August 1, 2011 WIC Update

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SUBJECT 1: Breast Pump Order
SUBJECT 2: Enfamil Gentlease Can-Size Change (from 12 oz to 12.4 oz) Important
SUBJECT 3: Food and Formula Reference Guide – Effective August 15, 2011
SUBJECT 4: Changes to Formulas in MOWINS
SUBJECT 5: Mandatory Nutrition Services Documentation Training – Save the Date
SUBJECT 6: Request for WIC Personal Impact Stories
SUBJECT 7: WIC Locations Web Site
SUBJECT 8: National Maternal Nutrition Intensive Course – Save the Date

  1. Breast Pump Order: We are placing another order for breast pumps and double pumping kits from Medela. In addition to the Medela Lactina Select electric breast pumps, double pumping kits and Harmony manual breast pumps, the new Medela Personal Double Electric Single-User breast pump will be available. Single-user means that this pump is not meant to be shared with other women, so we will be giving this pump to mothers who meet the following criteria:
    • Participant must demonstrate a need for the pump.
    • Mother must be separated from her infant at least 32 hours per week.
    • Mother must be planning to offer breast milk exclusively to her infant and committed to continued long-term exclusive breastfeeding.
    • Infant must be receiving no formula from WIC or any other source.
    • Pump cannot be provided to the mother before 4 weeks post partum. If a mother needs a pump before then, she may be loaned a multi-user electric breast pump.

    Agencies are not required to have this pump available, but if you are interested in providing this pump, you may only issue to participants that meet the above criteria. For each participant that is provided this pump, the Single User Personal Electric Breast Pump Agreement/Questionnaire (attached) must be completed and scanned into MOWINS. It is important that you promote this pump to prenatal women and use as an additional incentive to promote exclusive breastfeeding.

    If you would like to request any of these items for your agency, please complete the attached order form and email to Kathy.Mertzufft@health.mo.gov or fax to 573-526-1470 by COB on Friday, August 12, 2011. If you have any questions please contact Kathy Mertzlufft at 573-526-4792. (TWO ATTACHMENTS)

  2. Enfamil Gentlease Can-Size Change (From 12 oz to 12.4 oz) Important: Enfamil Gentlease Can Size (powder) is changing from 12 oz to 12.4 oz. Therefore, the new food description below will be implemented in MOWINS on August 15, 2011:

    Current 12 OZ ENFAMIL GENTLEASE PWD To be inactivated on August 15, 2011
    New 12.4 OZ OR 12 OZ ENFAMIL GENTLEASE PWD Will be active from Aug. 15, 2011 to Oct. 31, 2011.

    The following are key messages related to this change:

    • Checks with 12.4 oz OR 12 oz: The new description allows participants to purchase Enfamil Gentlease powder in 12 oz cans or 12.4 oz cans. The quantity printed on the WIC check is based on the new size. For example, if the WIC vendor has only 12 oz cans, a 3 month old non-breastfeeding participant will get 9 cans.
    • Checks with 12 oz can: When Gentlease in the old can (12 oz) is not available at a WIC vendor, participants can purchase new cans (12.4 oz) of Gentlease in the amounts printed on their WIC checks. Purchasing a combination of 12 oz cans and 12.4 oz cans in the amounts printed on the WIC check is acceptable.
    • Monthly Maximum Allowance: A monthly maximum allowance for each program category also has been updated. Please see Page 4 in the attached Food & Formula Reference Guide (FFRG – August 15, 2011 version).
    • Timing: Depending on WIC vendor inventory levels, the 12.4 oz powder should start appearing on WIC vendor shelves sometime in mid August to early September 2011.

    If you have any questions and/or suggestions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.

