Forms, Policies, and Procedures

LAP - Local Agency Plan

FFY 2020 LAP Instructional Guide

ASAP Instructions for LAP

TAP - Technical Assistance Packet

Nutrition Education Lesson Plan
This form is used when group nutrition education sessions are offered. The Nutrition Sessions Evaluation (second tab) may be used to summarize results of group nutrition sessions.

WIC Online Invoicing

Updates to Online Invoicing
New Budget Adjustment Format
New Invoicing Format

Invoice User Manual

Pay Online  -  Instructions

Breastfeeding Peer Counseling/Breastfeeding Friendly WIC Clinic Application – Coordinator Access Only

Available in the warehouse. Use Administrative Forms and Resources to order.

 

Available Electronically.

 

Civil Rights Impact Analysis.

Available in the warehouse. Use Administrative Forms and Resources to order.

 

Available electronically.

Available in the warehouse. Use Nutrition Forms and Resources to order.

Nutrition Assessment Forms
To be used by WIC local agencies for nutrition assessment of participants identifying meal and eating pattern, beverage and supplement intake, and physical activity.

 

Available electronically.

Follow-Up Nutrition Assessment Questions for Certification or Mid-Certification Assessment

Mid-Certification Nutrition Assessment Questions

Troubleshooting eWIC Card Issues

Forms For WIC Local Agency Use Only

Administrative Forms and Resources

Breastfeeding Resources

Developmental Milestones/Talking is Teaching Resources

Nutrition Forms and Resources

eWIC Card, Cartridge, and Photoconductor Kit Order Form

 

For resources on Newborn Health Literature and Substance Abuse Literature go to Bureau of Genetics and Healthy Childhood.

For all other DHSS Resources use the online literature list at https://health.mo.gov/warehouse/e-literature.html. Ordering information is on the site.

Please email WICResources@health.mo.gov if you have any questions about resources or ordering.

The Missouri WIC Scope of Work is the WIC local agency (LA) contract for the provision of services in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

WIC Local Agency Nutrition Services Scope of Work FFY2023
Attachment A - Certifications
Attachment B - Subrecipient Special Conditions
Attachment C - Budget Template
Attachment D - Subrecipient Annual Financial Report
Attachment E - Local Agency Breastfeeding Peer Counseling Program
Attachment F - Guidelines for Allowable Items for Reimbursement Breastfeeding Peer Counseling Program
Exhibit 1 - Everify
Exhibit 2 - Anti-Discrimination Against Israel Act Certification
Terms and Conditions

Food and Formula Reference Guide: Formula Listing
(Effective Sep. 1, 2022)

Food and Formula Reference Guide: Formula Listing
(Effective Jul. 1, 2022)

Food and Formula Reference Guide: Formula Listing
(Effective Jun. 1, 2022)

Food and Formula Reference Guide: Formula Listing
(Effective Oct. 1, 2021)

Food and Formula Reference Guide: Formula Listing
(Effective Jan. 1, 2021)

Issuing Milk and Milk Substitutes
Supplement to Food and Formula Reference Guide (FFRG) - Guidelines

Food and Formula Reference Guide: Formula Listing
(Effective Aug. 1, 2019)

Food and Formula Reference Guide: Guidelines
(Effective Sept. 1, 2019)

WIC Formula Acceptance and Action Log

This handbook provides basic information on the process and procedures for the Missouri WIC program as referred in policies.

In many programs, pressing and holding "Ctrl" and then pressing "F" will bring up the search dialog for a PDF document, or you can select the search tool from a menu. After typing your text, the program will search for your term and display the results.

Anthropometric - This section provides guidance on anthropometric equipment purchases as well as the procedures on how to obtain and record accurate anthropometric data reflective of the participant's category.

Biochemical - This section provides guidance on biochemical criteria, such as hemoglobin testing, to screen for iron deficiency anemia. This screening, along with other medical risk criteria, is used to determine nutrition risk eligibility for the WIC program.

Nutrition Assessment - This section provides guidance on the process of obtaining and evaluating information about a participant's nutrition status in order to provide the most appropriate individualized WIC services.

USDA Infant Nutrition and Feeding Guide

Standard Abbreviations & Meanings - This section provides guidance on approved abbreviations and meanings used in the Missouri WIC program.

Guide to Coordinating WIC Services During Disasters - This guidance contains information to help WIC state agencies plan for meeting the needs of WIC participants and potential, newly-eligible WIC applicants prior to and during a disaster response. It can also be used to plan for continued WIC operations during emergencies or other situations of distress. The information is designed to assist Headquarters and Regional Office staff, as well as WIC state and local agency staff, in their development of an executable WIC disaster plan.

Allocating Leave Time in the Online Invoicing System - USDA Food and Nutrition Services (FNS) provided further clarification to code staff leave expenses to a direct cost category (program management, breastfeeding support, client services, and nutrition services) in the same manner that each local agency staff wages are assigned.

Guide to Separation of Duties Report - The purpose of the Separation of Duties report is to ensure separation of duties is occurring at the local agency to avoid conflict of interest and to safeguard against fraud. The Separation of Duties report can be used as a tool to complete the required review. As the Separation of Duties report is run, it is designed to automatically pull all nonbreastfeeding infant certification records and a 20 percent random sampling of the remaining certification records for the days during which only 1 WIC staff person performed all eligibility and certification functions.