8 1 lb

dry beans


980

113 cans Pediasure

with or without Fiber

4 gallons 0 36 oz 2 lbs



peanut butter

990

107 cans Nutren Junior with or without

Fiber




peanut butter

Other Specialized Nutrition Products

986

107 cans Peptamen Junior with or without

fiber




peanut butter

685 113 cans PediaSure

Peptide 1.0 Cal 4 gallons 0 36 oz



peanut butter



Medically Fragile‐Women with Food

Package Number Formula Milk Cheese Cereal Whole grain Eggs Juice FVV Legumes Peanut

Butter Tuna/ Salmon

Postpartum or Breastfeeding Supplement Over Max

860

113 cans Ensure, Ensure

Plus, Boost Plus or Boost w/ Fiber

4 gallons milk

0 36 oz 0 1 doz 96 fl oz (2 ‐ 48 oz) $11 0

18 oz peanut butter

Pregnant & Partial Breastfeeding

865



5 gallons and

2 qts milk

0 36 oz 1 lb


1 doz 144 fl oz (3 ‐ 48 oz cont)

$11 1lb dry beans

18 oz peanut butter

Exclusively Breastfeeding

870



6 gallons milk

1 lb 36 oz

1 lb Whole Wheat Bread/Buns

2 doz 144 fl oz (3 ‐ 48 oz cont)

$11 1lb dry beans

18 oz peanut butter

6 cans

NPS BF Food Packages 2.16.docx 1

Illinois WIC Program Nutrition Practice Standard – Breastfeeding Food Packages October 2014, Revised February 2016 Food packages for infants and women are designed to strengthen WIC’s breastfeeding promotion efforts and provide additional incentives to assist mothers in making the decision to initiate and continue to breastfeed. The breastfeeding assessment and the mother’s plans for breastfeeding serve as the basis for determining food package issuance. The infant feeding options available are designed to support breastfeeding by providing as little formula as possible to those moms who choose to breastfeed. The infant’s breastfeeding status is also used to determine the mother’s food packages therefore, the mother and infant pair are referred to as a “dyad”. The food packages allow for the following infant feeding options: First month after birth:

Exclusively Breastfeeding Breastfeeding women whose infants do not receive formula from WIC

Formula feeding Non- breastfeeding women Breastfeeding women whose infants receive formula

1 month through 12 months:

Exclusively Breastfeeding Breastfeeding women whose infants do not receive formula from WIC

Partially Breastfed Breastfeeding women whose infants receive formula in amounts that do not exceed the Federally established maximum allowances for infants receiving supplemental formula

Fully formula feeding

Non- breastfeeding women Breastfeeding women whose infants receive formula in amounts that exceed the maximum allowances for the partially breastfed infant packages.

Food Packages: Food packages for the exclusively breastfeeding dyad (Grand Deluxe food package tables) are designed to supplement their special nutritional needs and serve as incentives for women to exclusively breastfeed. The exclusively breastfeeding dyad receives the largest quantity and variety of foods in their food packages and do not receive formula through WIC. Partial breastfeeding packages provide supplemental formula in amounts that do not exceed the Federal maximum allowed based on age and provide approximately half the amount of formula of a full formula package. This was designed to encourage mothers to feed more breastmilk than formula to their infants. Providing supplemental formula to a new breastfeeding mom may interfere with her milk production and breastfeeding success. The amount of milk a breastfeeding woman produces depends directly on how often and how long she nurses. To help moms successfully establish breastfeeding, the partial breastfeeding food packages are not available for issuance until one month postpartum. Partially breastfeeding


women receive a greater quantity and variety of foods in their food packages than moms who fully formula feed. Mothers who breastfeed but request formula in amounts that exceed the allowed Federal maximum for supplemental formula in the Partial Breastfeeding (Deluxe) food packages are still certified as breastfeeding, however they will only receive supplemental WIC foods until the infant is 6 months old. After 6 months, program benefits include nutrition education, breastfeeding promotion and support and referrals to health and other social services. The food instruments provided (food package #240) will be of zero value and contain a positive WIC message. Both mother and baby must be issued packages from the Breastfeeding Basic food tables. An explanation of the different food packages available should be discussed during the prenatal period, typically the last trimester, and include the following:

• the length of time she is eligible to receive program benefits depending on her breastfeeding status

• amounts and types of foods she will receive • amounts and types of foods her baby will receive • breastfed infants will not routinely receive formula within the first month of life

Food Package Tables: Food package tables were designed to facilitate correct food package assignment for the mother infant dyad. Each set of tables clearly identify what group the packages are issued to: Exclusively Breastfeeding (Grand Deluxe), Partially Breastfeeding (Deluxe), Breastfeeding but receiving maximum amount of formula (Breastfeeding Basic) and Fully Formula feeding (Basic). Infant packages are listed first and mom’s packages second within the same table. Use the appropriate table to assign both mom and baby’s food packages. For example, if an infant is assigned a food package from the Grand Deluxe- Exclusively Breastfeeding Dyad, mom must also be assigned a food package from this table.


Food Package Assignment: Food package assignment is determined by the intensity of breastfeeding and the age of the infant. Determine how much breastfeeding the infant is doing. Use the chart as a guide to determine which category to use for certifying mom and which food package tables to use for assigning packages to both mom and baby.

