Form Dch-1326 - Michigan Wic Program - Infants And Children (Through 4 Years Of Age) Form - Michigan Page 2
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1
2Qualifying Conditions
• Premature birth
• Gastrointestinal disorders
• Low birth weight
• Malabsorption syndromes
• Failure to thrive
• Immune system disorders
• Inborn errors of metabolism and metabolic
• Life threatening disorders, or diseases and medical conditions that impair
disorders
ingestion, digestion, absorption or could adversely affect nutritional status
• Severe food allergies that require an elemental diet
Michigan WIC Food Packages
Maximum Monthly Allowances of Supplemental Foods for
Infant and Children with Qualifying Conditions
Infants
Children
Fully Formula fed
Partially Breastfed
Foods
A: 0-3 months
6-11 months
A: 0 to 1 month
6-11 months
Foods
1 through 4
years
B: 4-5 months
B: 1-3 months
C: 4-5 months
WIC
A: 806 fl oz
624 fl. oz.
A: 1 can powder
312 fl. oz.
Juice
128 fl oz
Formula
1
reconstituted liquid
reconstituted
reconstituted
concentrate
liquid concentrate
liquid concentrate
B: 364 fl oz reconstituted
WIC Formula
1
910 fl oz ²
liquid concentrate
reconstituted
B: 884 fl oz
liquid
reconstituted liquid
concentrate
concentrate
3
Milk
13 qt
C: 442 fl. oz.
Breakfast cereal
36 oz
reconstituted liquid
concentrate
Infant cereal
24 oz
24 oz
Eggs
1 dozen
Fresh Fruit and
$6.00 in cash
Vegetables
value
4
Whole grains
2 lb
128 oz
128 oz
Legumes, dry
1 lb (64 oz
Infant fruits and
(canned)
canned)
vegetables
OR
Peanut butter
18 oz
Cheese
1 lb
1
WIC Formula means infant formula, exempt infant formula, or WIC-eligible medical food.
2
Powder and Ready-to-Feed may be substituted at rates that provide comparable nutritive value.
3
Allowable milk alternatives are cheese and soy beverage.
Cheese may be substituted for milk at a rate of 1 pound cheese per 3 quarts milk, up to the maximum monthly allowance.
Soy beverage may be substituted at a rate of 1 quart soy beverage per 1 quart milk, up to the maximum monthly allowance.
4
Allowable options for whole grains are whole wheat/whole grain bread, soft corn or whole wheat tortillas, oatmeal and brown rice.
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