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  • Massachusetts Wic Nutrition Program Request For Special Formula And Food

Get Massachusetts Wic Nutrition Program Request For Special Formula And Food

MASSACHUSETTS WIC NUTRITION PROGRAM REQUEST FOR SPECIAL FORMULA AND FOOD Participants Name: Date of Birth (DOB): / / Guardians Name: Weeks Gestation (for premature infants): Formula or medical food.

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You can get your current WIC food balance by checking your last store receipt, using the balance inquiry terminal at an authorized WIC store, logging in to this portal, or by calling the Customer Service number on the back of your WIC EBT card.

MassHealth has primary responsibility for payment of special formulas for MassHealth members who are eligible to receive benefits through the WIC Program. WIC participants who are MassHealth members will be guided to receive special formulas through their MassHealth insurance.

The regulations say that the WIC participant must be given the opportunity to authorize the transaction. So yes, a transaction needs to be authorized either by a “yes” on the card device or verbally. Can WIC Cards from Massachusetts be used in other states? No.

Talk to your baby's doctor. They might have sample cans of formula available and also can ask the manufacturer for specific types of formula. You can also call a local hospital, office of WIC (the federal Special Supplemental Nutrition Program for Women, Infants, and Children), or an established breast milk bank.

Providers will approve this on the Request for Special Food and Formula form. Abbott Similac Advance, Similac Soy Isomil, Similac Total Comfort, Similac Sensitive (20 kcal/oz.) are WIC's standard infant formulas. WIC also provides special formulas for participants with special medical needs.

Abbott Similac Advance, Similac Soy Isomil, Similac Total Comfort, Similac Sensitive (20 kcal/oz.) are WIC's standard infant formulas. WIC also provides special formulas for participants with special medical needs.

Specialized formula, whether available by prescription or over the counter, may be covered if it's indicated by a doctor as medically necessary. Most states also specify which medical conditions make a child eligible.

MassHealth provides nonemergency transportation services and emergency ambulance services.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232