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Infants

Cross-Reference for HuBERT


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Keywords/Phrases
114, 121, 6 month, breastfeeding, child, date breastfeeding began, date breastfeeding ended, food package, error, fully, health information, high risk, infants turning one, initial contact, last set's LDTU, link, MCA, participant dies, printed first date to use, reason, relationship field, stopped, supplemental foods, terminated, WIC category


Correctly Completing the Date Breastfeeding Began and Ended Fields

The Date Breastfeeding Began and Date Breastfeeding Ended fields in the Health Information screen are both used for breastfeeding duration calculations in reports. It is very important that accurate information is recorded in these fields.

For most infants, the date that breastfeeding was first started is their date of birth. We have been seeing a few records in which the participant’s certification date has been entered into the Date Breastfeeding Began field instead of their birth date.

May 2014 HuBERT Hints #1

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System is Incorrectly Assigning High Risk to Full-Term Infants Whose Length Falls below Grid and Percentile is N/A (TMP-153)

Description: The system is incorrectly assigning high risk for Risk Factor 121 when it is assigned to full-term infants whose length measurement falls below the lowest line on the Growth Grid resulting in a Length/Age percentile of N/A.

What You Should Do: You can use the Resolve High Risk Designation function in the Assign Certification Risk Factors screen to remove the incorrect system-assigned high risk.

Please note that if the infant is high risk for other risk factors, using the Resolve High Risk Designation function will remove ALL high risk, which may not be appropriate.

Resolution: This issue has also been added to the issues queue.

Identified Issues - Posted 3/18/14

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Error Occurs when Starting an Infant's Cert, after Completing Mom's Cert, if Infant's Participant Folder is Open (TMP-142)

Description: When certifying a mom and her infant, if the infant's Participant Folder is open when mom's cert is completed, the following error displays:

BF History table is null error message

This error displays regardless of how the certification is started as long as the infant's Participant Folder is open when mom's cert is completed (i.e. Work with Another Member window at the end of mom's cert or click the Certification icon in infant's folder).

What You Should Do: Click OK on the error and close the infant's Participant Folder. Re-open the folder and click the Certification icon to start the infant's cert (the error will no longer display).

Resolution: This issue has been added to the issues queue.

Identified Issues - Posted 2/26/14

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h2>Reason(s) Stopped Field Enabled and Required in Add Infant Information for Non-Breastfeeding Mom IF Infant's Health Information Completed First (TMP-127)

Description: This occurs for the following specific scenario:

  • Certifying a non-breastfeeding woman and her infant; and
  • The infant's Health Information is completed first

When completing the Add Infant Information screen in the non-breastfeeding woman's Health Information - Infant(s) Born from This Pregnancy, the Reason(s) Stopped field is enabled and required.

Add Infant Information screen with Reason(s) Stopped field enabled

What You Should Do: In general, you should complete the mom's Health Information first in order to create a two-way link between mom's and infant's records. However, if for some reason this isn't possible and this issue occurs, simply click the Ever Breastfed - Yes radio button and then the Ever Breastfed - No button and the field will become disabled.

Resolution: This issue has been added to the issues queue.

Identified Issues - Posted 2/24/14

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Fully-Breasted Infants Less than 6 Months Old Should be Terminated for Failure to Pick-Up when Their Linked Mothers are Terminated (TMP-26)

Description: Fully breastfed infants less than 6 months old do not receive benefits and don't have a last set Last Date to Use to trigger the system to terminate them for Failure to Pick-up. However, in ENH-15, the system now only counts fully breastfed infants if their linked mother receives benefits. For consistency purposes, the infants should also be terminated when their linked mother is terminated for Failure to Pick-up.

What you Should Do: This is a display and consistency issue and should not affect users.

Resolution: This issue has been added to the issues queue.

Identified Issues - Posted 2/24/14

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Using the Authorized Representative's Relationship Field

If users choose to use the Relationship field, they should select the option that best describes the representative's relationship to a child in the household (born or unborn).

For instance, if in mom's participant folder, "Mother" should be selected for the Authorized Representative's Relationship field since she is the mother of the children in the household. Other examples:

  • If mom's sister is an Alternate Representative, select "Aunt" since that is her relationship to the child(ren) in the household.
  • If mom is pregnant and her mother is an Alternative Representative, select "Grandmother" since she will be the grandmother of the unborn child.

From the 2.17.07 Release Document

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Of the Following Scenarios, Which Ones Requires the Use of the Initial Contact Screen?

  • Brand new applicant - YES
  • Pregnant woman, currently on WIC, who delivers and requests certification for herself (postpartum) and her new baby – YES for the baby, NO for the woman
  • Postpartum woman, not certified for WIC during her pregnancy, who applies for WIC for herself and her new baby – YES for both applicants

2/20/2013 Memo - Processing Standards: Guidance for HuBERT Release 2.17.07

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Able to Issue Benefits to Infant Who Already Received Benefits for 6 Month Fully BF Food Package

This is a reminder that you are now able to issue benefits for formula to an infant who used to be fully-breastfeeding and had already received benefits with the 6-month supplemental foods on them.

Example: On 1/5/13, Fully-BF infant received benefits for March 2013 with supplemental foods. On 2/6/13, mom returns requesting supplemental formula (baby is now Mostly-BF); you void the March benefits with Fully-BF supplemental foods on them and update the food package as appropriate.

  • When benefits are voided, the system resets the last set's LDTU to the participant's last non-voided LDTU (LastCheckLDTU in the MEMBER table is set back to last non-voided issued set, if only voided benefits exist, the LastCheckLDTU is set to NULL)
  • System suggests benefits for February, March and April in the Issue Benefits screen

NOTE! Since benefits for February were never issued or voided, they will not display in the Replace screen. Benefits have to be issued via Issue Benefits.

