PERMANENT RULES
Date of Adoption: April 28, 2000.
Purpose: The rule is needed to comply with new federal regulations. The changes in the new regulations spell out mandatory sanctions for specific violations, state when it is appropriate to impose a monetary penalty in lieu of disqualification, explain the formula for calculating the monetary penalty, and identify what can and can not be appealed.
Citation of Existing Rules Affected by this Order: Amending WAC 246-790-010, 246-790-050, 246-790-060, 246-790-070, 246-790-080, 246-790-085, 246-790-090, 246-790-100, 246-790-120, and 246-790-130.
Statutory Authority for Adoption: RCW 43.70.120.
Other Authority: 7 C.F.R. 246.12, 15, and 18.
Adopted under notice filed as WSR 00-07-084 on March 15, 2000.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 5, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 1, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 1, Amended 8, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 10, Repealed 0. Effective Date of Rule: Thirty-one days after filing.
June 6, 2000
Nancy Ellison
for Mary Selecky
Secretary
OTS-3586.4
SPECIAL SUPPLEMENTAL ((FOOD)) NUTRITION PROGRAM FOR WOMEN,
INFANTS, AND CHILDREN (WIC)
(1) "Alternate endorser" means a person authorized by the WIC client to pick up WIC checks at the local WIC agency and use the WIC checks at the retailer when the client is unable to do so.
(2) "Appeal process" means a formal proceeding to appeal
((a)) certain program decisions. The appeal hearing process
provides a contractor the opportunity to review the case record
prior to the hearing, to present its case in an impartial
setting, to confront and cross-examine witnesses, and to be
represented by counsel.
(((2))) (3) "Applicant retailer" means any ((retailer))
contractor submitting a completed request for authorization on
behalf of a retailer requesting participation in the program.
(((3))) (4) "Authorized" or "authorization" means the
applicant retailer has met selection criteria as determined by
the United States Department of Agriculture (USDA) and signed a
contract ((with)) offered by the department signifying
eligibility to participate in the WIC program.
(((4))) (5) "CFR" means the Code of Federal Regulations.
(((5))) (6) "Contract" means a written legal document
binding the contractor and the department, represented by the WIC
program, to designated terms and conditions.
(((6))) (7) "Contractor" means the owner, chief executive
officer, controller, or other person legally authorized to
obligate a retailer to a contract.
(((7))) (8) "Department" means the Washington state
department of health.
(((8))) (9) "Disqualification" means the act of revoking the
authorization and terminating the contract of an authorized
retailer for noncompliance with WIC program requirements.
(((9))) (10) "Effective policy and program to prevent
trafficking" means a written document that states what you can
and cannot do with WIC checks and the consequences for failing to
follow program requirements. Effectiveness is determined by
documentation that a retailer has provided this written policy to
all employees prior to any noncompliance being detected,
including employees' signatures verifying they have been advised
of the policy and understand the consequences of noncompliance,
both for the retailer and for the employee.
(11) "Food company" means a manufacturer or broker of food items.
(((10))) (12) "Inadequate participant access" means the
decision the state agency makes considering a variety of factors
to determine how disqualification of a WIC retailer might affect
a WIC client's access to WIC foods. The procedure includes, but
is not limited to, assessing how many WIC authorized retailers
are in a given service area, how many clients currently use the
retailer in question, and any geographical barriers a client
would contend with to access WIC foods at a different authorized
retailer.
(13) "Local WIC agency" means the contracted clinic or agency where a client receives WIC services.
(((11))) (14) "Monetary penalty" means a sum of money
imposed by the program for noncompliance with program
requirements.
(((12))) (15) "Pattern" means more than one documented
incidence of noncompliance with WIC program requirements in any
given contract period.
(16) "Providing credit" means the retailer submitted and received payment on a WIC check for which the client did not receive all the foods listed on the check at the time the check was redeemed. The client may or may not receive the remaining foods or something of equal value at a later time.
(17) "Reauthorization" or "subsequent authorization" means
the process when a retailer who has a contract with the
((department)) program which is expiring, has ((again applied
and)) reapplied, met the selection criteria, and signed ((a
subsequent)) another contract with the department signifying
eligibility to participate in the WIC program.
(((13))) (18) "Supplemental WIC foods" means those foods
containing nutrients determined to be beneficial for pregnant,
breast-feeding, and postpartum women, infants and children, as
prescribed by federal regulations and state requirements, and, as
authorized by the Washington state WIC program.
(((14))) (19) "Trafficking" means buying or selling WIC
checks for cash.
