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MN WIC Program

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121, 201, breastfeeding, cert end date, certification history, food package, infant, nutrition assessment, physical presence, risk factors

Pseudo-Certs Setting Reason Not Present to NULL and Removing Radio Button Display when Physical Presence Is "N" (TTY-47)

Description: When a pseudo-cert is created in the folder of a participant that has the No radio button and a Reason Not Present selected for Physically Present:

Physically Present Equals No and Reason Equals Premature Infant

the system is setting the Reason Not Present to NULL and no longer displaying the selected radio button.

Nothing selected Physically Present

What You Should Do: If you select the No radio button for Physically Present during a certification, please document the reason you selected in a General Note with the Subject of Physical Presence Exception. This way, if a pseudo-cert is created that causes the system to set the selected reason to NULL, the reason will still be documented for that certification.

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

Posted to Issues Page on 2/9/16 and February 2016 HuBERT Hints #2

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Assignment or Removal of Risk Factor 201 in a Child’s Participant Folder Results in Deletion of Current and Future Food Prescriptions (TTY-6)

Description: For children in a current certification period, if Risk Factor 201(Low Hemoglobin) is added or removed via a pseudo-cert within the Participant Folder, the system is auto-deleting food prescriptions with an Effective Date of the current date or with a future date.

What You Should Do: You will need to create a new food package before being able to issue benefits.

Resolution: This has been added to the issue queue.

2.22 Release Document

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How Risk Factors Display in the Risk Factors Tab when Assigned from the Nutrition Assessment Tab

Risk factors, when assigned while in the Nutrition Assessment Tab (NAT) during a certification, display under the dates of that certification on the Risk Factors tab.

If another NAT is completed during the certification period, either via the Participant Folder or the Mid-certification Assessment, HuBERT does not go back and retrieve the risk factors assigned when the previous NAT was completed; it creates a new record of risk factors associated with the new NAT.

In the Risk Factors tab, if a pseudo-cert is created upon completion of a new NAT, only those risk factors assigned during the new NAT will display under the dates associated with the pseudo-cert while the risk factors assigned during the initial NAT will continue to display under the dates of the certification.

December 2014 HuBERT Hints #1

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Certification History Tab Displays Date WIC Category Changed from Breastfeeding to Non-Breastfeeding as Cert End Date

For Breastfeeding women who are less than 6 months postpartum and whose WIC Category is changed to Non-Breastfeeding, the Certification History tab will display the date the pseudo-cert was created, or the date the WIC Category was changed, as the cert end date of the Breastfeeding certification record.

For example, a breastfeeding woman's initial certification period is displayed in the Certification History tab as 3/13/13 - 2/28/14:

Cert History tab with cert start date and end date

If her Category is changed from Breastfeeding to Non-Breastfeeding on 6/5/13 the system indicates her new Cert End Date based on her infant's date of birth, which in this instance is 8/31/13:

Message:  Certification end date will change to 8.31.13

When we re-open the Certification History tab, it now displays the start and end date of the breastfeeding portion of her most recent certification and will display 6/5/13 as the end date:

Cert Hx tab showing cert end date of 6/5/13

However, in the Risk Factors tab, both the breastfeeding portion of her certification from 3/15/13 - 6/5/13 and her non-breastfeeding portion from 6/5/13 - 8/31/13 display.

Risk Factors tab showing breastfeeding and non-breastfeeding portions of her cert

From the 2.18.06 Release Document

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Pseudo-Certs and Risk Factors Assigned during Nutrition Assessment

Changes made to information in the Participant Folder cause the system to reassess risk factor assignment, such as when you add new height/weight measurements. When changes to risk factors occur, a pseudo-cert is created. Remember, a pseudo-cert is simply a modification to how the certification period displays in the Risk Factors tab in HuBERT.

If risk factors were initially assigned during Certification Guided Script (CGS) in the Nutrition Assessment screen (as indicated below with the blue “V”), they display under the initial certification period.

Risk Factors tab with initial cert information circled in red

If a pseudo-cert is created, and a more recent Nutrition Assessment has been performed, as you may see occurring more often with mid-certifications, the system will review the most recent Nutrition Assessment for risk factors. If no risk factors were assigned during the most recent Nutrition Assessment, the system will not carry any risk factors forward into the pseudo-cert (as shown below). NOTE: CPAs are only required to assign all applicable risk factors during actual certifications; not mid-certs.

Risk Factors tab showing the risk factors not forwarding to pseudo-cert

Although it may appear that the risk factors have been removed, always keep in mind that pseudo-certs are simply a change to the way the certification period is displayed, and that the risk factors assigned during the initial certification continue to be associated with that certification.

April 2013 HuBERT Hints #2

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Cannot Change Participants from BF to NBF if Pseudo-Cert Already Created for Date

Description: If any changes are made to a woman's folder that result in the system creating a pseudo-cert, you are unable to change the participant's WIC Category from Breastfeeding to Non-Breastfeeding.

Explanation: Pseudo-certs are auto-created by the system whenever it performs an assessment of the current risk factors and either assigns or removes a risk factor based on assessable criteria. This can occur when a Participant Folder is first opened (ex: Household Smoking has changed) or when information is entered (ex: hemoglobin value is entered). A pseudo-cert is also created when a participant's WIC Category is changed (ex: infant to child automatically changed during End-of-Day or by user when woman changes from Breastfeeding to Non-Breastfeeding).

However, the system can only create one pseudo-cert per date. If a pseudo-cert is created due to a risk factor change, you will be unable to change a woman's WIC category.

What You Should Do: If a woman is no longer breastfeeding and her infant is less than 6 months old, you should change her WIC Category in the Demographics tab immediately, before any other changes are made to the folder.

In instances when the pseudo-cert is auto-created before you have a chance to do this (such as a change in Household Smoking), you will be unable to change the WIC Category and will receive the following message when trying to change the WIC Category:

The participant's WIC Category cannot be changed in this manner.  A new certificaiton willl need to be completed.

If this occurs, you can either wait until the next day to change the WIC Category or call the Help Desk for assistance.

NOTE: If a woman is no longer breastfeeding and the infant is over 6 months old, you cannot change her WIC Category in Demographics. You must terminate her record then update the infant's Health Information.

August 2011 HuBERT Hints #4

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