SUBJECT 1: Upcoming Holidays
SUBJECT 2: Primary Cardholder
SUBJECT 3: Breast Pump Order
SUBJECT 4: WIC Cloth Face Coverings Shipped
SUBJECT 5: Nutrition Program Updates - Save the Dates!
SUBJECT 6: November Newsletter

JOB POSTING: Full-Time Nutritionist – Joplin City Health Department
JOB POSTING: Full-Time Breastfeeding Peer Counselor – Pettis County Health Center


SUBJECT 1: Upcoming Holidays. The WIC state agency will be closed, and there will be no MOWINS Help Desk support, on the following days:

  • Thursday, December 24
  • Friday, December 25
  • Friday, January 1

SUBJECT 2: Primary Cardholder. As discussed during eWIC training, it is important to assign cards only to individuals identified as a representative. Some representatives are also participants, and those participants are shown with a State WIC ID in the row of the EBT Household Demographics screen. To assist local agencies in determining which households are set up incorrectly a Crystal Report has been created. The report is titled “Primary Cardholder Assignment” and is in the Administrative Management folder for Local Agency reports. Please run this report to identify any card assignment errors and make corrections.
Questions related to assigning a card correctly can be directed to the MOWINS Help Desk at 1-800-554-2544.

SUBJECT 3: Breast Pump Order. The WIC state agency has funding to place an order for breast pumps and breast pump accessories, including single-user pumps. Single-user means that this pump is not meant to be shared with other women and can be given to mothers who meet the following criteria:

  • Mother must be separated from her infant at least 32 hours per week.
  • Mother must be planning to offer breast milk exclusively to her infant and committed to continued long-term exclusive breastfeeding.
  • Infant must be receiving no formula from WIC.
  • Pump cannot be provided to the mother before 4 weeks postpartum. If a mother needs a pump before then, she may be loaned a multi-user electric breast pump.

For each participant that is provided this pump, the Single User Personal Electric Breast Pump Agreement/Questionnaire (ATTACHED) must be completed. It is important that WIC local agencies promote this pump to prenatal women and use it as an additional incentive to promote exclusive breastfeeding.
Important Ordering Information:

  • Agencies may order either the Hygeia Enjoye or the Hygeia Endeare to use as the multi-user pump. The Endeare is very similar to the Medela Lactina, and agencies may appreciate that it is sturdier and bulkier, making it less likely to be misplaced. Both of these are multi-user pumps with a three-year warranty.
  • The Hygeia personal accessory kit contains all the parts for the Hygeia Enjoye, Hygeia Endeare, and Lactina Select electric breast pumps.
  • The Hygeia Enjoye breast pump does not come with a carrying case, so a universal black tote will have to be purchased separately. When the participant returns the breast pump, they will keep the tote.

Local agencies will need to continue to use the Medela Lactina Select breast pumps that are in the local agency inventory until their end of life.

For more information on the Hygeia pumps see the Hygeia training videos here. If you would like to request any of these items for your agency, please complete the attached order form and email it to Lisa Schlientz at by COB on Friday, January 15, 2021. If you have any questions about the pumps, please contact the State Breastfeeding Coordinator, Lisa Schlientz, at or by phone at 573-751-6468.

SUBJECT 4: WIC Cloth Face Coverings Shipped. The state agency has purchased more washable, dual-layer cloth face coverings for distribution to WIC local agencies. These face coverings may be distributed to WIC staff and participants, ages 2 and up, for increased protection from the spread of COVID-19. These are not promotional items to be provided to non-WIC participants. Local agencies providing on-site services should refer to the COVID-19 Best Practices document, which provides additional tips for protecting the health and safety of WIC staff and participants in the WIC clinic.

The cloth face coverings began shipping during the week of December 7, 2020 to agencies using the same caseload information from the July 2020 shipment. Please ensure that your WIC local agency staff are in receipt of the cloth face coverings by the end of December.

Please remind staff and participants that these masks are washable and reusable. Face coverings are machine washable and may be placed in a dryer on a low setting or may be hung to dry.

If you have questions, please reach out to your technical assistance staff.

SUBJECT 5: Nutrition Program Updates – Save the Dates! Save the dates January 7 and January 12, 2021 for a one-hour WebEx conference call to discuss the Nutrition Program updates in the following areas:

  • Risk factor changes to meet FNS/USDA recommendations
  • Formula changes-Returned Formula and New Rebate Contract Formula updates
  • Policy changes-Due to implementation of eWIC and recommendations from FNS/USDA

Please watch for the WebEx call information in the very near future. Each call will provide the same information, so please choose the date and time that best fits your schedule:

Tuesday, January 7th, 9:30 am
Tuesday, January 7th, 1:00 pm
Thursday, January 12th, 9:30 am
Thursday, January 12th, 1:00 pm

Policy Updates. Please see revisions made to the policies listed below. These policies are posted on the WIC Operations Manual (WOM) webpage.