  3. Food and Formula Reference Guide (FFRG)–Effective August 15, 2011: The FFRG has been updated. Please begin using the attached FFRG on August 15, 2011. If you have any questions and/or suggestions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov. (ONE ATTACHMENT)

  4. Changes to Formulas in MOWINS: Formula changes in MOWINS will be implemented on Monday, August 15, 2011. Please share the following important messages with staff:

    • Local WIC provider (LWP) staff must log off MOWINS by 5:00 pm, Saturday, August 13, 2011 in order to receive the food item updates on Monday, August 15, 2011.
    • LWP staff must create new food prescriptions for participants who have been receiving food items that are being inactivated. Food prescriptions can be established by a WIC Certifier or CPA.
    • The “Participant with Inactive Food Items” report, including participants’ information (e.g. names, state ID numbers, name of formula) will be available for local providers on Crystal Reports in the Clinic Management folder on Monday, August 15, 2011.

    If you have any questions and/or suggestions, please feel free to contact Takako Tagami at Takako.Tagami@health.mo.gov.

  5. Mandatory Nutrition Services Documentation Training – Save the Date: This mandatory face-to-face half day training for Nutrition Coordinators is scheduled this fall at various locations. Other CPA/Nutritionists are encouraged to also attend the training. The training will explore tips and tools for helping participants set goals and move toward positive behavior changes. Topics include transitioning into goal-setting during a counseling session, helping participants identify goals that are meaningful and realistic for their family’s lifestyle, and helping participants build confidence and motivation to start making changes. In addition, this training will address documentation requirements for nutritional health goals, oral assessment and the care plan. A maximum of 20 people per site will be allowed in order to better facilitate the sessions. The registration form and additional details will be sent out in the next few weeks. Attached are the dates and locations of this training. If you have questions, please contact D’Anne Ward at Danne.Ward@health.mo.gov or 573-526-0209 or 800-392-8209. (ONE ATTACHMENT)

  6. Request for WIC Personal Impact Stories: NWA is in the process of planning a Senate briefing about WIC impact and WIC funding. NWA would like to appeal to the emotions of Congressional staff in addition to providing facts about WIC’s mission and enormous health impact. As a result, they are requesting personal stories from participants about how WIC is important to them, what it means to them, and what losing WIC benefits might mean to them. Please send Phyllis Fuller any stories you may have already collected. Phyllis’s e-mail address is Phyllis.Fuller@health.mo.gov. Additionally, if you know of any participants who might be willing to share their stories with us, please let Phyllis know. Please send stories by Friday, August 12.

  7. WIC Locations Web Site: We have recently updated the WIC locations sites and combined them into one application. Previously there was a list of clinics and stores and a separate link with an interactive map showing clinics and stores. Now there is one combined site that shows a list of clinics and stores in a specific county but also allows you to click “Map It” to show an interactive map of a specific county or city with icons to show the clinics and stores. The new site is located at: http://gis.dhss.mo.gov/Website/WIClocations/findWIClocations.html. You can also find it on the WIC web site at http://health.mo.gov/living/families/wic/index.php. Go to the Locations link under either Local WIC Providers or Vendors.

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

  8. National Maternal Nutrition Intensive Course – Save the Date: Nutrition Educational Opportunity: WIC Registered Dietitians, Nutritionists, and Public Health Nurses who serve pre-conceptual, pregnant, postpartum and breastfeeding women will want to take advantage of this two-day National Maternal Nutrition Intensive Course Seminar, shown on October 5-6, 2011 in Jefferson City. This year's continuing education program focuses on appropriate nutrition services that can improve pregnancy outcomes, the effects of maternal eating behaviors on birth outcomes and infant health status and development, and the characteristics of model programs and counseling approaches for maternal and infant nutritional health. This training is presented by the University of Minnesota’s School of Public Health and will be shown by the WICNS’ Nutrition Training Institute. The registration form and additional details will be sent out in the next few weeks. If you have questions, please contact Michele Bailey at Michele.Bailey@health.mo.gov or 573-751-6481 or 800-392-8209.

Attachments:
Personal Double Pump Questionnaire-Agreement
Breast Pump Order Request
Food & Formula Reference Guide
Mandatory Nutrition Services Documentation Training