(20) "WIC program" or "program" means the federally funded special supplemental nutrition program for women, infants, and children administered in Washington state by the department of health.
(((15))) (21) "WIC retailer" or "retailer" means an
individual store owned by a contractor ((which is)) authorized to
participate in the WIC program.
(((16))) (22) "Wholesaler" means a business entity ((which))
that sells food and other items to a retailer.
(((17))) (23) "WIC check" means a negotiable instrument
issued to and used by a WIC client or ((a WIC client's designee))
alternate endorser to obtain specified supplemental WIC foods at
a contracted WIC retailer.
(((18))) (24) "WIC client" or "client" means a ((pregnant,
breast-feeding, or postpartum)) woman who is pregnant,
breast-feeding, or postpartum, infant, or child receiving WIC
benefits.
(((19) "WIC client's designee" means a person authorized by
the client to pick up WIC checks at the local WIC agency and use
the WIC checks at the retailer when the client is unable to do
so.))
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-010, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-010, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.17.060, 43.21C.120 and 43.20A.550. 91-01-098 (Order 3118), § 246-790-010, filed 12/18/90, effective 1/18/91.]
(1) The WIC
program in the state of Washington is administered by ((the
division of community and family health, office of public health
nutrition services in)) the department of health.
(2) The WIC program is a federally funded program
established in 1972 by an amendment to the Child Nutrition Act of
1966. ((It is)) The purpose of the program is to provide
nutrition and health assessment, nutrition education, nutritious
food; breast-feeding counseling; and referral services to
pregnant, breast-feeding, and postpartum women, infants, and
children in specific risk categories.
(3) Federal regulations governing the WIC program (7 CFR
Part 246) require implementation of standards and procedures to
guide the state's administration of the WIC program and are
hereby incorporated in this rule by reference. ((These
regulations are designed to promote consistent and high quality
services to clients, promote consistent application of procedures
for eligibility and food issuance, and promote client and
retailer compliance.)) These regulations define the rights,
responsibilities, and legal procedures of clients and retailers.
They are designed to promote:
(a) Consistent and high quality services to clients;
(b) Consistent application of procedures for eligibility and food issuance; and
(c) Client and retailer compliance.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-050, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-050, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-050, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-005, filed 6/6/90, effective 7/7/90; 88-14-037 (Order 2638), § 388-19-005, filed 6/30/88.]
(((1))) WIC eligible women, infants,
and children receive supplemental WIC foods from one or more of
the following food categories. These foods ((shall)) must meet
nutritional standards established by federal regulations and
state requirements:
(((a))) (1) Cereals,
(((b))) (2) Juices,
(((c))) (3) Infant formula,
(((d))) (4) Infant cereal,
(((e))) (5) Liquid nutritional supplements,
(((f))) (6) Milk,
(((g))) (7) Eggs,
(((h))) (8) Dry beans and peas,
(((i))) (9) Peanut butter,
(((j))) (10) Cheese,
(((k))) (11) Tuna, and
(((l))) (12) Carrots.
Additionally, the WIC program authorizes specific brands of juice, cereal, and infant formula based on federal and state nutritional requirements. The WIC program limits the selection of authorized WIC foods in accordance with federal cost containment requirements, including, but not limited to, the competitive procurement of a single manufacturer's infant formula.
(((2) The procedure for initially authorizing a food is:
(a) By December 31 of odd-numbered years, a food company or other entity, such as a local WIC clinic, shall submit a written request to the WIC program for authorization of a food, to include:
(i) Package flats or labels, information on package sizes and prices, and a summary of current distribution, including identification of the wholesaler carrying the food; and
(ii) Assessment of when the new food replaces the old on store shelves when there is a change in formulation.
(b) The WIC program shall verify if a food considered for authorization fits within one of the authorized food categories, meets the federal requirements of nutritional standards, is available to retailers, and has been available to retailers for one year or more;
(c) A public health nutrition services work group shall make a recommendation based on the food's ingredients and value to the promotion of healthful and economic food buying practices;
(d) The WIC program has the option to survey local WIC agency staff and clients for their recommendation regarding need and demand for the food;
(e) The WIC program shall review data and recommendations and shall notify the food company of the program's decision;
(f) The WIC program shall add the newly authorized foods to the WIC check and related materials to coincide with the retailer contract period.
(3) Food companies shall notify the WIC program in writing of any changes in product formulation, product name, packaging, label design, size, or availability. A food company shall notify the WIC program of any such changes before any Washington state wholesaler receives the new product.