Policy New policy number and Link Changes
1 Issuance of Food Package I & II to Infants 2.3.020 Policy number

Amounts and units of maximum monthly allowances in table

Ready-to-feed (RTF) replaces ready-to-use (RTU) in policy (FNS preferred terminology)

Encourage purchase of one can of formula (Section B.4.)
2 Issuance of Food Package III 2.3.030 Policy number

Refers to new WIC-27 and MO WIC Approved Formula and WIC-Eligible Nutritional Listing documents (Section C.1)

Initial telephone orders and WIC-27’s missing a health care provider signature and date must have a complete, written WIC-27 from the health care provider within 1-2 weeks of issuing benefits. MPRO change request to match CFR (Section C.3 and C.4)
3 Issuance of Food Package IV to Children 2.3.040 Policy number

Amounts and units of maximum monthly allowances in table

Substitution maximum for tofu (Section C.2)
4 Issuance of Food Packages V, VI, and VII to Women 2.3.050 Policy number

Amounts and units of maximum monthly allowances in tables

Substitution maximum for tofu (Section B.2)
5 Prorated Food Packages 2.3.070 Policy number
6 Exempt Infant Formula and WIC-Eligible Nutritional Selection 2.3.100 Non-allowable items added (Section C)
7 Direct Shipment of Formula 2.3.130 New policy. Offers guidance on direct shipment procedures

Please contact your nutritionist TA if you have any questions.

SUBJECT 6: November Newsletter. Please see the November newsletter. Highlights include:

New Feature on wichealth. The “Finish Later” feature is now available! Now you can pause for any reason and your spot will be saved for you when you come back. The pause button (pictured below) will now appear as you progress through any wichealth lesson.

Finish Later and Continue button examples

Lesson Spotlight. Help Your Child Develop Healthy Eating Habits shares real-life scenarios about feeding children by offering real and usable solutions. This lesson emphasizes the division of responsibilities between parent and child, the importance of recognizing hunger and fullness cues, and tips for easier mealtimes (e.g., how much food to offer their child and basics for those new to cooking).
The wichealth Difference: 2020 Updates. Please remember to join us on January 13, 2021 12:30PM CST, as we will not only be sharing what’s new at wichealth, we will be sharing our vision for 2021!

Health eKitchen – From Our Recipe Box to Yours. Health eKitchen is featuring Butternut Squash Mac N Cheese in November to add a holiday twist to a classic recipe. To get the full recipe visit Health eKitchen or use the link inside this month’s attached newsletter!

Please contact Kelly Teeple at if you have any questions or need to set-up a staff account.

WIC Positions

JOB POSTING: Full-Time Nutritionist – Joplin City Health Department. The Joplin City Health Department is accepting applications for a full-time nutritionist within the WIC program. The nutritionist, under general supervision, is responsible for participating in the development and implementation of public health nutrition services and assuring that Women, Infants & Children (WIC) participants receive accurate nutrition assessments and appropriate nutrition education. Responsibilities also include determining health and nutritional risk factors for certification and recertification for WIC program eligibility, assigning appropriate food and formula packages, and teaching nutrition related classes, seminars, and workshops to groups, or one-on-one, to W.I.C. participants and in other community health programs including promoting breastfeeding. Please click here for more information and to apply online.

JOB POSTING: Full-Time Breastfeeding Peer Counselor – Pettis County Health Center. The Pettis County Health Center is accepting applications for a full-time Breastfeeding Peer Counselor within the WIC Program. The selected candidate will give basic breastfeeding information, support, and encouragement to new mothers and help mothers achieve their own breastfeeding goals. Candidate must be willing to accept after-hours phone calls and make home and hospital visits. Personal breastfeeding experience and Spanish-speaking skills are preferred. This position may also provide clerical duties including determining eligibility of WIC participants, collecting and documenting height, weight, blood work data, and providing clerical support. Position available until filled.

Please submit a resume to the WIC office at the Pettis County Health Center, 911 East 16th Street, Sedalia, MO 65301 or by email to
For more information call 660-827-4599 or 660-827-1130.

Missouri WIC is an equal-opportunity employer.