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<regulation prefix="Regulation" num=".04" citation="COMAR 10.54.01.04" title_num="10" subtitle_num="54" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Applicant” means an individual who has requested or on whose behalf another person has requested WIC benefits in person, either orally or in writing, under the provisions of this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Benefits” means the foods prescribed and services provided to a participant by the Program.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Breastfeeding woman” means a woman up to 1 year postpartum who is breastfeeding her infant.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Caretaker” means an individual who is responsible for the care and welfare of a participant.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Caseload” means the participation level that is assigned to a local agency by the State agency.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Certification” means the implementation of criteria and procedures to assess and document an applicant's eligibility for the Program.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Certification period” means the time period for which a participant has been authorized by a local agency as eligible for Program benefits.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Child” means an individual who is 1 year old or older but is younger than 5 years old.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Clinic” means a local agency facility where an applicant is certified.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Competent paraprofessional authority” means an individual who:</text>
      <paragraph num="(a)">
        <text>Does not meet the definition of a competent professional authority;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Successfully completes a WIC training program approved by the State agency; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Performs certifications under the supervision of a competent professional authority.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>Competent Professional Authority.</text>
      <paragraph num="(a)">
        <text>“Competent professional authority” means an individual who is a:</text>
        <paragraph num="(i)">
          <text>Physician;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Nutritionist;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Dietitian;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Registered nurse;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Physician's assistant certified by the National Committee on Certification of Physician's Assistants or certified by the State Board of Physician Quality Assurance; or</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>State or local medically trained health official.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Competent professional authority” includes an individual who is:</text>
        <paragraph num="(i)">
          <text>On the staff of the local agency and authorized by the State agency to serve as a competent professional authority; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Not on the staff of the local agency, but who is qualified to provide data upon which a nutritional risk determination is made by a competent professional authority on the staff of the local agency.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Complementary feeding process” means a nutrition risk that applies to an infant or a child from 4 through 23 months old who has begun to or is expected to begin to:</text>
      <paragraph num="(a)">
        <text>Consume foods or beverages complementary to breast feeding;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Eat independently;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be weaned from breast milk or infant formula; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Transition from a diet specifically intended for infants or toddlers to one based on the Dietary Guidelines for Americans, as updated every 5 years by the United States Department of Agriculture with the United States Department of Health and Human Services under Title III of Public Law 101-445 of the National Nutrition Monitoring and Related Research Act of 1990.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“Day” means a calendar day.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Disqualification” means the act of ending the Program participation of a participant, whether as a punitive sanction or for administrative reasons.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Dual participation” means an individual's simultaneous participation in the WIC Program in more than one state, local agency, or clinic, or participation in the WIC Program and in the Commodity Supplemental Food Program funded by the USDA during the same period of time.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Family” means a group of related or nonrelated individuals who are not residents of an institution but who are living together as one economic unit, except that residents of a homeless facility or an institution may not all be considered as members of a single family.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Food delivery system” means the method used by a local agency to provide supplemental foods to a participant.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Food instrument” means an electronic benefits transfer (EBT) card or other document that is used by a participant to obtain supplemental foods.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Health services” means ongoing, routine, pediatric, and obstetric care or referral for treatment.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“HHS” means the United States Department of Health and Human Services.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>Income.</text>
      <paragraph num="(a)">
        <text>“Income” means gross cash income before deductions for:</text>
        <paragraph num="(i)">
          <text>Income taxes;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An employee's Social Security taxes;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Insurance premiums;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Bonds;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Housing subsidy in the form of cash or stipend; or</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Cash food subsidy.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Income” includes:</text>
        <paragraph num="(i)">
          <text>Monetary compensation for services, including wages, salary, commissions, or fees;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Net income from farm and nonfarm self-employment;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Social Security benefits;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Dividends or interest on savings or bonds, income from estates or trusts, or net rental income;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Public assistance or welfare payments;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Unemployment compensation;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Government civilian employee or military retirement pensions, or veterans' payments;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Private pensions or annuities;</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Alimony or child support payments;</text>