If a food company fails to notify the WIC program of any changes, the WIC program may revoke or deny the food's WIC authorization.
(4) A food company shall not use the term "WIC approved" or the WIC program logo without prior written approval from the WIC program.
(5) The WIC program may require a food company to submit a statement guaranteeing a minimum period of time during which a food will be available in the state of Washington.
(6) The WIC program shall refuse any food that contradicts the principles promoted by the WIC program's nutrition service component.
(7) The WIC program may limit the number of authorized foods within a food category.
(8) The WIC program may initiate reassessment of any WIC authorized food.))
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-060, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-060, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-060, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-015, filed 6/6/90, effective 7/7/90; 88-14-037 (Order 2638), § 388-19-015, filed 6/30/88.]
(1) The procedure for initially authorizing a food is:
(a) By December 31 of odd-numbered years, a food company or other entity, such as a local WIC clinic, submits a written request to the WIC program for authorization of a food, to include:
(i) Package flats or labels, information on package sizes and prices, and a summary of current distribution, including identification of the wholesaler carrying the food; and
(ii) Assessment of when the new food replaces the old on store shelves when there is a change in formulation.
(b) The WIC program verifies if a food considered for authorization fits within one of the authorized food categories, meets the federal requirements of nutritional standards, is available to retailers, and has been available to retailers for one year or more;
(c) The WIC program may survey local WIC agency staff and clients for their recommendation regarding need and demand for the food;
(d) The WIC program reviews data and recommendations and notifies the food company whether or not a food is authorized;
(e) The WIC program will add any new authorized food to the WIC check and related materials to coincide with the retailer contract period.
(2) Food companies must notify the WIC program in writing of any changes in product formulation, product name, packaging, label design, size, or availability. A food company must notify the WIC program of any such changes before any Washington state wholesaler receives the new product.
If a food company fails to notify the WIC program of any changes, the WIC program may revoke or deny the food's WIC authorization.
(3) A food company must obtain written approval from the WIC program before using the term "WIC approved" or the WIC program logo.
(4) The WIC program may require a food company to submit a statement guaranteeing a minimum period of time during which a food will be available in the state of Washington.
(5) The WIC program shall refuse any food that contradicts the principles promoted by the WIC program's nutrition service component.
(6) The WIC program may limit the number of authorized foods within a food category.
(7) The WIC program may initiate reassessment of any WIC authorized food.
[]
(1) Applicant retailers interested in participating in the WIC program must apply for authorization and enter into a contract with the department.
(2) Application procedure.
(a) ((Upon request, the WIC program will send an application
packet to interested applicant retailers.)) Applicant retailers
((shall)) submit ((the)) a completed application to the WIC
program, including a price list for authorized WIC foods.
(b) The WIC program may require applicant retailers to provide information regarding shelf price records and inventory records showing all purchases, both wholesale and retail, including but not limited to, wholesale receipts, cash and carry receipts, purchase orders, books of account, invoices that identify the quantity and prices of specific WIC foods and other pertinent records that substantiate the volume and the prices charged. Cash register receipts without specific identification of the quantity, unit price, and WIC food purchased are not acceptable as evidence of WIC food purchases.
(c) The WIC program ((shall)) conducts and documents an
on-site visit prior to, or at the time of, initial authorization
of an applicant retailer((, for the purpose of evaluating)) to
evaluate the inventory of WIC foods and ((providing)) provide
training on the WIC retailer handbook.
(d) Applications are accepted from April 1 of odd-numbered years until September 30 of even-numbered years. Exceptions can be made in the case of an ownership change or where there is a documented need for a location in order to assure client access. The WIC program may limit acceptance of new applications.
(3) The WIC program shall authorize a distribution of
retailers ((that facilitates)) to ensure client access((, and
enables effective management of the retailers)). The WIC program
may limit the number of authorized retailers in any given
geographic area or state-wide to enable effective management of
the retailers.
(4) The WIC program bases selection ((is based)) of
authorized retailers on the following:
(a) ((The applicant retailer shall have)) Requests from or
the potential of serving fifteen or more WIC clients as verified
by the local WIC agency for new stores.
(b) ((Applicant retailers applying for re-authorization
shall have)) A check redemption record averaging forty or more
checks per month over a six-month period, documented by WIC
program statistics reports for stores who are reapplying.
(c) Exceptions may be made for:
(i) Pharmacies needed as suppliers of special infant formulas; or
(ii) Applicant retailers in isolated areas where client access cannot otherwise be assured.
In either case, the need ((shall)) must be documented by the
local WIC agency.
