No
Health Care Providers can play a pivotal role in ensuring families have access to nutrition and services provided by WIC. WIC provides health screening, nutrition education, nutrient rich foods, breastfeeding support and referrals to other health and social services.
Infants and Children on WIC and Medicaid will receive specialty formulas from Medicaid. Nebraska WIC will continue to provide contract and non-contract formulas for all infants and children. WIC provides infants and children, that are not on Medicaid, as well as, women, with a qualifying medical condition, certain special formulas and food with authorization from a physician, which is documented on the WIC Provider Authorization Form (PAF).
Below, see the food benefits provided to WIC participants, including pregnant, breastfeeding and non-breastfeeding women, infants and children up to 5 years of age:
When is Medical Documentation Required?
For infants, the Infant PAF must be provided before WIC can issue:
- Any formula other than NE WIC contract, standard infant formulas, that is listed on the NE WIC Formulary
- Any specialized formula, as listed on the WIC Formulary
- Any contract or specialty formula, as noted on the WIC formulary
- Whole milk for children > 2 years of age. This requires prescription of a specialized formula, as well
- 2% milk for children 1 year of age
Provider Authorization for Children
When is Medical Documentation Required?
For pregnant, breastfeeding or non-breastfeeding women, a PAF must be provided before WIC can issue:
- Any specialized formula, as listed on the WIC formulary
- Whole milk, which also requires prescription of a specialized formula
Provider Authorization Form for Women
Nebraska WIC Approved Food List
Common Food Package Examples and Choices