Intensity of Breastfeeding Category

Birth Month Food Package

Table

>1 month Food Package Table

Exclusive Breastfeeding Grand Deluxe Grand Deluxe Partial Breastfeeding Breastfeeding Basic Deluxe or Breastfeeding

Basic None Postpartum Basic Basic

*Contact your Regional Nutritionist for assistance when issuing Medically Prescribed Formulas to the breastfeeding dyad After delivery: Ideally mom and baby are being certified together. Enter the baby’s information first if possible. If only baby is being certified and mom is exclusively breastfeeding, you can void any remaining valid food instruments that mom has brought into the clinic from her pregnancy certification and re-issue to a Grand Deluxe (exclusively breastfeeding) package. If mom is breastfeeding and requests formula during the infant’s first month of life discuss her concerns and support her in her decision. The goal is to provide the minimal amount of supplemental formula she needs, while offering counseling and support in order to help her establish and maintain a successful milk supply. Women who are breastfeeding and become pregnant are allowed the nutritional benefit from the increased quantity and variety of foods offered to exclusively breastfeeding women. Breastfeeding women will need to be terminated and re-certified as Pregnant to issue food packages. The food packages that must be used for this particular instance are identified in the Pregnant food package table under the heading, “women who are partially or exclusively breastfeeding and become pregnant.” Package changes: The infant’s breastfeeding status is used to determine mom’s package. Therefore, if a package change is requested that results in a change in the intensity of breastfeeding, such as exclusive breastfeeding to partial breastfeeding or partial to full formula, valid food instruments for both mom and baby (if applicable) are needed to re-issue. If mom has spent her food instruments, FIs for both mom and baby may not be reissued until it is time to re-print for mom. Education on the re-issuance process should be provided at the time of issuance. When changing a breastfed infant’s food package, use the service code “WUII” WIC Update Infant Info. The F11 key takes the user from the Service Entry screen to the PA09 screen to update the breastfeeding information, to the AS02 screen to change the food package and then to the appropriate screens for voiding and re-issuing those food instruments.


Summary of Breastfeeding Food Packages:

Table Mom Baby Grand Deluxe

Dyad Exclusively breastfeeding: • May be issued until exclusively breast fed

infant is 12 months old • Provides the most quantity and variety of foods

Does not receive formula from the WIC program. • May be issued until the exclusively

breastfed infant is 12 months old • Provides double the amount of baby

food fruits and vegetables and the only infant package to provide baby food meats at 6 months

Breastfed Multiples

Dyads (Exclusively)

• If exclusively breastfeeding more than 2 infants use the Exclusively Breastfed Multiples tables

• Mom is eligible to receive 1.5 times the amount of food for an exclusively breastfeeding woman

Deluxe Dyad

Partially breastfeeding: • May only be issued from 1 month of age

until 12 months of age • Provides more quantity and variety of foods

than the Basic (full formula package)

Receives formula within the following ranges:

Age Formula 1-3 months 4-5 months

6-11 months

2- 4 cans 3- 5 cans 2- 4 cans

Breastfed Multiples

Dyads (Partially)

• May only be issued from 1 month of age until 12 months of age

• Mom is eligible to receive the same amount of food as women who exclusively breastfeed one infant

• Provides baby food fruits, vegetables and cereal at 6 months

Breastfeeding Basic Dyad

Breastfeeding at least once per day, infant receives formula in amounts that exceed the Federal maximum allowed to be considered Partial Breastfeeding

• All breastfeeding women stay active on the WIC program until their breastfed infant is 12 months of age, however will not receive food benefits after the baby turns 6 months of age

• Provides the least amount and variety of foods

Receives formula above the ranges indicated:

0-1 month any amount of formula* 1-3 months > 4 cans 4-5 months > 5 cans 6-11 months > 4 cans

• After careful assessment to determine the minimum amount of formula needed, a formula food package may be issued. Provide food instruments with the number of cans mom needs and void the remaining.

• Provides baby food fruits, vegetables and cereal at 6 months.

Less than 6 months postpartum, issue: − Breastfeeding

Basic package

More than 6 months postpartum, issue:

− FP #240 “Your Child Has You and You Have WIC”

Basic Is not breastfeeding • May be issued until 6 months postpartum • Provides the least amount and variety of

foods

Receives maximum amount of formula allowed • Provides baby food fruits, vegetables

and cereal at 6 months *If mom receives any formula in the first month, she is considered fully formula feeding for purposes of food package assignment.

Electric Breast Pump Loan/Release Form

Date:

WIC ID:

Name:

Address:

Phone Number:

Baby’s DOB:

Pump Type:

Serial Number:

I acknowledge that I have received a breast pump from the

WIC Program.

The operation, use and care of this breast pump have been explained to me. I have also been given information on proper storage of breastmilk and monitoring of

the breastfed infant. I agree to protect, care for and keep the breast pump clean. I agree to return the breast pump clean and in good condition. I agree to return the breast pump to the WIC office upon request. The breast pump is for my use only. I understand that I am under no obligation to use the breast pump, and that I may

discontinue its use at any time. I release the WIC Program from any liability regarding my use of this breast pump.

Call the WIC Program at (Local Agency Phone Number) if you have problems with this pump or need help pumping.

Participant Signature Date

WIC Representative Signature Date

Addendum Illinois WIC Policy and Procedure Manual – Issue Date: May 2006, Revised 3/12; 6/13

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The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender, identity, religion, reprisal, and where applicable, political beliefs, martial status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).

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Documents

Illinois WIC Program Nutrition Practice Standard- Explanation of … · 2018-04-13 · Nutrition Practice Standard- Explanation of WIC Food Benefits Letter July 2016 ... feedings