(d) ((Applicant retailers shall)) Stock of representative
items with current shelf lives from all food categories on the
authorized WIC food list. Minimum quantities specified on the
authorized WIC food list ((shall)) must be on the shelf available
for purchase before a contract is offered to the retailer. An
applicant retailer seeking a waiver from the minimum formula
stock requirement ((shall)) must request the waiver in writing
for each contract period. No waivers ((shall be)) are granted
unless there is an insufficient number of authorized retailers in
a given service area to assure client access((;)).
(e) Prices of individual foods ((shall not exceed)) less
than one hundred twenty percent of the state-wide average price
as calculated at least annually. An applicant retailer seeking a
waiver from the one hundred twenty percent requirement ((shall))
must request the waiver in writing for each contract period. No
waivers shall be granted unless there is an insufficient number
of authorized retailers in a given service area to assure client
access;
(f) ((The applicant retailer shall possess)) Possession of a
valid Washington state tax registration number;
(g) ((The applicant retailer shall agree)) Agreement to
comply with training sessions and monitor visits, and provide
shelf price records and inventory records showing all purchases,
both wholesale and retail, including but not limited to,
wholesale receipts, cash and carry receipts, purchase orders,
books of account, invoices that identify the quantity and prices
of specific WIC foods, and other pertinent records that
substantiate the volume and prices charged upon the WIC program's
request;
(h) ((The applicant retailer shall operate)) Business
operation from a fixed location;
(i) ((The applicant retailer shall be)) Open for business
((at)) a minimum of eight ((or more)) hours per day, six days per
week.
(j) ((The applicant retailer shall be)) In compliance with
local sanitation rules;
(k) ((The applicant retailer with a)) Have no history of any
of the following ((shall be denied authorization unless client
access can not otherwise be assured)):
(i) WIC or food stamp disqualification;
(ii) Redeeming WIC checks without authorization;
(iii) Changing ownership more than twice during a two-year contracting period;
(iv) Failing to implement corrective action imposed by the program;
(v) Failing to complete payment within the time specified, of an imposed monetary penalty or reimbursement of an overcharge; and
(vi) Refusing to accept training from the WIC program.
Exceptions may be made if client access cannot otherwise be assured.
(5) The WIC program may deny a retailer authorization for failure to meet any of the stated selection criteria.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-070, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-070, filed 10/27/92, effective 11/27/92; 91-06-029 (Order 145), § 246-790-070, filed 2/26/91, effective 3/29/91. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-070, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-020, filed 6/6/90, effective 7/7/90; 88-18-022 (Order 2681), § 388-19-020, filed 8/30/88; 88-14-037 (Order 2638), § 388-19-020, filed 6/30/88.]
(1) All authorized retailers ((shall)) must enter
into written contracts with the department. The contract
((shall)) must be signed by the contractor and the designee of
the contracting officer of the department of health.
(2) The contract ((shall)) lists all authorized retailers by
name and location. Individual retailers may be added, changed,
disqualified, or ((terminated)) deleted by contract amendment
without affecting the remaining retailers.
(3) Duration of contract.
(a) The WIC program ((shall)) issues contracts for a maximum
period of two years. All contracts expire on March 31 of
odd-numbered years.
(b) Neither the WIC program nor the contractor is obligated
to renew the contract. The WIC program ((shall)) must notify
contractors in writing not less than fifteen days before the
expiration of a contract not being renewed by the program.
(c) Authorization is valid for no longer than the period stated in the contract. The retailer must reapply to be considered for subsequent authorization in the WIC program.
(d) The contractor or the WIC program may terminate the contract at any time by submitting a written notice to the other party thirty days in advance.
(e) The contract is null and void in the event of a retailer closure or change in ownership.
(f) The contractor cannot voluntarily withdraw from participating in the WIC program in order to avoid being disqualified.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-080, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-080, filed 10/27/92, effective 11/27/92; 91-23-078 (Order 215), § 246-790-080, filed 11/19/91, effective 12/20/91. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-080, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-025, filed 6/6/90, effective 7/7/90; 88-14-037 (Order 2638), § 388-19-025, filed 6/30/88.]
(1) The
retailer ((shall)) must comply with WIC program requirements and
terms of the retailer contract.
(2) The retailer ((shall)) must stock sufficient quantities
of authorized WIC foods to meet the needs of WIC customers, but
not less than the minimum stock levels.
(3) The retailer ((shall)) must redeem WIC checks made
payable only to ((that specific retailer)) their store or with
the words "any authorized WIC vendor."
