November 7, 2016 WIC Update


SUBJECT 1: WIC Certification ME Webinar - Important, Action Required
SUBJECT 2: Clarification Regarding Assignment of Risk Factor (RF) 425 Inappropriate Nutrition Practices for Children
SUBJECT 3: Loving Support Award of Excellence
SUBJECT 4: Upcoming State Holidays
SUBJECT 5: CEU Corner

JOB POSTING: Part-Time Breastfeeding Peer Counselor - Andrew County Health Department
JOB POSTING: Part-Time Breastfeeding Peer Counselor - Pemiscot County Health Center
JOB POSTING: WIC Certifier/Clerk - Northeast Community Action Corporation (NECAC)

 

SUBJECT 1: WIC Certification ME Webinar - Important, Action Required. USDA conducted a Certification Management Evaluation (ME) of the State Agency in January, 2016. An ME is similar to the contract monitoring the State Agency conducts at Local Agencies every other year.

There were findings on two topics (Income Assessment and Documentation, and Notification of Ineligibility and Expiration of Certification), that require training for Local Agencies to ensure compliance with WIC federal regulations. The State Agency has developed a webinar, which all Local Agency staff involved in the certification process are required to view by February 17, 2017. The link to the webinar is under e-Learning. Be sure to click on the link on the last page of the webinar to fill out the form so you can receive credit for attending.

The following policies have been revised: ER # 3.02000, Income Assessment and Documentation and ER # 3.03300, Notification of Ineligibility and Expiration of Certification. The two policies have been posted on the WOM, on October 31, 2016.

The table below highlights the policy revisions:

Policy Highlights

ER # 3.0200 Income Assessment and Documentation

Applicants who are adjunctly eligible must self-declare their income. Previously the policy said they can self-declare their income. The policy also includes a procedure to correctly determine income until a defect in MOWINS is corrected.

ER # 3.03300 Notification of Ineligibility and Expiration of Certification

Verbal notice of the end of the certification period must be given no less than 15 and no more than 60 days prior to the end of the certification period.
Policy provides three options for notification:
1) Write and highlight the certification end date on the ID folder (or use sticker developed by the State Office);
2) Use an appointment reminder system to call or text notice of expiration to participants; or
3) Give verbal notice to participant in clinic (must document in MOWINS general notes if using this last option).

The sticker mentioned in the highlights of ER # 3.03300 above will be sent to local agencies in early November. After the initial shipment, local agencies can order the stickers using the WIC-8 WIC Resource Supply Request form as needed; this form is on the WIC web site, under Resource Order Forms.

If you have questions, please contact your administrative Technical Assistance (TA) staff.

SUBJECT 2: Clarification Regarding Assignment of Risk Factor (RF) 425 Inappropriate Nutrition Practices for Children.
Background Information
During one of the Revision 14 Training Conference Calls, questions were asked about the assignment of RF 425 to children 12-23 months old who are consuming non-fat yogurt or reduced fat yogurt. Non-fat and reduced-fat milks are not recommended for children 1 to 2 years of age because of the lower calorie density compared with whole-fat milk products. The low-calorie, low-fat content of these milks requires an increase in caloric intake to meet energy needs. Infants and children under two using reduced fat milks gain weight at a slower growth rate, lose body fat as evidenced by skinfold thickness, lose energy reserves, and are at risk of inadequate intake of essential fatty acids. Additionally, essential fatty acids are a critical component of infant and child brain development, with deficits early in life leading to significantly altered brain structure and function. WIC State agencies may issue reduced-fat milk to children (1 to 2 years of age) for whom overweight or obesity is a concern, as determined by the Competent Professional Authority (CPA).

Question 1: When would RF 425 be assigned to a child 12-23 months old in regard to consuming non-fat yogurt or reduced fat yogurt?
Answer:

  1. RF 425 would not be assigned if the 12-23 month old child is getting adequate amounts of whole milk and is consuming low-fat yogurt in addition to whole milk. They are getting the necessary fat and essential fatty acids from the whole milk.
  2. RF 425 would be assigned to a 12-23 month old child if low-fat or non-fat yogurt is consumed in place of whole milk.

Question 2: Would RF 425 be assigned to a child 12-23 months old when 2% milk is consumed?
Answer:

  1. RF 425 would not be assigned when 2% milk is issued after determination of need by the CPA or Healthcare Provider (HCP) (ER# 2.07800 Guidelines for Issuance of Food Package IV to Children, B.1.c. 2% milk may be issued to children 12 through 23 months under Food Package IV based on CPA determination of need. Refer to B.4.).
  2. RF 425 would be assigned when 2% milk is consumed without a determination of need by the CPA or HCP.

