June 30, 2008 WIC Update

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SUBJECT 1: Adjunct Eligibility Change- HDFS Screen- Important Announcement
SUBJECT 2: Change in the format of the HWIAC 425-01 Participation Report
SUBJECT 3: Brief Survey on WIC Updates
SUBJECT 4: Nutrition Education Opportunity-Maternal Nutrition Intensive Course
SUBJECT 5: Nutrition Education Opportunity-Breastfeeding Conference

  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 for WIC 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 or H201/202/203 screens 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 adjuntly eligible for Medicaid/MoHealthNet no longer will be adjunctly eligible when they recertify on or after July 7.

    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. Change in the format of the HWIAC 425-01 Participation Report:  Effective July 3, 2008, the 425 report will be changed to show all agencies and each of its sites with the participation count for each one plus an "umbrella" totals page.  All agencies are being changed to this format.  In the past, if your agency had a main site and sub-sites, but the count was indicated on the report for only the main site, your report will look different as well.

    Example #1:  XXX County Health Department has a main site and two sub-sites.  The first page of totals for that agency will show the participants served only at the main site.  The second page of totals will show the participants served only at the first sub-site.  The third page of totals will show the participants served only at the second sub-site.  The fourth page of totals will be the "umbrella" page and will show the totals for all sites combined as well as the caseload totals at the bottom of that page.

    Example #2:  XXX County Health Department has only a main site and no sub-sites.  The first page of totals for that agency will show the participants served at the main site.  The second page of totals will be the "umbrella" page and will show the totals for the main site as well as the caseload totals at the bottom of that page.

    Please review the attached PDF documents for these examples.

    If you have questions, contact Melissa Seaver at melissa.seaver@health.mo.gov or 573-751-6489 or 800-392-8209.

  3. Brief Survey on WIC Updates:  In the WIC Updates of June 9, 2008 we included an article on a survey to obtain LWP input on the WIC Updates.  We have received many surveys already.  If you have not yet completed the survey, please do so by July11.  The survey is short, only nine questions, and will take only a few minutes to complete. 

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

  4. Nutrition Education Opportunity-Maternal Nutrition Intensive Course:  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. Nutrition Education Opportunity-Breastfeeding Conference:  The Breastfeeding Support for Breastfeeding Success Conference is scheduled for September 12, 2008 in Jefferson City.  WIC Registered Dietitians, Nutritionists, Nurses, Breastfeeding Coordinators, La Leche League Members, and International Board Certified Lactation Consultants (IBCLC) are invited to attend this one day conference.  The purpose of the conference is to provide current and consistent information in the area of advanced lactation management so clinicians can provide a higher level of support to their breastfeeding mothers.  If you have questions, please contact Shanna Morgan at Shanna.Morgan@health.mo.gov.  Please see the attached registration brochure for details and fax or e-mail completed registration form to Michelle Nienhuis at 573-526-1470 or Michelle.Nienhuis@health.mo.gov.

Attachments:
Adjunct Eligibility Example.doc
Breastfeeding Conference Registration Brochure.pdf
National Maternal Intensive Course 2008.pdf
425 No Subsites.pdf
425 with Subsites.pdf