October 19, 2015 WIC Update


JOB OPENING: Nutritionist - Crescent Clinic WIC (Jackson County, MO)

SUBJECT 1: Nutrition WOM Policy Changes - November 1, 2015. The following WOM policies will be updated in the WOM November 1, 2015:

  • ER 2.01400 Local WIC Provider - Nutritionist - Changes made to the Continuing Nutrition Education Requirements
  • ER 2.01450 Local WIC Provider - Nutrition Coordinator - Changes made to the Continuing Nutrition Education Requirements
  • ER 2.01500 Local WIC Provider - CPA - Changes made to the Continuing Nutrition Education Requirements
  • ER 2.03200 Program Explanation - Priority Summary Table now included.
  • ER 2.03900 Risk Factor 381 - Oral Health Conditions (formerly titled Dental Health Problems) - USDA definition for oral health conditions has been added. WIC Staff are not allowed to diagnose oral health. It must be diagnosed by a health care professional. This policy will be revised again with information from the September 28, 2015 email and WIC Updates. We are awaiting policy approval from MPRO before we are allowed to include it in the WOM
  • ER 2.04475 Nutrition Related Risk Conditions - USDA definitions were added for all Risk Factors at the direction of USDA. Risk Factor 361 - Depression can no longer be assigned to children
  • ER 2.04550 RF 401, 425, 427, 428 - Guidelines Assigning Dietary Risks - USDA definitions were added for all Risk Factors at the direction of USDA. Risk Factor 411 - sanitation and storage guidelines have changed
  • ER 2.06500 Exit Counseling - Exit counseling shall be offered at a visit other than the day eligibility is determined

The following WOM policy announcement was in the October 5 WIC Weekly Update:

  • ER # 3.01800 Residence Requirements for Participants - Exceptions to requirements, for proof of residence.
  • ER # 3.02000 Income Assessment and Documentation - Current income is income received by household during the month (30 days) prior to date of application for WIC benefits. Exceptions to requirements for proof of income.
  • ER# 3.0385 Proof of Identity - Exceptions to requirements for proof of identity.

If any of the proofs are not provided at the time of certification or recertification, the agency can choose one of two options:

  • Inform the applicant, participant or guardian of the required documents needed and schedule a new cert/recert appointment within the regulatory timeframes for certification standards OR
  • If all other eligibility requirements are met and only one proof is missing, the applicant self declares she will provide the missing proof and signs the self-declaration in the Rights and Responsibilities. Agency staff then mark the pending proof box in MOWINS and print food instruments for the current month* (1-30 days). Inform the applicant or participant of the required missing proof that is needed and schedule the participant to return with the missing proof within 30 days. No more than 30 days of food instruments may be issued until the missing proof is provided. There are no exceptions to the 30 day limit.

*Current month in this context is the 1st month of the new certification/recertification period. If the participant comes in after the 1st of the month, they may receive a pro-rated food package.

  • For a new certification, the participant will receive a prorated package dated only for the month in which the certification is done.
  • If the recertification, where the participant has already received benefits for the month the recertification is being done, they will receive the next full month’s benefits.
  • If the participant being recertified has not received benefits for the month the recertification is being done, they will receive a prorated package dated only for the month the certification is being done.

The training that is currently being provided via webinar will end October 23. The Revision 13 Risk Factor training materials will be posted October 26. If you have questions, please contact your District TA team. So that you have access to these policies before November 1, we have attached them here. (14 ATTACHMENTS)

SUBJECT 2: Missouri Strategic Plan. In 2014 we contracted with Altarum to conduct a Participant Centered Services Assessment. The copy of their report, detailing their observations and suggestions, was published in the May 26 WIC Update. This report was used as a basis for a strategic planning session that included local and state WIC staff to develop an implementation plan. This is a five year strategic plan, which we have begun to implement in our FFY2016 State Plan http://health.mo.gov/living/families/wic/localagency/resourcespublications/. If you have any comments or questions about the Strategic Plan or our 2016 State Plan, please contact Susan White at 1-800-392-8209 or Susan.White@health.mo.gov (ONE ATTACHMENT)

SUBJECT 3: Breastfeeding Friendly WIC Clinic. The state WIC office would like to congratulate the following local WIC agencies for receiving the designation of a “Breastfeeding Friendly WIC Clinic” for FFY 2016:

