Oregon Administrative Rules|Section 333-053-0040 - Definitions

                                                
Current through Register Vol. 60, No. 12, December 1, 2021 
(1) "Adjunctively income eligible" means an applicant or participant who is eligible for WIC because they are: 
(a) Certified and fully eligible to receive benefits for the:
(A) Food Distribution Program on Indian Reservations (FDPIR);
 
(B) Supplemental Nutrition Assistance Program (SNAP);
 
(C) Medicaid/Oregon Health Plan (OHP); or
 
(D) Temporary Assistance for Needy Families (TANF); or
 
 
(b) A member of a household with: 
(A) A SNAP recipient;
 
(B) A pregnant woman or infant currently on Medicaid/OHP;
 
(C) A TANF recipient; or
 
(D) A FDPIR recipient.
 
 
 
(2) "Appeal" means review of an agency decision by a neutral third party.
 
(3) "Applicant" means any pregnant woman, post-partum woman, infant or child who is applying to receive WIC program benefits, and a breastfed infant of an applicant breastfeeding woman. Applicants include individuals who are currently participating in the program but are re-applying because their certification period is about to expire.
 
(4) "Authority" means the Oregon Health Authority.
 
(5) "Authorized food" means any supplemental foods approved by the Oregon WIC program and listed on the WIC Authorized Food List or food instrument.
 
(6) "Authorized shopper" means: 
(a) The participant or any person designated by a participant who has been documented as such to act on the participant's behalf; and
 
(b) In the case of an infant or child, the caretaker or the caretaker's designee; or
 
(c) Any representative of the Authority posing as a participant or participant designee as authorized by the Authority.
 
 
(7) "Cardholder" means the person authorized by the WIC program to use the eWIC card to purchase WIC food benefits at WIC-authorized vendors.
 
(8) "Cash Value Benefit" or "CVB" means a fixed-dollar benefit on an electronic benefit transfer (EBT) card or other document which is used by an authorized shopper to obtain WIC authorized fruits and vegetables.
 
(9) "Certification" means the implementation of criteria and procedures to assess and document each applicant's eligibility for participation in the WIC program.
 
(10) "CFR" means Code of Federal Regulations.
 
(11) "Claim" means a demand for repayment for intentional misuse of WIC or FDNP benefits.
 
(12) "CSFP" means the Commodity Supplemental Food Program.
 
(13) "Disqualification" means termination of participation in the WIC program and cessation of WIC benefits due to a participant violation for a specific amount of time.
 
(14) "Dual participation" means simultaneous participation in more than one WIC program (more than one state or more than one local agency within Oregon) or participation in the WIC program and in the CSFP at the same time.
 
(15) "Electronic benefit account" or "EBA" means an account established for a WIC household administered by Oregon's eWIC banking contractor and where food benefits for all participants in the household are aggregated into that single account.
 
(16) "eWIC card" means the electronic benefit transfer (EBT) card used by cardholders to purchase WIC authorized foods or formulas from their electronic benefit account (EBA).
 
(17) "Fair hearing" means a proceeding before an administrative law judge to review actions proposed by the Authority.
 
(18) "Farm Direct Nutrition Program" or "FDNP" means the Farmers' Market Nutrition Program administered by the United States Department of Agriculture (USDA), Food and Nutrition Services and implemented by the State of Oregon, Oregon Health Authority.
 
(19) "First cardholder" means the required cardholder for an electronic benefit account. The first cardholder is either the woman participant or the parent or caretaker from the same household as the infant or child participant therefore sharing the same address.
 
(20) "Food instrument" means a WIC program electronic benefit transfer (EBT) card, or other document which is used to obtain authorized foods.
 
(21) "Hearing request" or "request for a hearing" means any clear expression by an individual, or the individual's parent, caretaker or representative, that he or she desires an opportunity to present his or her case to a higher authority.
 
(22) "Local agency" means: 
(a) A public or private non-profit health or human services agency that provides health services, either directly or through contract with the Authority to provide services, in accordance with 7 CFR § 246.5;
 
(b) An Indian Health Service unit in contract with the Authority to provide services;
 
(c) An Indian tribe, band or group recognized by the Department of the Interior that operates a health clinic or is provided health services by an Indian Health Service unit; or
 
(d) An intertribal council or group that is an authorized representative of Indian tribes, bands or groups recognized by the Department of the Interior that operates a health clinic or is provided health services by an Indian Health Service unit.
 
 
(23) "Notice of Non-compliance" means a letter notifying participants, parents or caretakers of an infant or child participant when they commit a program violation. This notice is an explanation of the violation and a warning about repercussions of subsequent violations.
 
(24) "Participant" means any pregnant woman, breastfeeding woman, post-partum non-lactating woman, infant or child who has been certified to receive benefits from the WIC program.
 
(25) "Participant's caretaker" means a person who has significant responsibility for providing food to the infant or child. The caretaker is usually part of the family unit, for example the parent or legal guardian of the infant or child.
 
(26) "Restitution" means reimbursement to the Authority of the cash value of WIC program benefits received by a participant as a result of a violation.
 
(27) "Sanction" means a penalty imposed by the state WIC program because of a violation.
 
(28) "Second cardholder" means an individual authorized on a WIC electronic benefit account who has been issued their own eWIC card with the permission of the first cardholder.
 
(29) "Service area" means a local program or subdivision of a local agency that encompasses a specific geographic area.
 
(30) "Termination" means a participant's file is closed and WIC program benefits cease for any reason including, but not limited to, lack of eligibility, no longer breastfeeding, or transferring out of state, and participant violations.
 
(31) "Trafficking" means the buying or selling of a WIC food instrument for cash.
 
(32) "Violation" means any intentional action of a participant, parent or caretaker of an infant or child participant, or any eWIC cardholder, including actions listed in OAR 333-053-0080, that violates federal or state statutes, regulations, policies or procedures governing the WIC program.
 
(33) "WIC program" or "WIC" means the Special Supplemental Nutrition Program for Women, Infants and Children authorized by Section 17 of the Federal Child Nutrition Act of 1966, as amended, 42 U.S.C. § 1786.
 
(34) "WIC program benefits" mean benefits a participant receives that includes but are not limited to food, formula, and breast pumps.
 
Or. Admin. R. 333-053-0040
PH 17-2008, f. & cert. ef. 11-5-08; PH 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; PH 11-2011, f. & cert. ef. 10-27-11; PH 10-2013, f. 11-6-13, cert. ef. 12-1-13; PH 26-2015, f. 12-8-15, cert. ef. 1-1-16; PH 250-2018, amend filed 09/04/2018, effective 10/1/2018
Statutory/Other Authority: ORS 413.500
 
Statutes/Other Implemented: ORS 413.500
This section was updated on 10/13/2018 by overlay.