WIC Sample Clauses

WIC. The Special Supplemental Nutrition Program for Women, Infants and Children authorized by section 17 of the Child Nutrition Act of 1966, 42 U.S.C. 1786, as amended through PL105-394, and the regulations promulgated pursuant thereto, 7 CFR Ch. II, Part 246.

WIC. Complaints by beneficiaries with regard to substandard conditions may be investigated by XXXXX’x Patients’ Rights Advocate, County, DHCS, or by the Joint Commission on Accreditation of Healthcare Organization, or such other agency, as required by law or regulation.

WIC. Vendor This is your USDA Food & Nutrition Services Authorization number for SNAP/Food Stamps ID * FNS No. * Merchant Store Name* Primary Address* City* IRS Legal Filing Name* Primary Phone* Please PRINT name of your store State* Zip Code* Federal Tax ID or SSN* Type of Business* (Check one) PRINT legal name of your enterprise as shown on your income tax return (Check one)  Federal Tax ID  SSN  Corporation  Nonprofit/Tax-exempt  Individual/sole proprietor  Government Entity  Partnership  LLC  Foreign Entity If you check “Foreign Entity”, you must complete and provide FIS with a signed Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding. Download from xxxx://xxx.xxx.xxx/pub/irs-pdf/fw8ben.pdf ACCEPTED AND AGREED: MERCHANT FIDELITY INFORMATION SERVICES, LLC  Signed by* Signed by Print Name* Print Name Xxxxx X. Xxxxx Title* Title Line of Business Executive Received by Date Signed* eFunds Rev 1.14.15 Quest 2015 1 MERCHANT INFORMATION—1 * Required information Chain Store Information  No  Yes, Name of Chain: Chain Store? * Chain Contact Name & Phone Checkout Lanes Number of Needed Terminals* Please refer to, Section 11.1, eFunds- supplied Terminals Operations Contact Operations Contact Name* Operations Contact Email Phone No. Fax Emergency Phone Numbers* Operations Contact Home Phone No. Cell Phone No. Connectivity Type* Please refer to, Section 11, Use of Terminals (*Dial Up, Broadband Internet or both) PIN Pad Type* (*Internal or External) Use of Terminals* Please refer to, Section 11, Use of Terminals (* SNAP, Cash, eWIC, SNAP &Cash, SNAP & eWIC, SNAP &Cash & eWIC) **At this time, FIS is unable to process WIC for Xerox based States. Questions call, 0-000-000-0000 Merchant’s Store(s) (Merchant to complete, provide on a separate sheet or electronically.) FNS Number Store Address(es) Number / Terminals Merchant’s Store(s) (Merchant to complete, provide on a separate sheet or electronically.) WIC Vendor ID’s** Store Address(es) Number / Terminals MERCHANT INFORMATION—2 For electronic settlement of transactions (per Terms and Conditions, Section 1.1 Merchant Account of this agreement), Merchant must maintain a CHECKING account that can accept ACH debits and credits. FIS will verify your financial institution and account information using the codes at the bottom of your check. Write VOID on a business check. BEFORE faxing (or mailing) the printed copy of the Agreement, tape top edge of voided check over this pi...

WIC. Head Start, Early Intervention;

WIC e) special needs plans;

WIC. Medicaid, through its grantees, hotlines, and managed care providers, will refer pregnant and postpartum women, infants and children to WIC. • WIC will accept verification of Medicaid eligibility as proof of financial eligibility for WIC services. • WIC will link families to Medicaid/MCHP, Title V, and Title X services and other health-related and social services for children with special health care needs. • WIC will identify outreach networks; distribute literature and perform targeted community outreach publicizing program availability. • WIC and Medicaid will coordinate to ensure that information about the WIC program is available in areas where Medicaid/MCHP applications are processed.

WIC. WIC will partner with FHA programs and Medicaid to integrate WIC eligibility and application process into provider practice patterns. • WIC, Medicaid, FHA programs, will collaborate to identify opportunities to improve service delivery. • WIC staff will assure that appropriate referrals are made health and social services.

WIC. WIC will include Medicaid as a participant in WIC strategic planning initiatives. • WIC, through its Advisory Council, will assure that the unique needs of Medicaid recipients are considered in customer service and quality improvement initiatives.