Affinia Healthcare
Andrew County
Audrain County
Barry County
Bollinger County
Butler County
Callaway County
Carroll County
Carter County
Cole County
Columbia/Boone County
Cooper County
Douglas County
Dunklin County
Family Care Health Centers
Jefferson-Franklin Community Action Corp.
Joplin/Jasper County
Laclede County
Livingston County
Newton County
Northeast Community Action Corp.
Pettis County
Pike County
Polk County
Pulaski County
Randolph County
Saline County
Samuel U. Rodgers Health Center
Scott County
Springfield/Greene County
St. Francois County
St. Joseph/Buchannan County
Ste. Genevieve County
Taney County
Truman Medical Center
Vernon County
Washington County
Webster County

The purpose of this statewide effort is to implement evidence-based breastfeeding strategies to encourage and recognize local WIC providers that offer an optimal level of breastfeeding support. Many of these agencies had already implemented these strategies and have served as a model for developing the criteria for awarding the “Breastfeeding Friendly WIC Clinic” designation. Their success is being observed through increased breastfeeding rates.

If your agency needs guidance on ways to implement the Breastfeeding Friendly WIC Clinic Criteria, please contact Kathy Mertzlufft at Kathy.Mertzlufft@health.mo.gov or by phone at 573-526-4792.

SUBJECT 4: 2014 Missouri WIC Customer Satisfaction Survey. The 2014 Missouri WIC Customer Satisfaction Survey results are now available on the WIC web site at: http://www.health.mo.gov/living/families/wic/frauddatalinks/. This report is the result of the 2014 survey designed to find out how well we meet the needs of our customers, the WIC families.
Participants from 21 local agencies participated in the survey. Thanks to the local agencies that participated in the survey. We really appreciate it!

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

SUBJECT 5: New WIC Retailer Manager. We are pleased to announce that Bridgett Henderson has accepted the position of WIC Retailer Manager. Bridgett has worked for the Department of Health and Senior Services for 22 years, with 10 years of experience in WIC. She served previously as the WIC Retailer Agreements and Training Specialist and has a thorough knowledge of the retailer program. Please join us in congratulating Bridgett!

SUBJECT 6: Melissa Seaver. Please join us in congratulating Melissa Seaver on her retirement. Melissa has over 28 years of experience with the State and has been an integral part of the Bureau of WIC & Nutrition Serves for 23 years! Her expertise with MOWINS, as well as her dedication to the people we serve, will be missed. We are excited for Melissa and wish her the best of luck in her future endeavors!

SUBJECT 7: CEU Corner. Nutri-bites Webinars on Vitamin and Mineral Updates—Sodium: Too much, too little or just right? “This webinar reviews the evolution of sodium intake recommendations, reviews the physiology related to regulating sodium metabolism, discusses the latest findings of the association of sodium intake to health outcomes, and outlines practical dietary strategies dietitians can offer clients as the science on sodium evolves.” View this webinar anytime at conagrafoodsscienceinstitute.com

Update on vitamin D and calcium—New recommendations “This webinar discusses the principal roles vitamin D and calcium serve in the human body, how nutrients and vitamin D in particular are like preventive maintenance of a complex machine, consequences of inadequate intake of each nutrient, lists the principal sources of vitamin D and calcium and recalls the optimal intake/input of each nutrient, with emphasis on differing needs at different life stages” Register now! This webinar airs Thursday, Nov 5, 2015 1pm CST at conagrafoodsscienceinstitute.com


WIC Positions

JOB OPENING: Nutritionist - Crescent Clinic WIC (Jackson County, MO). Crescent Clinic WIC has an opening for a Nutritionist/Dietitian for the WIC program 32 hours per week. This position will be responsible for determining eligibility of WIC participants and providing nutrition & breastfeeding counseling to WIC participants. Applicants must have a Bachelor’s Degree in Dietetics, Nutrition, Foods and Nutrition, Home Economics, or closely related field, with at least 15 semester hours in Human Nutrition including courses in Diet Therapy and Community Nutrition. WIC experience preferred but not required. Certification as a Registered Dietitian is not required. This position is open until filled. Please fax resume and cover letter to 816-763-1488 or email to wrighc2@lpha.mopublic.org. May also apply in person. WIC is an equal opportunity employer