Management Information System (Mis) - Wisconsin Department Of Health Services - 2018 Page 5

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III. MANAGEMENT INFORMATION SYSTEM (MIS)
B. Participant Characteristics Minimum Data Set
State Agency IS Collects:
State Agency ID. A unique number that permits linkage to the WIC State agency where the participant was
certified.
Local Agency ID. A unique number that permits linkage to the local agency where the participant was certified as
eligible for WIC benefits.
or
Service Site ID. A unique number that permits linkage to the service site where certified. Either local agency ID or
service site ID may be reported according to the level the State Agency feels appropriate. At a minimum, State
agencies must provide agency names and addresses for each ID provided on their files.
Case ID. A unique record number for each participant which maintains individual privacy at the national level.
(This may not be the case number used in the State agency's MIS for the individual.) Participant or Case IDs for
each participant should continue to maintain individual privacy at the national level.
Client Date of Birth. Month, day and year of participant's birth reported in MMDDYYYY format.
Client Race/Ethnicity. The classification of the participant into one of the five (5) racial/ethnic categories: For
race: American Indian or Alaskan Native; Asian; Black or African American; Native Hawaiian or Other Pacific
Islander; and White. For ethnicity: Hispanic or Latino; Not Hispanic or Latino.
Certification Category. The category---one of five (5) possible categories---under which a person is certified as
eligible for WIC benefits: pregnant woman; breastfeeding woman; postpartum woman (not breastfeeding); infant
(under 12 months); or child (12-59 months).
Expected Date of Delivery or Weeks Gestation. For pregnant women, the projected date of delivery
(MMDDYYYY format) or the number of weeks since the last menstrual period as determined at WIC Program
certification.
Date of Certification. The date the person was declared eligible for the most current WIC Program certification.
Month, day, and year should be reported in MMDDYYYY format.
Sex. For infants and children, male or female.
Priority Level. Participant priority level for WIC Program certification.
Participation in TANF, SNAP, Medicaid. The participant's reported participation in each of these programs at
the time of the most recent WIC Program certification.
Migrant Status. Participant migrant status according to the federal WIC Program definition of a migrant farm
worker (currently counted in the FNS 798 report).
Number in Family/Household or Economic Unit. The number of persons in the family/household or economic
unit upon which WIC income eligibility was based. A self-declared number in the family/household or economic
unit may be reported for participants whose income was not required to be determined as part of the WIC
certification process. These participants include adjunctively income-eligible participants (due to TANF, SNAP, or
Medicaid participation) and those participants deemed income eligible under optional procedures available to the
State Agency in Federal WIC Regulations, Section 246.7(d)(2)(vi-viii) (means-tested programs identified by the
State for automatic WIC Program income eligibility, income eligibility of Indian and in-stream migrant farmworker
applicants).
FY
2018
Wisconsin
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