January 4, 2010 WIC Update

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SUBJECT 1: Per Participant Rate Increase
SUBJECT 2: Using Loving Support to Glow and Grow in WIC- Breastfeeding Training
SUBJECT 4: WIC Laptops- Safe Boot
SUBJECT 5: Risk Factor Assignment Issues in MOWINS
SUBJECT 6: Enfamil Premium - Name and Label Changes
SUBJECT 7: EleCare Formulas – Description Changes
SUBJECT 8: Welcome to WIC Brochure (English)
SUBJECT 9: Future Revisions to the Medical Documentation Form (WIC 27) – Deadline January 11, 2010

  1. Per Participant Rate Increase:  The per participant rate for FY2010 will increase from $10.30 to $12.00 for your contracted caseload retroactive to October 1, 2009.  We specifically requested and in mid December received additional funding from USDA for local agency WIC services.  We know many agencies are struggling to meet their growing caseloads and maintain vital services with dwindling local resources.  These additional funds can be used to further compensate for the cost of providing local WIC services.

    The increased funding requires an amendment to your 2010 WIC services contract.  We have prepared the paperwork, and it is moving through the Department’s approval process.  As soon as we know the amendments are ready to be sent, we will notify agencies via the WIC Update.  Agencies will need to sign and return the amendment.  When the signed contract amendment is received, we will immediately increase the funding in the agency’s Personnel Compensation line in the online invoicing application.  If the agency wants to change the budget line amount, they will use the online Budget Adjustment.  If you have any questions on this increase, please contact your TA staff.
  2. Using Loving Support to Glow and Grow in WIC- Breastfeeding Training:  The State WIC office has had e-mails from LWPS regarding the mandatory breastfeeding training scheduled in 2010 throughout Missouri.  USDA is putting a huge emphasis on breastfeeding including providing additional funds to states to increase their breastfeeding rates, and thus they have made this training mandatory for all local and state WIC staff.  Clerks, WIC Certifiers, HPAs and WIC Coordinators only need to attend day 1 of this 2 day training.  CPAs and nutritionists are requested to attend both days.  Exceptions are being made for those that have a strong background in lactation management and have recently attended Breastfeeding Peer Counseling or Breastfeeding Coordinator training.
    Computer based training and webinars are useful alternatives to face to face trainings, but do not allow for the level of interaction needed for this particular training.

    We have added another Clay County and Joplin training to the list.  We are also looking at adding another training in Springfield.  Each training site needs to accommodate 40-50 attendees.  Training registration begins at 8:00 with the actual training to begin at 8:30.  This USDA training was originally a three day training.  We worked to decrease it to a two day training.  All local agencies were given additional funds (Special Funding – Grant 5 of the LAP) for this training.  These funds can be used for travel, staff time, lodging, and meals.
  3. MOWINS Reports:  The WIC MOWINS Reports request website will be unavailable during the month of January 2010.  Modifications are being made so that more detailed information about the requested report can be collected.  It should be available again on February 1, 2010 or shortly thereafter.

    If you have questions, please contact Melissa Seaver at Melissa.Seaver@health.mo.gov.
  4. WIC Laptops- Safe Boot:  All WIC laptops that are state owned (have both WIC and DHSS/OA tags) will soon have Safe Boot installed on them.  Safe Boot is a utility that encrypts all data on the laptop so that if the laptop is lost or stolen, the data cannot be viewed because the person will not have the password.  Because of this, the password must be protected and not be written down so others can see it.  ITSD staff will contact you to set up a time to install Safe Boot on your laptops.  It will take from about 30 minutes to one hour to do it, depending on the number of laptops and the speed of your network connection.
    If you have questions, please contact Mark Davis at Mark.Davis@health.mo.gov
  5. Risk Factor Assignment Issues in MOWINS:
    1. When a child’s BMI is greater than 99%, the system is not plotting the result on the chart nor assigning risk factor 113 (Overweight (Children).  In these cases, the LWP will need to document in the chart that the risk factor has been assigned by certifying staff.  The criteria for assigning this risk factor has not changed (e.g. Children > 24 months to 5 years: > 95th percentile BMI-for-Age or > 95th percentile weight-for-stature based on age/sex specific growth charts.  Children 24 to 36 months with a recumbent length > 95th percentile weight-for-length based on age/sex specific growth charts.)
    2. There have been questions about the system assigning both risk factor 103 (Underweight and At Risk of Becoming Underweight (I, C) and 114 (At Risk of Becoming Overweight).  This is not an error.  When the infant’s weight is less than or equal to the 10th percentile for Weight-for-Length risk factor 103 is assigned.  When the infant’s record is also linked with the record of the mother whose BMI was 30 at the time of certification or at any point in the first trimester of pregnancy risk factor 114 will be also be assigned.
  6. Enfamil Premium - Name and Label Changes:  Mead Johnson Nutritionals (MJN) will change Enfamil Premium LIPIL name and label effective February 1, 2010.

    Name:  Enfamil Premium LIPIL becomes Enfamil Premium Infant
    Label:  A new duck character will replace the Peter Rabbit bunny on the front label panel.





Enfamil Premium LIPIL

Enfamil Premium Infant  


Peter Rabbit Bunny

A New Duck Character

The food descriptions in MOWINS will be updated to allow participants to purchase either Enfamil Premium LIPIL (old name) or Enfamil Premium Infant (new name) at WIC vendors.  According to MJN, Enfamil Premium with the new label may start appearing at WIC vendors sometime in March 2010.  The State WIC office will provide more information (e.g. new labels) on the change through the WIC update.  If you have any questions, please contact Takako Tagami at Takako.Tagami@health.mo.gov.

  1. EleCare Formulas – Description Changes:  Effective February 1, 2010, the descriptions of EleCare formulas will be revised as shown below:

Eligible Category

Old Names in MOWINS

New Names in MOWINS



EleCare DHA/ARA (Unflavored)



EleCare (Unflavored)



EleCare DHA/ARA (Unflavored/Vanilla)



EleCare (Unflavored/Vanilla)

EleCare unflavored and EleCare with DHA and ARA unflavored are available for both infants and children; however, vanilla flavor is only available for children age 1 year and older.  Please make sure that information on Elecare flavor is included in the medical documentation form (WIC 27) and advise the participant to mention the prescribed flavor at a WIC vendor.  If you have any questions, please contact Takako Tagami at Takako.Tagami@health.mo.gov.

  1. Welcome to WIC (English):  Attached is the updated version of the Welcome to WIC brochure in English.  The State office will ship the brochures to all local WIC providers as soon as it is received.  In the meantime, please feel free to make copies as needed.  Please share this information with your staff.  If you have any suggestions and/or questions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.
  2. Future Revisions to the Medical Documentation Form (WIC 27) – Deadline January 11, 2010:  As stated in the new food package trainings, WICNS is planning to revise the WIC 27 Medical Documentation form before its next reprint.  As everyday users of the form, we would like to give all Local WIC Providers the opportunity to provide feedback regarding what revisions are needed.  The deadline for submitting suggestions/comments is January 11, 2010.  Please submit all your suggestions and comments by email to Danne.Ward@health.mo.gov or by calling 573-526-0209.

Welcome To WIC Brochure