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Index of Allowed Nutrition Risk Criteria

 

Anthropometric

Number Title Last Revised
101 Underweight (Women) 07/2009
103 Underweight or At Risk of Underweight (Infants and Children) 05/2011  
111 Overweight (Women) 07/2009
113 Overweight (Children 2 – 5 years of Age) 05/2011  
114 At Risk of Overweight (Infants and Children) 05/2011  
115 High Weight for Length 05/2011  
121 Short Stature or At Risk of Short Stature (Infants and Children) 05/2011  
131 Low Maternal Weight Gain 07/2009
132 Maternal Weight Loss During Pregnancy 04/2001
133 High Maternal Weight Gain 06/2010
134 Failure to Thrive 04/2004
135 Inadequate Growth 04/2001
141 Low Birth Weight and Very Low Birth Weight 04/2004
142 Prematurity 04/2004
151 Small for Gestational Age 04/2004
152 Low Head Circumference 05/2011  
153 Large for Gestational Age 04/2004

Biochemical

201 Low Hematocrit/Low Hemoglobin 04/2001
211 Elevated Blood Lead Levels 05/2015

Clinical/
Health/
Medical

301 Hyperemesis Gravidarum 04/2001
302 Gestational Diabetes 07/2009
303 History of Gestational Diabetes 07/2009
304 History of Preeclampsia 07/2009
311 History of Preterm Delivery 04/2001
312 History of Low Birth Weight 04/2001  
321 History of Spontaneous Abortion, Fetal or Neonatal Loss 04/2001  
331 Pregnancy at a Young Age 04/2001  
332 Short Inter-pregnancy Interval 05/2015  
333 High Parity and Young Age 04/2001  
334 Lack of or Inadequate Prenatal Care 04/2001  
335 Multi-fetal Gestation 07/2009  
336 Fetal Growth Restriction 04/2001  
337 History of Birth of a Large for Gestational Age Infant 04/2004  
338 Pregnant Woman Currently Breastfeeding 04/2001  
339 History of Birth with Nutrition Related Congenital or Birth
Defect
04/2001  
341 Nutrient Deficiency Diseases 04/2001  
342 Gastrointestinal Disorders 07/2009  
343 Diabetes Mellitus 07/2009  
344 Thyroid Disorders 05/2011
345 Hypertension and Prehypertension 07/2009  
346 Renal Disease 04/2001  
347 Cancer 04/2001  
348 Central Nervous System Disorders 06/2007  
349 Genetic and Congenital Disorders 04/2001  
351 Inborn Errors of Metabolism 05/2011
352 Infectious Diseases 04/2001  
353 Food Allergies 04/2001  
354 Celiac Disease 04/2001  
355 Lactose Intolerance 04/2001  
356 Hypoglycemia 04/2001  
357 Drug Nutrient Interactions 04/2001  
358 Eating Disorders 04/2001  
359 Recent Major Surgery, Trauma, Burns 06/2016  
360 Other Medical Conditions 04/2001  
361 Depression 11/2013  
Depression Guidance ​11/2013
362 Developmental, Sensory or Motor Disabilities Interfering with the Ability to Eat 04/2001
363 Pre-Diabetes 07/2009
371 Maternal Smoking 06/2007
372 Alcohol and Illegal Drug Use 04/2001
381 Oral Health Conditions 11/2013
382 Fetal Alcohol Syndrome 04/2001

Dietary

401 Failure to Meet Dietary Guidelines for Americans 03/2005
411 Inappropriate Nutrition Practices for Infants 06/2016
Justification and References to Inappropriate Nutrition Practices for Infants 06/2016
425 Inappropriate Nutrition Practices for Children 05/2015
Justification of Inappropriate Nutrition Practices for Children 05/2015
427 Inappropriate Nutrition Practices for Women 07/2009
Justification - Inappropriate Nutrition Practices for Women 07/2009
428 Dietary Risk Associated with Complementary Feeding Practices 03/2005

​Other Risks


501 Possibility of Regression 04/2001
502 Transfer of Certification 04/2001
503 Presumptive Eligibility for Pregnant Women 04/2001
601 Breastfeeding Mother of Infant at Nutritional Risk 05/2015
602 Breastfeeding Complications or Potential Complications (Women) 05/2015
603 Breastfeeding Complications or Potential Complications (Infants) 04/2001
701 Infant Up to 6 Months Old of WIC Mother or of a Woman Who Would Have Been Eligible During Pregnancy 04/2001
702 Breastfeeding Infant of Woman at Nutritional Risk 04/2001
703 Infant Born of Woman with Mental Retardation or Alcohol or Drug Abuse during Most Recent Pregnancy 04/2001
801 Homelessness 04/2001
802 Migrancy 04/2002
901 Recipient of Abuse 04/2001
902 Woman or Infant/Child of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food 04/2001
903 Foster Care 04/2001
904 Environmental Tobacco Smoke Exposure 06/2007


Pending Criteria – implementation date is 10/2013


Clinical/Health/Medical

   
Number Title Last Revised
344 Thyroid Disorders 05/2011  
351 Inborn Errors of Metabolism 05/2011  
353 Food Allergies 06/2012
354 Celiac Disease 06/2012
355 Lactose Intolerance 06/2012
     

Dietary

401 Failure to Meet Dietary Guidelines for Americans 06/2012