June 23, 2008 WIC Update

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SUBJECT 1: Adjunct Eligibility Change- HDFS Screen- Important Announcement
SUBJECT 2: Local Agency Plan (LAP) Training and
District Meeting with the WIC Director Directions and Times
SUBJECT 3: Important Announcement - Morning Session of the June 2008 Program Updates Training Canceled
SUBJECT 4: Nutrition Education Opportunity
SUBJECT 5: Voter Registration Timelines
SUBJECT 6: Value Enhanced Nutrition Assessment (VENA) 3 Step Counseling Training in November

  1. Adjunct Eligibility Change- HDFS Screen- Important Announcement:  A change will be coming soon regarding adjunct eligibility.  Previously some children and infants with incomes above 185% of poverty would show on the HDFS, MCII and FAMIS screens as being adjunctly eligible because they were enrolled in Medicaid/MoHealthNet.  Effective July 7, 2008 children and infants will show as being adjuntly eligible for WIC by virtue of being on Medicaid/MoHealthNet only if their incomes are at or below 185% of poverty.  Also effective July 7, 2008 use only the HDFS screen to determine adjunct eligibility for Medicaid/MoHealthNet.  Do not use the MCII or FAMIS screens to check for Medicaid/MoHealthNet enrollment.  You may still use the MCII screen for Medicaid/MoHealthNet billing information and you may use FAMIS for determining adjunct eligibility for the participant from being on TANF or food stamps.  Some children and infants who were previously adjunctly eligible for WIC services because they were receiving Medicaid/MoHealthNet no longer will be eligible effective July7.

    The HDFS screen will be modified to show whether or not the participant is on Medicaid/MoHealthNet and is adjuntly eligible for WIC.  The revised field will be labeled as "MOHEALTHNET" and the answer will be Yes or No.  Yes means the participant is adjunctly eligible for WIC.  No means the participant is not adjunctly eligible for WIC.

    Example #1:  The answer is no.  This means the participant is not adjunctly eligible for the WIC program.  Either the participant is not on Medicaid/MoHealthNet or the participant is on Medicaid/MoHealthNet but their income is greater than 185% of poverty or the participant has applied for Medicaid/MoHealthNet but their eligibility has not yet been determined.

    Example #2:  The answer is yes.  This means the participant is on Medicaid/MoHealthNet.  The income is equal to or less than 185% of poverty and the participant is adjunctly eligible for WIC.

    If you have questions, contact Mark Davis at mark.davis@health.mo.gov or 573-526-5323 or 800-392-8209.

  2. Local Agency Plan (LAP) Training and District Meeting with the WIC Director Directions and Times: Local Agency Plan (LAP) Training and District Meeting with the WIC Director is scheduled from 9:00 a.m. to 4:00 p.m. at each location.  Remember this is a one day training we have for two days at each location to accommodate all the agencies in the area.  We are excited about the new on-line WIC tool.  State office staff will bring laptop computers for each agency to use; those attending from each agency will share this computer.  You will not need to bring a laptop computer as many of you have done in the past.

    The registration contact for LAP training is Jeannie Phelps, jeannie.phelps@health.mo.gov or 573-526-5270 or 800-392-8209.  For more information about LAP training contact Glenn Studebaker at glenn.studebaker@health.mo.gov or 573-751-6198 or 800-392-8209.