(4) The retailer ((shall)) must accept WIC checks from a WIC
customer on the "first day to use," the "last day to use," or any
day in between the dates printed on the WIC check. The retailer
((shall)) must submit the WIC check for payment within sixty days
from the "first day to use."
(5) The retailer ((shall)) must refuse ((to accept)) WIC
checks that have the purchase price missing, the client's
signature missing, the "first day to use" or the "last day to
use" missing, or that are ((postdated or stale)) dated too early
or too late.
(6) The retailer must refuse WIC checks with purchase amounts over the "not to exceed" amount printed on the check.
(7) The retailer ((shall)) must enter the actual purchase
price of the specific quantity of WIC authorized foods on each
WIC check before the WIC customer countersigns the check.
(((7))) (8) The retailer ((shall)) must accept only WIC
checks on which the WIC customer's countersignature matches the
first customer signature on the check.
(((8))) (9) The retailer ((shall)) must refuse ((to accept))
WIC checks that are altered in any way.
(((9))) (10) The retailer must refuse to accept WIC checks
from any other retailer.
(11) The retailer ((shall)) must redeem WIC checks for only
the supplemental WIC foods and in no more than the quantity
specified on the check.
(((10))) (12) The retailer ((shall)) must post the prices of
WIC foods so they are visible to the public.
(((11))) (13) The retailer ((shall)) must provide
supplemental foods at the current price or at less than the
current price charged to other customers.
(((12))) (14) The retailer ((shall)) must not sell
WIC-authorized foods after the manufacturer's expiration date.
(((13) The retailer shall not accept WIC checks with
purchase amounts over the "not to exceed" amount printed on the
check.
(14))) (15) The retailer ((shall)) must reimburse the WIC
program for documented overcharges and payments made on
improperly handled WIC checks.
(((15))) (16) The retailer ((shall)) must not seek
restitution from WIC ((clients)) customers for WIC checks not
paid by the WIC program, nor ((shall the retailer)) seek
restitution through a collection agency.
(((16))) (17) The retailer ((shall)) must not request cash
or give change in a WIC transaction.
(((17))) (18) The retailer ((shall)) must not impose a
surcharge or charge sales tax on any food purchased with WIC
checks.
(((18))) (19) The retailer ((shall)) must refuse WIC
((client's)) customers' requests for exchanges or cash refunds
for returned WIC foods. Exceptions may be made for exchange of
food due to spoilage or expired date not noticed by the WIC
((client)) customer at the time of the WIC transaction.
(((19))) (20) The retailer ((shall)) must not issue rain
checks, any form of credit, or otherwise charge the WIC program
for foods not received by the WIC customer at the time the WIC
check is redeemed.
(((20))) (21) The retailer ((shall)) must treat WIC
customers with the same courtesy provided to other customers.
(((21))) (22) The retailer must comply with federal and
state nondiscrimination laws.
(23) The contractor ((shall be)) is responsible for the
actions or inactions of employees, agents, and authorized
retailers with regard to participation in the WIC program.
(((22))) (24) The manager of the retailer or an authorized
representative such as head cashier ((shall)) must attend
training on WIC program requirements and procedures prior to
issuance of a contract and as otherwise required by the WIC
program. Those individuals receiving training must sign a
document verifying attendance and understanding of the contents
of the training. The WIC program ((shall)) provides this
training at no cost to the retailer.
(((23) Those who attend)) (25) The individuals attending
training ((shall)) must inform and train other employees on WIC
program requirements and WIC check cashing procedures.
(((24))) (26) The retailer ((shall)) must provide access to
its facilities at all reasonable times for WIC program
representatives to monitor, to provide training or technical
assistance, and to evaluate performance, compliance, and quality
assurance.
(((25) During any WIC program visit of a retailer,)) (27)
The retailer ((shall)) must provide access to redeemed WIC checks
for the purpose of review by the program representative during
any on-site visit.
(((26))) (28) Retailers ((shall)) must maintain inventory
records showing all purchases, both wholesale and retail, for a
period of at least ((three years, including)) one year after the
expiration of the contract with the WIC program. These inventory
records include, but are not limited to, shelf price records,
wholesale receipts, cash and carry receipts, purchase orders,
books of account, invoices that identify the quantity and prices
of specific WIC foods, and other pertinent records that
substantiate the volume and prices charged and provide WIC
program representatives access to those records on request.
(((27))) (29) Each retailer ((shall)) must provide the WIC
program with a completed price list of authorized WIC foods on
request, but not more than twelve times per year.
