May 20, 2013 WIC Update

SUBJECT 1: REMINDER-FFY 2014 LAP Training Registration
SUBJECT 2: May WIC Invoices
SUBJECT 3: Food & Formula Reference Guidelines (FFRG) - Update
SUBJECT 4: E-Cigarettes and WIC Risk Factors


  1. REMINDER-FFY 2014 LAP Training Registration:Federal Fiscal Year (FFY) 2014 WIC Local Agency Plan (LAP) training will be conducted at the Department’s ITSD Training Room, 920 Wildwood Dr., Jefferson City on June 24, 25, 26, 27 and 28, 2013. This year's training is optional, but is strongly recommended for new LAP users. The training registration form is available at http://health.mo.gov/living/families/wic/wiclwp/training-wic_lap.php and must be submitted by May 31, 2013. Webinars will also be available prior to the on-site training. Please check future WIC Updates for information on the availability of these webinars.

    If you have questions, please contact Debby Hanlon at Debby.Hanlon@health.mo.gov or 573-751-6196.

  2. May WIC Invoices: WIC Invoices for May 2013, and prior months, submitted for payment in the month of June must be submitted through the Online WIC Invoicing System by close of business on Friday, June 7, 2013. Invoices submitted after that date will be held and paid in July, 2013. This change in schedule complies with the close of State Fiscal Year 2013 payment processing deadlines. If you have questions please contact Laura Weiler at Laura.Weiler@health.mo.gov or 573-526-7901.

  3. Food & Formula Reference Guidelines (FFRG) - Update: Due to several changes to product names and container sizes, the following sections of FFRG (October 1, 2012) have been updated:

    • Section B. WIC Approved Infant Formulas and Special Formulas
      (Exempt Infant Formulas and Medical Foods) Page 4-11

    • Extra Formulas/unused Formulas Page 19
    • Dented Cans of Formula Page 20

    Please share the attached items with your staff:

    • FFRG - Update (Effective: May 28, 2013)
    • Pictorial Conversion Charts

    Please refer to the attached sheet (labeled MOWINS Formula Changes 5-28-2013) for information on what to do in MOWINS and the Crystal Report to assist with these changes.

    Please begin using the attached FFRG on May 28, 2013. If you have any questions and/or suggestions, please feel free to contact Takako Tagami at takako.tagami@health.mo.gov. (FOUR ATTACHMENTS)

  4. E-Cigarettes and WIC Risk Factors: Several of you have asked about e-cigarettes over the years. Here is the latest guidance FNS has regarding the use of this product:

    At this time, use of e-cigarettes is not a risk criterion, nor would the use in the home be considered environmental tobacco smoke exposure. The FDA is still in the process of evaluating their safety. Therefore, it would be impossible to assess for risk if there is no reliable information about how much or what brands are safe or unsafe. Even though there is not a specific risk criterion that can be assigned for this behavior, it is certainly an issue that can and should be addressed through nutrition education. It would be prudent to inform the participant of the FDA information from the updated posting of 10/9/12 - http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm:

    As the safety and efficacy of e-cigarettes have not been fully studied, consumers of e-cigarette products currently have no way of knowing:
         whether e-cigarettes are safe for their intended use,
         how much nicotine or other potentially harmful chemicals are being inhaled during use, or
         if there are any benefits associated with using these products.

    Additionally, it is not known if e-cigarettes may lead young people to try other tobacco products, including conventional cigarettes, which are known to cause disease and lead to premature death.
    Here is an additional link with more information from the FDA: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm225210.htm.

    If you have any questions, please discuss with your TA nutritionist.

Attachments:
FFRG 5-28-2013 WIC Update
FFRG 5-28-2013 WIC Update
MOWINS Formula Changes & Instructions 5-28-2013
MOWINS Formula Changes & Instructions 5-28-2013