SUBJECT 3: Loving Support Award of Excellence. On October 17th a WIC Update announced that the Loving Support Award of Excellence application period had opened. Food and Nutrition Services (FNS) has developed the attached PowerPoint (in PDF format) with additional information on how to apply. Please refer to the previous WIC Update for more information on the award. The link to the application, instructions and FAQ can be found at http://www.fns.usda.gov/wic/breastfeeding-promotion-and-support-wic. The deadline to apply is December 14, 2016.

If you have any questions, please contact Kathy Mertzlufft at 573-526-4792 or email her at Kathy.Mertzlufft@health.mo.gov

Or contact Nancy Keim at 573-290-5819 or email her at Nancy.Keim@health.mo.gov
(ONE ATTACHMENT)

SUBJECT 4: Upcoming State Holidays. The State WIC Office will be closed and there will be no MOWINS Help Desk coverage on Veterans Day, November 11, 2016; Thanksgiving, November 24, 2016; and the day after Thanksgiving November 25, 2016.

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

SUBJECT 5: CEU Corner.
Helping Children Breathe: Effective Strategies to Reduce Tobacco Smoke Exposure for Children with Respiratory Illness
Tobacco use continues to be one of public health’s most persistent problems. It poses a huge threat to all children, and children with respiratory illness are especially at risk for complications when exposed. This American Academy of Pediatrics (AAP) archived webinar addresses effective strategies—for families, physicians, and public health practitioners—to limit tobacco smoke exposure for children with asthma, cystic fibrosis, and other respiratory ailments. Practical approaches to protecting children from tobacco smoke both in the hospital and at home are covered. Featured presenters were Harold Farber, MD, MSPH, Baylor College of Medicine, Texas Children’s Hospital; and Karen Wilson, MD, MPH, Children’s Hospital Colorado. PowerPoint slides are also available.

Youth Wellness Interventions from Home to School Webinar
The Midwest Dairy Council is hosting a FREE webinar on Monday, November 7, 2016 from 3:00 - 4:00 PM CDT.

Dr. Susan Johnson, Professor and Early Childhood Nutritionist from the University of Colorado Anschutz Medical Campus will present on environmental and developmental influences on children’s food preferences and dietary intake. She will share how repeated exposure is the key to gaining acceptance, with an average of eight exposure attempts needed by a child to eat a new food. Dr. Johnson will also touch on communication strategies for caregivers.

Dr. Katie Wilson, USDA Deputy Under Secretary for Food, Nutrition and Consumer Services, will present on school nutrition intervention programs and showcase some proven strategies that work. She will examine where we might want to look for future inspiration.

This webinar has been approved for 1 CEU for School Nutrition Association professionals and is pending approval for Registered Dietitians. After registering, you will receive a confirmation email containing information about joining the webinar. Register now!


WIC Positions

JOB POSTING: Part-Time Breastfeeding Peer Counselor - Andrew County Health Department. The Andrew County Health Department is accepting applications for a part-time (16-20 hrs./week) Breastfeeding Peer Counselor. Responsibilities include providing breastfeeding information, breast pump management, and support to new mothers by helping them achieve their breastfeeding goals. Personal breastfeeding experience is required. Applications are available at 106 North 5th St. and www.andrewcountyhealth.com
Completed applications or resumes can be mailed to PO Box 271, Savannah, MO 64485 or emailed to AndrewH@andrewcountyhealth.com by November 22, 2016. For additional information, please contact Andrew Hoffman at 816-324-3139.

JOB POSTING: Part-Time Breastfeeding Peer Counselor - Pemiscot County Health Center. Pemiscot County Health Center is accepting applications for a part-time (20 hrs./week) Breastfeeding Peer Counselor. Responsibilities include providing breastfeeding information and support to new mothers and helping them achieve their breastfeeding goals. Personal breastfeeding experience is required. For additional information, please contact Gerri Smith at 573-359-1656 or gsmith@pemiscothealth.com

JOB POSTING: WIC Certifier/Clerk - Northeastern Community Action Corporation (NECAC). NECAC-a 12-county-area not-for-profit social service, community health, public housing and community action agency-seeks a full-time WIC Clerk/Certifier for the Family Planning and Women, Infants and Children (WIC) program at the St. Charles County Service Center in O’Fallon, MO. Candidates must possess a high school diploma or GED, along with excellent people skills, hands-on computer experience, and a working knowledge of Excel and Word software programs.

To apply, MAIL cover letter and resume to:
NECAC Personnel Officer
P.O. Box 470
Bowling Green, MO, 63334
EMAIL to dpage@necac.org
Or FAX to 573-324-3960.

Because most correspondence is done by email, a valid email address must be on your application or resume. You may obtain an application at any NECAC Service Center.
For further information, call 1-800-748-7636 or visit our website, www.necac.org
EOE/M/F/D/V

 

Attachments:
LS Award Application Assistance