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State of California—Health and Human Services Agency
California Department of Public Health
KAREN L. SMITH, MD, MPH
Director and State Health Officer
EDMUND G. BROWN JR.
Governor
PFPS #: 05-22-15-014
WIC Program Manual Revision #: #15-01
Date:
May 22, 2015
To:
Primary WIC Program Contact
INFO ONLY _____
ACTION NEEDED _____
POLICY CHANGE __X__
_____ Administration
_____ Nutrition Staff
__X__ All Staff Affected
__X__ ISIS Change
Subject: WIC Program Manual Revision of Appendix #980-1060,
“WIC Income Guideline Table” and Appendix #980-1065
“Medi-Cal Income Guideline Table”
Purpose
The California Department of Public Health (CDPH), Women, Infants, and Children
(WIC) Division is notifying WIC local agencies that the WIC Program Manual Appendix
980-1060, “WIC Income Guideline Table” and Appendix 980-1065, “Medi-Cal Income
Guideline Table” has been revised.
Background
The WIC Income Guideline Table and the Medi-Cal Income Guideline Table are updated
annually to reflect changes to the poverty level ceiling percentages for federal Medicaid
programs. In California, Medicaid is known as “Medi-Cal.” Medi-Cal income guidelines
are based on 200 percent of the federal poverty level while WIC income eligibility is
based on 185 percent of the federal poverty level. The Tables are designed to assist the
local agency in determining WIC income eligibility during the Integrated Statewide
Information System (ISIS) downtime, as a resource when conducting WIC program
outreach, and to facilitate referrals to the Medi-Cal Program.
Women, Infants, and Children (WIC) Division
3901 Lennane Drive MS 8600, Sacramento, CA 95834
P.O. Box 997375 MS 8600, Sacramento, CA 95899-7375
(916) 928-8500 Internet Address: www.wicworks.ca.gov
Primary WIC Program Contact
Page 2
May 22, 2015
Action
The revised income guidelines are effective immediately. ISIS has been updated to
reflect the revised income levels.
The WIC Income Guideline Table is available on the web at:
WIC Appendix 980-1060
The Medi-Cal Income Guideline Table is available on the web at:
WIC Appendix 980-1065
Questions
If you have any questions or need additional information or concerns, please contact
Dominic Sarallo at (916) 928-8663, dominic.sarallo@cdph.ca.gov.
Sincerely,
(Original signed by)
Barbara Longo, M.S., R.D.
Branch Chief, Nutrition Standards Branch
Women, Infants, and Children Division