August 24, 2009 WIC Update

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SUBJECT 1: New Medical Documentation Form (WIC 27)
SUBJECT 2: New Food Package Food Prescription Conversion - Scheduled for October 1, 2009
SUBJECT 3: New Food Packages Dollar Values
SUBJECT 4: Fit WIC MO FY09 Evaluation
SUBJECT 5: Labor Day Holiday – September 7, 2009
SUBJECT 6: Missouri Voter Registration Application Forms (WIC-MVR-1)
SUBJECT 7: Food & Formula Reference Guide (FFRG) - Effective October 1, 2009
SUBJECT 8: Missouri WIC Approved Food Poster (11” x 17”, Laminated)
SUBJECT 9: Photos of the new WIC Food Packages and Approved Foods
SUBJECT 10: H1N1 Priority Vaccination List

  1. New Medical Documentation Form (WIC 27):  The state office has posted the approved Medical Documentation form (WIC 27) on the web.  Agencies will start using this approved form on October 1, 2009.  LWPs will need to print off the form until the forms are printed and available in the warehouse.  The form can be provided to participants (women, infants or children) who will need a new medical form starting in October and can be used to train LWP staff and health care providers.  The new form number is WIC 27 and replaces the WIC 29.  The form can be found at: Food Packages.  Please discard the old WIC 29 forms on October 1, 2009.  If you have any questions regarding this information, please contact D'Anne Ward at 1-800-392-8209 or email danne.ward@health.mo.gov.

  2. New Food Package Food Prescription Conversion - Scheduled for October 1, 2009:  The state office has contracted with CSC Covansys to assist with the new food package conversion in MOWINS.  The conversion is scheduled for Thursday, October 1, 2009.  The conversion will consist of the following:
    • All future food prescription for all participants in an active certification period will be deleted.
    • The conversion will establish a default food prescription for all children, prenatal and non-breastfeeding women.  The default food prescription will be the milk/cheese combination as well as the other food items for the participant’s category.
    • The state will provide the LWP a report for women and children who were receiving food package III (special formulas/medical food).  The report will be posted on the Crystal report website early in September.  The participant’s records listed in this report will require the CPA to establish a food prescription before FI’s could be printed.
    • All infant and breastfeeding women’s records will need to have a food prescription established before FI’s can be printed.

    LWPs may access MOWINS as early as 5 am on Thursday, October 1st to download the installation of the new food package release.  If you have any questions regarding this information, please contact your district technical assistance (TA) team.

  3. New Food Packages Food Dollar Values:   In addition to reflecting the most recent dietary guidelines, changes to the New Food Packages include providing additional food to mothers and infants as an incentive to encourage exclusive breastfeeding.  Agencies have requested information on the dollar value of the different food packages to use as a tool to promote the Fully Breastfeeding Food Package.  The following monthly food costs are based on statewide averages:
    Women’s Food Packages
    Fully Breastfeeding Food Package $80
    Partially Breastfeeding Food Package $60
    Non-Breastfeeding Food Package $50
    Infant Foods
    Cereal, infant fruits/vegetables (64 jars) and infant meats (31 jars) - fully breastfed infant $75
    Cereal and infant fruits/vegetables (32 jars) - all other infants $27

    If you have any questions regarding this information, please contact your district technical assistance (TA) team.

  4. Fit WIC MO FY09 Evaluation:  We are nearing the end of our third year of statewide implementation of Fit WIC Missouri, a program to prevent childhood overweight in the WIC community.  Each local WIC provider that participated in Fit WIC MO in FY09 is asked to complete the attached Evaluation (Table 8).  Any agency that wrote a goal, objective, strategy or activity in the FY09 LAP should complete the evaluation.  On the attached form, simply check the nutrition and physical activity goals that your agency selected in FY09, report how many participants selected each goal and how many were successful at making the behavior change.  Then check which activity to support WIC staff or which community activity your agency selected, and give a brief report of the results.  A few open-ended questions give you the opportunity to tell us what is working well for you and what barriers you are experiencing as you implement Fit WIC MO.  Return this electronically to Rita Arni at rita.arni@health.mo.gov no later than September 30, 2009.

  5. Labor Day Holiday – September 7, 2009:  The State WIC Office, including the MOWINS Help Desk, will be closed on Monday, September 7, 2009.

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

  6. Missouri Voter Registration Application Forms (WIC-MVR-1):  The Missouri Voter Registration Application Forms are available at the DHSS warehouse.  If your agency needs the forms, please fill out the WIC Supply Request Form (WIC 8) and fax to 573-751-1574.  Your agency can order the forms as needed.  If you have any questions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.

  7. Food & Formula Reference Guide (FFRG) - Effective October 1, 2009:  FFRG (Effective October 1, 2009) is being finalized.  It will be posted on the website on September 1, 2009.  If you have any questions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.

  8. Missouri WIC Approved Food Poster (11” x 17”, Laminated):  On August 21, 2009, the State office shipped the Missouri WIC New Approved Food Poster (11” x 17”, Laminated) to local WIC providers who requested the poster.  Shipment of the remaining posters (8.5” x 11”, Laminated and 8.5 x 11” & 11” x 17” Foam board mounted) will be on September 1, 2009.  If you have any questions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.

  9. Photos of the new WIC Food Packages and Approved Foods:  Photos of the new WIC food packages and approved foods are available for local WIC provider’s use through the website.
    If you have any suggestions and/or questions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.

  10. H1N1 Priority Vaccination List:  The following is the current priority list for H1N1 vaccination.  As you can see, the WIC populations fit at least two of the priority categories.
    • Pregnant women because they are at higher risk of complications and can potentially provide protection to infants who cannot be vaccinated;
    • Household contacts and caregivers for children younger than 6 months of age because younger infants are at higher risk of influenza-related complications and cannot be vaccinated. Vaccination of those in close contact with infants less than 6 months old might help protect infants by “cocooning” them from the virus;
    • Healthcare and emergency medical services personnel because infections among healthcare workers have been reported and this can be a potential source of infection for vulnerable patients. Also, increased absenteeism in this population could reduce healthcare system capacity;
    • All people from 6 months through 24 years of age
      • Children from 6 months through 18 years of age because we have seen many cases of novel H1N1 influenza in children and they are in close contact with each other in school and day care settings, which increases the likelihood of disease spread, and
      • Young adults 19 through 24 years of age because we have seen many cases of novel H1N1 influenza in these healthy young adults and they often live, work, and study in close proximity, and they are a frequently mobile population; and,
    • Persons aged 25 through 64 years who have health conditions associated with higher risk of medical complications from influenza.

    We encourage agencies to consider the possibility of coordinating H1N1 vaccination dates with WIC service dates in order to get as many as possible of the pregnant women, caregivers for children less than 6 months of age and children that receive WIC services immunized. We recognize that staffing resources to accomplish immunization and WIC services may be stretched once the vaccine becomes available and count on local agencies using their best judgment during this time.  If you have questions or need additional guidance, please contact your TA team.

Attachments:
Fit WIC Evaluation FFY09