February 3, 2014 WIC Update

SUBJECT 1: Upcoming Changes to Formulas - Important!
SUBJECT 2: Revised Breast Pump Policy
SUBJECT 3: Mandatory Nutrition Assessment and Extended Certification Training
SUBJECT 4: Clarification: Newborn Automatic Eligibility
SUBJECT 5: NWA Leadership Conference Scholarships
SUBJECT 6: The Missouri Oral Health Program

  1. Upcoming Changes to Formulas - Important! The attached are changes to formulas that will take place in MOWINS on March 3rd. Please share with all LWP staff. If you have any questions, please contact Takako Tagami at Takako.Tagami@health.mo.gov. (TWO ATTACHMENTS)

  2. Mandatory Nutrition Assessment and Extended Certification Training: These 3-hour sessions will provide attendees with an overview of the revised Follow-Up Nutrition Assessment questions and the implementation of the one-year certification in MOWINS as related to nutrition assessment. The training will be delivered on-site at several locations and dates throughout the state. A nutritionist from each agency must attend. Other WIC local agency counseling staff may attend. A training registration is attached with the dates, times and locations. If you have questions, contact D’Anne Ward at Danne.Ward@health.mo.gov or 573-526-0209. (ONE ATTACHMENT)

  3. Revised Breast Pump Policy: Per the USDA, local WIC agencies that charge a refundable deposit for loaned breast pumps must ensure that their fees are reasonable (no greater than $50) and do not create a barrier to the participant. If a participant states that they cannot afford the refundable deposit, the fee must be waived. This change (highlighted in yellow) is reflected in the attached policy (ER# 6.05100).

    When participants are loaned electric breast pumps, please keep in mind that frequent follow-up is important in keeping track of the pump. This can be done by phone and by placing the participant on a monthly check issuance cycle. Also, placing an alert in MOWINS is a good way to remind all staff that participant has been loaned a breast pump. If you have any questions please contact your district nutritionist or Kathy Mertzlufft, State Breastfeeding Coordinator, at Kathy.Mertzlufft@health.mo.gov or by phone at 573-526-4792. (ONE ATTACHMENT)

  4. Clarification: Newborn Automatic Eligibility: The state’s MO HealthNet program for pregnant women and newborns provides MO HealthNet coverage for children born to a woman eligible for and receiving MO HealthNet health care coverage on the date of the infant’s birth throughout the first year of life as long as the child remains in the mother’s home and maintains Missouri residence. In the case of such a newborn, the HDFS Screen may not show MO HealthNet eligibility at the newborn’s certification appointment, but the infant is adjunctively eligible.

    Automatic MO HealthNet eligibility for newborns is not available in the following situations:

    • The mother has a pending application for assistance but is not receiving MO HealthNet at the time of the child’s birth.
    • The mother has TEMP eligibility, which is not considered regular MO HealthNet eligibility.

    In these cases the newborn is not adjunctively eligible for WIC services.

    If you have any questions please contact Betty Cassidy at Betty.Cassidy@health.mo.gov or by phone at 573-751-6198.

  5. NWA Leadership Conference Scholarships: We are pleased to announce that the scholarships for the 2014 NWA Leadership Conference have been awarded to Carolyn Snyder, WIC Nutritionist/Nutrition Coordinator at Linn, Putnam, Mercer and Sullivan County Health Departments and Geraldine Mason, WIC Coordinator/Certifier at Douglas County Health Department. Thank you to everyone who submitted an application. WIC is fortunate to have so many talented LWP staff that are providing excellent services for Missouri families.

  6. The Missouri Oral Health Program: Thank you for partnering with the Missouri Oral Health Program (MOHP). The MOHP is located within the Office of Primary Care and Rural Health (OPCRH), within the Department of Health and Senior Services (DHSS). Because oral health is essential for general health and well-being the MOHP works to improve oral health of Missourians through education, prevention, and leadership. It is exciting to report that over 33,000 toothbrushes and over 31,000 pieces of educational materials have been sent to 58 WIC clinics since November, 2013. MOHP has received several great questions about this outreach and would like to post the answers for all LWPs:

    1. Is there a charge to order supplies? No. We are funded through the Maternal and Child Health Block grant, which allows us to provide free resources and supplies to our partners.
    2. Can we order more than once and is there a limit? Yes, order as much and as often as you need. Ideally, every participant should receive a new toothbrush every 6 months.
    3. Where do I go for oral health resources? MOPH maintains resources on our website at www.health.mo.gov/oralhealth. Our resources include: educational materials, PSP information, community water fluoridation, and directory of oral health resources. The MOHP receives ongoing and significant guidance from five oral health professionals: Karen Bassford, Jeffrey Bellamy, Audrey Hendee, Ann Hoffman, and Molly McBride-Mooty. They are a valuable resource. Each consultant is a Registered Dental Hygienist who covers a region of Missouri and provides technical assistance to support PSP activities in their regions. Additionally, each consultant works with the Missouri State Schools for the Severely Disabled to provide dental screenings and fluoride varnish applications. We encourage the WIC program to reach out to the consultants with any dental questions. Attached is a map depicting the regions and contact information for each oral health consultant.
    4. How do I order oral health supplies? Email or fax the Community Intervention Program Supply Order form to Sharlet.Kroll@health.mo.gov or fax: 573-522-8146. Please allow up to two weeks for processing and shipment of supplies.
    5. Can I order supplies for other maternal and child programs besides WIC? Yes.
    6. What is the Preventative Services Program (PSP)? The PSP is a community based program that any organization in the community can sponsor. However, schools and Head Start programs primarily partner with DHSS to provide this outreach. The PSP reaches over 70,000 children each year to provide dental screenings, fluoride varnish applications, oral health educational materials, and information on dental resources in the area.
    7. Can WIC clinics sponsor a PSP event? Yes. Please contact the Oral Health Consultant in your region for more information on how to arrange and host a PSP event. (TWO ATTACHMENTS)

Attachment #1 Formula MEMO - Notification
Attachment #2 Formula Chart - OLD & NEW Lables
Nutrition Assessment Training Registration Form
ER 605100 Breast Pump Policy
Community Intervention Program Supply Order Form
Hygienists by County