        </paragraph>
        <paragraph num="(x)">
          <text>Regular contributions from individuals not living in the household;</text>
        </paragraph>
        <paragraph num="(xi)">
          <text>Net royalties;</text>
        </paragraph>
        <paragraph num="(xii)">
          <text>Other cash income, which includes, but is not limited to, cash amounts received or withdrawn from any source including savings, investments, trust accounts, and other resources that are readily available to the applicant or the applicant's family; or</text>
        </paragraph>
        <paragraph num="(xiii)">
          <text>Cash contributions from others residing in the same living quarters as the applicant.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>“Income” does not include payments or benefits excluded under 7 CFR §246.7(d)(2)(iv).</text>
      </paragraph>
    </paragraph>
    <paragraph num="(22)">
      <text>“Infant” means an individual younger than 1 year old.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Instream migrant” means a migrant farm worker or an individual accompanying a migrant farm worker who is traveling and currently employed or seeking employment in seasonal agricultural work that causes the migrant to move from the migrant's home.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Local agency” means a public or private, nonprofit health or human service agency that provides health services, either directly or through contract.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Migrant farm worker” means an individual:</text>
      <paragraph num="(a)">
        <text>Whose principal employment is in agriculture on a seasonal basis;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Who has been employed in agriculture on a seasonal basis within the last 24 months; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Who establishes, for the purpose of employment in agriculture on a seasonal basis, a temporary home.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(26)">
      <text>“Nutritional risk” means:</text>
      <paragraph num="(a)">
        <text>Detrimental or abnormal nutritional conditions detectable by biochemical or anthropometric measurements;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Other documented nutritionally related medical conditions;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Dietary deficiencies that impair or endanger health;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Conditions that directly affect the nutritional health of an individual, including alcoholism or drug abuse; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Conditions that predispose individuals to inadequate nutritional patterns or nutritionally related medical conditions, including but not limited to homelessness and migrancy.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(27)">
      <text>“Nutrition education” means individual or group education sessions and the provision of information and educational materials designed to improve health status, achieve positive change in dietary and physical activity habits, and emphasize relationships between nutrition, physical activity, and health, all in keeping with the individual's personal and cultural preferences.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Nutritionist” means an individual licensed in Maryland who has a bachelor's or master's degree in nutritional sciences, community nutrition, clinical nutrition, dietetics, public health nutrition, or home economics with an emphasis in nutrition.</text>
    </paragraph>
    <paragraph num="(29)">
      <text>“Participant” means a pregnant woman, breastfeeding woman, postpartum woman, infant, or child who is receiving benefits under the Program, and the breastfed infant of a breastfeeding woman participant.</text>
    </paragraph>
    <paragraph num="(30)">
      <text>“Participation” means receiving benefits under the Program.</text>
    </paragraph>
    <paragraph num="(31)">
      <text>“Participation data” means information concerning the number of:</text>
      <paragraph num="(a)">
        <text>Individuals who received benefits during a reporting period;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Infants who received no benefits during a reporting period, but who were breastfed by participant breastfeeding women; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Breastfeeding women who did not receive benefits but whose infant received benefits during the reporting period.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(32)">
      <text>“Postpartum woman” means a woman up to 6 months after the termination of her pregnancy.</text>
    </paragraph>
    <paragraph num="(33)">
      <text>“Poverty income guidelines” means the poverty income guidelines prescribed and adjusted annually by HHS.</text>
    </paragraph>
    <paragraph num="(34)">
      <text>“Pregnant woman” means a woman who is determined to have one or more embryos or fetuses in utero.</text>
    </paragraph>
    <paragraph num="(35)">
      <text>“Program” means the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) authorized by 42 U.S.C. §1786, the Child Nutrition Act of 1966, as amended.</text>
    </paragraph>
    <paragraph num="(36)">
      <text>“Proxy” means an individual who is designated by a participant or a child or infant participant’s parent, guardian, or caretaker to receive food instruments and to redeem food benefits for the participant and whose name is on file at the local agency.</text>
    </paragraph>
    <paragraph num="(37)">
      <text>“Special nutritional risk applicant” means a migrant farmworker or a migrant farmworker's family, a pregnant woman, or an infant.</text>
    </paragraph>
    <paragraph num="(38)">
      <text>“State agency” means the Maryland Department of Health's WIC Program.</text>
    </paragraph>
    <paragraph num="(39)">
      <text>“Supplemental foods" means those foods containing nutrients determined to be beneficial for a pregnant woman, breastfeeding woman, postpartum woman, infant, or child, as prescribed by the Secretary of the USDA under 7 CFR §246.10, which is incorporated by reference in Regulation .03 of this chapter.</text>
    </paragraph>
    <paragraph num="(40)">
      <text>“USDA” means the United States Department of Agriculture.</text>
    </paragraph>
    <paragraph num="(41)">
      <text>“Verification of certification” means a document that provides proof of Program eligibility for the participant who is transferring from one WIC agency to another.</text>
    </paragraph>
  </paragraph>
</regulation>