(((28))) (30) The contractor ((shall)) must notify the WIC
program of any change of ownership, retailer name, location
and/or cessation of operation for any reason ((no later than the
tenth of the month prior to)) at least thirty days before the
effective date of the change.
(((29))) (31) Contractors ((shall)) must observe time lines,
such as deadlines for submitting price lists and returning
properly signed contracts. Failure of contractors to do so may
result in denial of authorization.
(((30))) (32) Contractors ((shall)) must take corrective
action as directed by the WIC program. Examples of corrective
action include, but are not limited to, payment of monetary
penalties and reimbursements, conducting monthly education buys,
and filing requested progress reports.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-085, filed 8/6/97, effective 9/6/97.]
(1) The WIC program conducts on-site compliance reviews at retailer locations to monitor retailer compliance with program requirements.
(2) Preauthorization visits.
(a) Visit is scheduled in advance.
(b) ((The WIC program representative identifies self.
(c))) The WIC program representative provides training on the WIC retailer handbook which includes information on WIC foods and WIC check handling, and collects information on WIC food stock levels and shelf prices.
(((d))) (c) The retailer signs the preauthorization visit
form verifying receipt of the training, understanding of program
requirements, and the commitment to train store personnel.
(3) Compliance visits.
(a) Visit may or may not be scheduled in advance;
(b) ((The WIC program representative identifies self;
(c))) The WIC program representative may do some or all of the following during a visit: Review WIC check handling procedures, WIC food stock levels, expiration dates and prices, WIC checks negotiated but not yet deposited, shelf price records, wholesale receipts, cash and carry receipts, purchase orders, books of account, invoices that identify the quantity and prices of specific WIC foods, and other pertinent records that substantiate the volume and prices charged, provide training or technical assistance, and verify implementation of a corrective action plan.
(((d))) (c) The WIC program representative documents the
name of the retailer, the name of the program representative, the
names of all persons interviewed, the date of the visit, any
problems or concerns detected or the observation the retailer
appears to be in compliance, any corrective action plan if
problems are detected, and the signatures of the program
representative and the retailer.
(4) Compliance purchases.
(a) The WIC program representative ((does not identify
self)) acts covertly;
(b) The WIC program representative may make((s)) a purchase
using WIC checks ((applying a predetermined methodology)) or may
attempt trafficking;
(c) The WIC program representative completes a report on the
visit itemizing information including but not limited to, a
description of the checker involved, the time and date of the
transaction, the number of check stands opened and closed, other
customers in line, exact items purchased and/or refused, the
prices charged ((or the purchase prices)), comments of the
checker, observations of the investigator or the investigative
aide, any stock deficiencies noted, any other pertinent
information, and the signature of the investigator.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-090, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-090, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-090, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-030, filed 6/6/90, effective 7/7/90; 88-14-037 (Order 2638), § 388-19-030, filed 6/30/88.]
(1) Retailers who commit acts of noncompliance are liable to prosecution in accordance with federal regulations (7 CFR 246.12 and 7 CFR 246.23). Noncompliance is failure to follow WIC program requirements including, but not limited to:
(a) Buying or selling WIC checks for cash (trafficking);
(b) Selling firearms, ammunition, explosives, or controlled substances for WIC checks;
(c) Selling alcohol or tobacco for WIC checks;
(d) Charging WIC for food not available to buy and having no documentation of having had enough food on the shelf for WIC clients to buy;
(e) Providing ((cash,)) unauthorized food((, nonfood
items,)) or other items to WIC customers in lieu of or in
addition to authorized WIC supplemental foods;
(((b))) (f) Selling or offering to sell foods with expired
shelf lives;
(((c))) (g) Charging the WIC program for foods not received
by the customer;
(((d))) (h) Charging the WIC program more for authorized WIC
supplemental foods than other customers are charged for the same
food;
(((e) Inflating the purchase price of a WIC transaction;
(f))) (i) Providing ((rain checks or)) credit or nonfood
items to customers in a WIC transaction;
(((g))) (j) Charging WIC customers cash or giving change in
a WIC transaction;
(((h))) (k) Redeeming WIC checks outside of authorized
channels; for example, accepting WIC checks without having
((authorization from)) a signed contract with the WIC program and
accepting checks payable elsewhere then working out an exchange
with that other retailer;
(((i))) (l) Failing to write the actual purchase price on
the WIC check at the time of the WIC transaction; and
(((j))) (m) Failing to maintain adequate stock of WIC foods
on the retailer's shelves.
(2) The WIC program may deny payment to, impose monetary penalties on and disqualify retailers for noncompliance with WIC program requirements and terms of the retailer contract.