February 2013 HuBERT Hints #1

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Managing a Participant's Record if the Participant Dies

Description: When a participant dies it can be uncomfortable or difficult if staff don't realize it and ask the family about the member.

Explanation: Participants who haven't had any activity on their participant record remain in the Local Agency database for 180 days before being purged to Agency 88. When the household is searched for the participant will continue to display for 6 months. Alerts are helpful but only if the staff asks questions after opening the Participant Folder.

What You Should Do: Change the participant's Household ID so that the participant record no longer displays with the rest of the household. Select Other (explain in notes) from the Reason for ID Change drop-down and document why the participant's household ID was changed.

September 2012 HuBERT Hints #2

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Infants Turning One in Next Benefit Issuance - Issuing an Infant vs. Child Food Package

Description: A child's food package will automatically be suggested by the system for the last set of benefits issued to an infant if the following two criteria are met:

  • A child's food package exists in the Food Prescription screen with an Effective Date of the infant's first birthday (or between the Printed First Date to Use (PFDTU) and the Last Date to Use)
  • The infant's one-year birthday falls between the PFDTU and the LDTU of a set of benefits being issued

Explanation: The system will automatically create a child's food package during the certification process when an infant has a Risk Factor assigned that is applicable to both infants and children. It is up to you, the CPA, to determine whether the child's food package is appropriate to provide at this time. Some examples of when it might not be appropriate include, if the infant:

  • Had a low hemoglobin at the Midcert
  • Doesn't consume protein or high-iron foods well
  • Has special needs
  • Just turned 11 months old

What You Should Do: The process for changing a suggested child's food package to an infant's food package, or vice-versa, is relatively simple:

If a CHILD Food Package is suggested and you want to provide an INFANT food package:

  • Delete the Child Food Package in the Food Prescription tab
  • Issue benefits

If an INFANT Food Package is suggested and you want to provide a CHILD food package:

  • Verify the participant has a Risk Factor appropriate for a Child (if not, assign Risk Factor 428)
  • Create a Food Package with an Effective Date of the infant's first birthday
  • Issue benefits

February 2012 HuBERT Hints #3

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How to Delete Incorrect Links between Mom and Infant Records

Description: If a link is incorrectly created between a woman and infant's records, it must be deleted in both of their Health Information screens; it is not enough to delete the link in just one of the records.

What You Should Do: Deleting an incorrect link between a woman's record and an infant's record is a two-step process.

STEP #1: In the woman's Health Information:

  • Click the Infant(s) Born from This Pregnancy button

Infant(s) Born from This Pregnancy button

  • Click the Edit button

Infants Born from This Pregnancy window with Edit button circled in red

  • Remove the checkmark from the Infant on WIC checkbox

Infant on WIC checkbox

  • Click OK on the Edit Infant Information screen
  • Click the Delete button on the Infants Born from This Pregnancy window

STEP #2: In the infant's Health Information:

  • Remove the checkmark from the on WIC checkbox

On WIC checkbox

  • Save the change to the Health Information screen

December 2012 HuBERT Hints #2

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Tips and Guidance about Linking Mom and Baby

Description: You should always link mom's record to her infant's record when they are both on WIC in the same household.

Explanation: Linking records is essential to ensure that Risk Factors are assigned correctly and the correct default food packages are suggested.

What You Should Do: The following are a couple of tips for creating links between mom and baby's records.

  • Baby does not have to be certified to link but must be prescreened (have a WIC ID in the database)
  • Links should be created in mom's Infant(s) Born from This Pregnancy screen in order to create a two-way link immediately. Otherwise, if a link is initially created in baby's record, a link will also have to be created in mom's record.

NOTE! Baby’\'s Participant Folder or Health Information screen in the CGS must be closed at the time fields are updated and saved in mom's record. Otherwise, the information will not update in the infant’\'s Health Information.

August 2011 HuBERT Hints #1

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Fully-Breastfed Infants Must be 6 Months Old On or Before the Printed First Date to Use to Receive Supplemental Foods

Description: The system will not suggest benefits for fully-breastfeeding infants until the Printed First Date to Use (PFDTU) is greater than the infant's 6-month birthday.

Example #1

  • Fully BF Infant
  • DOB = 10/27/2010
  • Cycle = 23rd - 22nd
  • Issuance Date = 4/28/2011

System Suggests for Tri-Monthly Issuance:

  • Set 1: 5/23/2011-6/22/2011 (May)
  • Set 2: 6/23/2011-7/22/2011 (June)

Even though the infant may be older than 6 months on the date the benefits are issued, the PFDTU of the April set is 4/23/2011. Since 4/23 is before 4/27, which is her 6-month birthday, April benefits will not be suggested for this fully-breastfed infant.

Example #2

  • Fully BF Infant
  • DOB = 10/20
  • Cycle = 23rd to 22nd
  • Issuance Date = 4/18/2011

System Suggests for Tri-Monthly Issuance:

  • Set 1: 4/23/2011-5/22/2011
  • Set 2: 5/23/2011-6/22/2011
  • Set 3: 6/23/2011-7/22/2011

Even though the infant isn't quite 6-months old when the benefits are printed on 4/18 she will be 6-months old by the time the benefits can be used on 4/23/2011. Since the PFDTU of the first set is on 4/23, which is after her 6-month birthday, April benefits will be suggested for this fully-breastfed infant.

April 2011 HuBERT Hints #2

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