Seal of the Otoe Missouria Tribe
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(1) FOOD PACKAGE 1-Infants birth through 5 months

This food package is designed for issuance to infant participants from birth through age 5 months who do not have a condition qualifying them to receive Food Package III.

Maximum Monthly Allowances of Supplemental Foods for Infants in Food Package II

Foods

Fully Formula Fed

Partially Breastfed

Fully Breastfed

WIC Formula

624 fl oz reconstituted liquid concentrate

312 fl oz reconstituted liquid concentrate

NONE

Infant Cereal

24 oz

24 oz

24 oz

Baby food fruits and vegetables

128 oz

128 oz

256 oz

Baby food meat

NONE

NONE

77.5 oz

(2) Food Package II-Infants 6 through 11 months

This food package is designed for issuance to infant participants from 6 through 11 months of age who do not have a condition qualifying them to receive Food Package III.

Maximum Monthly Allowances of Supplemental Foods for Infants in Food Package III

Foods

Fully Formula Fed A: 0-3 months B: 4-5 months C: 6-11 months

Partially Breastfed A: 0 to 1 month B: 1-3 months C: 4-5 months D: 6-11 months

Fully Breastfed A: 0-5 months B: 6-11 months

WIC Formula

A: 806 fl. oz. reconstituted liquid concentrate B: 884 fl oz. reconstituted liquid concentrate C: 624 fl oz reconstituted liquid concentrate

A: 1 can powder B: 364 fl oz reconstituted liquid concentrate C: 442 fl oz reconstituted liquid concentrate D: 312 fl oz reconstituted liquid concentrate

NONE

Infant Cereal

C: 24 oz

D: 24 oz

B: 24 oz

Baby food fruits and vegetables

C: 128 oz

D: 128 oz

B: 256 oz

Baby food meat

NONE

NONE

B: 77.5 oz

Maximum Monthly Allowances of Supplemental Foods for Children and Women in Food Package III

Foods

Children

Women *Woman fully breastfeeding multiple infants are prescribed 1.5 times the maximum allowances*

1 through 4 years

Pregnant and partially breastfeeding (up to 1 year post-partum)

Postpartum (up to 6 months post-partum)

Fully breastfeeding, (up to 1 year post-partum)

Juice, single strength

128 fl oz

144 fl oz

96 fl oz

144 fl oz

WIC Formula

455 fl oz liquid concentrate

455 fl oz liquid concentrate

455 fl oz liquid concentrate

455 fl oz liquid concentrate

Milk

16 qt

22 qt

16 qt

24 qt

Breakfast Cereal

36 oz

36 oz

36 oz

36 oz

Cheese

N/A

N/A

N/A

1 lb

Eggs

1 dozen

1 dozen

1 dozen

2 dozen

Fruits & Vegetables

$6.00 in cash value benefit

$8.00 in cash value benefit

$8.00 in cash value benefit

$10.00 cash value benefit

Whole Wheat Bread

2 lb

1 lb

N/A

1 lb

Fish (canned)

N/A

N/A

N/A

1 lb

Legumes, dry

1 lb

1 lb

1 lb

1 lb

and/or Peanut butter

Or 18 oz

And 18 oz

Or 18 oz

And 18 oz

(3) Food Package III-Participants with qualifying conditions (Medically Fragile Participants)

This food package is served for issuance to women, infants and child participants who have a documented qualifying condition that requires the use of a WIC formula (infant formula, exempt infant formula or WIC-eligible medical food) because the use of conventional foods is precluded, restricted, or inadequate to address their special nutritional needs. Medical documentation must me the requirements described in paragraph 246.10(d). Participants who are eligible to receive this food package must have one or more qualifying conditions, as determined by a health care professional licensed to write medical prescriptions under State law. The qualifying conditions include but are not limited to premature birth, low birth weight, failure to thrive, inborn errors of metabolism and metabolic disorders, gastrointestinal disorders, malabsorption syndromes, immune system disorders, severe food allergies that require an elemental formula, and life threatening disorders, diseases and medical conditions that impair ingestion, digestion, absorption or the utilization of nutrients that could adversely affect the participant’s nutrition status. This food package may not be issued solely for the purpose of enhancing nutrient intake or managing body weight.

 

 

Maximum Monthly Allowances of Supplemental Foods for Children and Women in Food Packages IV, V, VI, and VII

Foods

Children

Women *Woman fully breastfeeding multiple infants are prescribed 1.5 times the maximum allowances*

Food Package IV 1 through 5 years

Food Package V: Pregnant and partially breastfeeding (up to 1 year postpartum)2

Food Package VI: Postpartum (up to 6 months postpartum)3

Food Package VII: Fully breastfeeding (up to 1 year post-partum)45

Juice, single strength 6

128 fl oz

144 fl oz

96 fl oz

144 fl oz

Milk, fluid

16 qt 78910

22 qt 781112

16 qt 781112

24 qt 781112

Breakfast Cereal 13

36 oz

36 oz

36 oz

36 oz

Cheese

N/A

N/A

N/A

1 lb

Eggs

1 dozen

1 dozen

1 dozen

2 dozen

Fruits & Vegetables 1415

$6.00 in cash value benefit

$8.00 in cash value benefit

$8.00 in cash value benefit

$10.00 cash value benefit

Whole Wheat Bread or other whole grains 16

2 lb

1 lb

N/A

1 lb

Fish (canned)

N/A

N/A

N/A

30 oz

Legumes, dry 17

1 lb

1 lb

1 lb

1 lb

and/or Peanut butter

Or 18 oz

And 18 oz

Or 18 oz

And 18 oz

Food Package IV – Children from age 1 up to age 5

Food Package V- Women Pregnant and Partially Breastfeeding

Food Package VI- Women Postpartum

Food Package VII-Fully Breastfeeding

These food packages are designed for issuance to participants’ who are: child 1years through Fully Breastfeeding women who do not have a condition qualifying them to receive Food Package III.