(3) The WIC program ((shall)) must seek reimbursement from
retailers for documented overcharges and for payments made on
improperly handled WIC checks.
(4) Retailers found in noncompliance, except for the
offenses listed in the first five rows of the table in subsection
(((9))) (6) of this section, will be notified by the WIC program
and given the opportunity to correct the deficiency. Methods of
notification include, but are not limited to, technical
assistance contacts and notice of correction letters. Repeating
any act of noncompliance ((may)) will subject a retailer to
sanctions.
(5) When the WIC program denies a retailer authorization,
denies payment, imposes a monetary penalty, requests
reimbursement, or disqualifies a retailer, the program ((shall))
must give the contractor written notice not less than fifteen
days prior to the effective date of the action. The notice
((shall)) must state what action is being taken, the effective
date of the action, and the procedure for requesting an appeal
hearing if the action is one which can be appealed.
(6) ((Monetary penalties shall be imposed when noncompliance
of a same or similar type of noncompliance occurs following
notification and the opportunity for correction.
(7) Monetary penalties, in accordance with federal regulations, are:
(a) If the value of the unauthorized items was less than one hundred dollars, the monetary penalty shall be not less than one hundred dollars and not more than one thousand dollars.
(b) If the value of the unauthorized items was one hundred dollars or more, the monetary penalty shall be not less than five hundred dollars and not more than ten thousand dollars.
(8) Monetary penalties and reimbursements shall be paid to the revenue section of the department within the time period specified in the notice. Retailers who fail to pay within the time period specified in the notice shall be referred to a commercial collection agency and may be disqualified.
(9))) The WIC program ((shall)) must disqualify the WIC
retailer for the following((, after providing advance notice of
not less than fifteen days)):
(((a) Redeeming a WIC check for the purchase of any form of
alcohol or tobacco;
(b) Purchasing a WIC check for partial value and redeeming at full value (commonly referred to as trafficking or discounting);
(c) Redeeming a WIC check for the purchase of nonfood items;
(d) Using a pattern of overcharging;
(e) Noncomplying in a same or similar nature following notification and the opportunity for correction;
(f) Being disqualified from the food stamp program by the food and consumer service.
(10) The WIC program shall disqualify the retailer from the WIC program for a specified period of time, not to exceed three years.))
Violation |
Length of Disqualification |
Disqualification from the food stamp program by the food and nutrition service; | Time period corresponding to food stamp program disqualification |
Conviction for trafficking in WIC checks or exchanging firearms, ammunition, explosives, or controlled substances for WIC checks; | Permanent |
One incidence of trafficking; | Six years |
One incidence of exchanging firearms, ammunition, explosives, or controlled substances for WIC checks; | Six years |
One incidence of exchanging any form of alcohol or tobacco for a WIC check; | Three years |
A documented pattern of charging WIC for food not available to buy and having no documentation of having had enough food on the shelf for WIC clients to buy; | Three years |
A documented pattern of overcharging, including charging more than the shelf price, charging more than for non-WIC customers, and charging for food not received by the customer; | Three years |
A documented pattern of redeeming WIC checks outside of authorized channels; | Three years |
A documented pattern of providing credit or nonfood items, other than alcohol, alcoholic beverages, tobacco products, cash, firearms, ammunition, explosives, or controlled substances as defined in 21 N.S.C. 802, in exchange for WIC checks; | Three years |
A documented pattern of selling unauthorized foods or selling more than the amount of food listed on the WIC check. | One year |
(((11))) (8) Prior to disqualifying a retailer, the WIC
program ((shall)) must consider whether the disqualification
would create ((undue hardships)) inadequate access to WIC foods
for WIC clients. ((In these cases)) If the WIC program
determines a retailer's disqualification would result in
inadequate client access to WIC foods, the WIC program may
((agree on)) impose a monetary penalty in lieu of
disqualification.
(((12))) (9) Monetary penalties are calculated in accordance
with federal regulations using the following formula:
(a) Average the retailer's monthly volume of WIC business over at least the six-month period ending with the month preceding when the notice to the retailer is dated;
(b) Multiply the average by ten percent (.10);
(c) Multiply that number by the number of months for which the store would be disqualified. This is the amount of the monetary penalty.
(10) Monetary penalties must not exceed ten thousand dollars for each violation. For a violation warranting permanent disqualification, the monetary penalty is ten thousand dollars. If several violations are documented during the course of one investigation, the department must impose a monetary penalty for each violation, not to exceed a total of forty thousand dollars.