    1821 North Missouri
    Macon, MO 63552
    Comfort Inn  June 26-27, 2008
    2875 James Boulevard
    Poplar Bluff, Missouri 63901
    Southeast District Health Office   July 2-3, 2008
    800 Haines Dr.
    Liberty, MO 64068
    Clay County Health Department July 7-8, 2008
    Social Sciences Building, Rm 1408
    4601 Mid Rivers Mall Drive
    Cottleville, MO 63376
    St. Charles Community College July 10-11, 2008
    920 Wildwood
    Jefferson City, MO 65102
    DHSS Technical Training Room July 14-15, 2008
    4653 South Campbell
    Springfield, Missouri 65810
    Springfield-Greene Library Center  July 21-22, 2008
  3. Important Announcement - Morning Session of the June 2008 Program Updates Training Canceled:  The new WIC data system, MOWINS, will be unable to issue the new children’s food packages by the pilot testing period this fall.  Based on this development, we will not be implementing the new children’s food package October 1, 2008 as previously planned.  Based on this new information, the decision was made to cancel the morning session of the program updates training scheduled for June 10, 11, 12, 24, 25, and 27.  Please note: Those agencies that have not implemented trimonthly check issuance are still required to attend the afternoon session to receive training on how to implement this program change effective October 1, 2008.

    All individuals signed up for the remaining program updates training will be contacted by phone and email to let them know of this change.  We deeply regret any inconvenience that this causes agencies.  We did not know that the changes required for issuing the new food packages in MOWINS regardless of participant category are interrelated and cannot be made in time for us to implement the new children's food packages October 1, 2008.

    The PowerPoint presentation of the USDA food packages information, which was included in the training, will be made available to all agencies for their use.  We apologize for the short notice, but canceling training seemed better than having local staff spend time away from their agencies learning about program changes that may not be implemented until later next year.  If you have any questions, please contact your district team or D’Anne Ward at Danne.Ward@health.mo.gov.

  4. Nutrition Education Opportunity:  WIC Registered Dietitians, Nutritionists, Registered Nurses, Certified Nurse Midwives, Nurse Practitioners, Physicians, and other Public Health Professionals who serve preconceptual, pregnant, postpartum and breastfeeding women will want to take advantage of this two-day National Maternal Nutrition Intensive Course, shown by video stream on September 16-17, 2008 in Jefferson City.  This year's continuing education program focuses on the improvement of maternal and infant health through the delivery of risk-appropriate high-quality nutrition services.  This training is presented by the University of Minnesota’s School of Public Health and the Missouri Department of Health and Senior Services, Bureau of WIC and Nutrition Services, Nutrition Training Institute.  Also, sponsored by the Maternal and Child Health Bureau, Health Resources and Services Administration at the U.S. Department of Health and the Human Services and Food and Nutrition Service at the U.S. Department of Agriculture.  Please see the attached registration brochure for details or contact Michelle Nienhuis at 573-751-6244 or Michelle.Nienhuis@health.mo.gov.

  5. Voter Registration Timelines:  The Secretary of State office has prepared a short reminder for all agencies that offer voter registration applications.  The attached reminder notes four important dates for voter registration in order for individuals to vote in upcoming elections.  Please remind your staff of these dates and the WIC program requirement to offer voter registration services.

  6. Value Enhanced Nutrition Assessment (VENA) 3 Step Counseling Training in November:  This will be mandatory for all CPAs (RDs, Nutritionists, RNs) unless verification of attendance at a previous VENA Training, Breastfeeding Coordinator Training or Breastfeeding Peer Counseling Training can be provided.  The one-day sessions will provide continuing education to WIC staff to increase their knowledge in areas that are specific to their scope of practice.  This interactive continuing education is designed to assist in encouraging and sustaining successful nutrition counseling using VENA guidelines.  We will discuss strategies the staff can use during the counseling session at the WIC clinic that can quickly identify participant's motivation to change and their emotions for enhancing the learning process of the counseling session.  We will also instruct the attendees on developing active listening techniques, ways to evaluate their teaching techniques and to identify which techniques work best with which type of WIC participant.  The training will be delivered on-site at several locations and dates throughout the state.  The CPAs must attend, but all WIC staff is encouraged to attend.  Training will be held from 8:30am to 4:00pm.  Please see the attached registration brochure for details or contact Michelle Nienhuis at 573-751-6244 or Michelle.Nienhuis@health.mo.gov.

NationalMaternal Intensive Course 2008
VENA Three Step Counseling Training - November
Adjunct Eligibility Example
FINAL Important Voter Registration deadlines memo 06-08