(11) Monetary penalties and reimbursements must be paid to the revenue section of the department within the time period specified in the notice. Retailers who fail to pay within the time period specified in the notice will be referred to a commercial collection agency and disqualified for the length of time corresponding to the violation.
(12) When a retailer who has already been sanctioned for noncompliance is found out of compliance again, the department must double the sanction. A monetary penalty in lieu of disqualification is not an option for third or subsequent incidences of noncompliance.
(13) A contractor who fails to give the specified notice of
closure, a change in ownership, retailer name, and/or location
((shall be)) is liable for resultant costs incurred by the WIC
program.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-100, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-100, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-100, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-035, filed 6/6/90, effective 7/7/90; 88-14-037 (Order 2638), § 388-19-035, filed 6/30/88.]
(1) ((The contractor may appeal notice of denial of
payment, denial of authorization, monetary penalty,
reimbursement, or disqualification. Expiration and nonrenewal of
a WIC contract is not subject to appeal.
(2))) The contractor may appeal:
(a) Notice of denial of payment;
(b) Denial of authorization;
(c) Monetary penalty;
(d) Reimbursement; or
(e) Disqualification.
(2) Actions not subject to appeal are:
(a) Expiration or nonrenewal of a WIC contract;
(b) Department determination regarding inadequate client access to WIC foods; and
(c) Disqualification based on a food stamp program
disqualification. When the action being appealed is
disqualification, the retailer ((shall)) must cease redeeming WIC
checks effective the date specified in the notice and ((shall))
must not accept WIC checks during the appeal period. ((Payments
shall not be made for)) The department will not pay any WIC
checks redeemed by a retailer during a period of
disqualification.
(3) A request for an appeal hearing ((shall)) must be in
writing and:
(a) State the issue raised;
(b) Contain a summary of the contractor's position on the issue, indicating whether each charge is admitted, denied, or not contested;
(c) State the name and address of the contractor requesting the appeal hearing;
(d) State the name and address of the attorney representing the contractor, if applicable;
(e) State the contractor's need for an interpreter or other special accommodations, if necessary; and
(f) Have a copy of the notice from the program attached.
(4) A request for an appeal hearing ((shall)) must be filed
at the ((Office of Professional Standards (OPS))) Adjudicative
Clerk's Office, Department of Health, 1107 Eastside St., P.O. Box
((47872)) 47879, Olympia, WA 98504-((7872)) 7879. The request
((shall)) must be made within twenty-eight days of the date the
contractor received the notice.
(5) The decision concerning the appeal ((shall)) must be
made within sixty days from the date the request for an appeal
hearing was received by the ((office of professional standards
(OPS))) Adjudicative Clerk's Office. The time ((shall)) for
rendering the decision may be extended by as many days as ((the
contractor requests, assents to, or necessitates a delay in the
proceedings)) all parties agree to with ((due)) good cause.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-120, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-120, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-120, filed 12/18/90, effective 1/18/91; 90-12-112 (Order 2960), § 388-19-045, filed 6/6/90, effective 7/7/90; 88-18-022 (Order 2681), § 388-19-045, filed 8/30/88; 88-14-037 (Order 2638), § 388-19-045, filed 6/30/88.]
(1) The WIC program may establish a retailer advisory committee for the purpose of soliciting input on policies, procedures, and other matters pertinent to retailer participation in the WIC program.
(2) The retailer advisory committee ((shall)) meets at least
two times per year.
(3) The membership of the retailer advisory committee
((will)) consists of representation of at least the following:
(a) ((The)) Washington Food ((industries)) Industry;
(b) Manager or checker trainer from a large chain;
(c) Manager or checker trainer from a small chain;
(d) Minority-owned retailer;
(e) Instructor of a checker training program with a technical college;
(f) Local WIC agency staff person;
(g) Current or former WIC client;
(h) Administrative representative, such as loss prevention or risk manager or human resources representative, from any size retailer;
(i) Owner of an independent retailer (single store); and
(j) A military commissary.
[Statutory Authority: RCW 43.70.120. 97-16-117, § 246-790-130, filed 8/6/97, effective 9/6/97; 92-22-036 (Order 314), § 246-790-130, filed 10/27/92, effective 11/27/92. Statutory Authority: RCW 43.20A.550. 91-01-097 (Order 3117), recodified as § 246-790-130, filed 12/18/90, effective 1/18/91; 88-18-022 (Order 2681), § 388-19-050, filed 8/30/88; 88-14-037 (Order 2638), § 388-19-050, filed 6/30/88.]