SUBJECT 1: Upcoming State Holidays
SUBJECT 2: Public Charge and WIC – What You Need to Know
SUBJECT 3: Direct Ship Process
SUBJECT 4: Clarification on Similac Products

JOB POSTING: Nutritionist/Dietitian – People’s Health Centers


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

  • Wednesday, February 12
  • Monday, February 17

SUBJECT 2: Public Charge and WIC: What You Need to Know. President Trump’s Administration published an updated public charge rule on August 14, 2019. Until recently, the implementation of the updated rule was delayed due to challenges of its legality. On January 27, 2020 the United States Supreme Court ruled that the Department of Homeland Security can implement the updated public charge rule while litigation continues.

Background: The public charge rule has been around a long time. It is used to identify visa or legal permanent residency applicants who would likely be dependent upon government benefits as their main source of support. The updated rule expands the areas immigration officials are required to research when determining approval for a visa or legal permanent residency. This expansion includes participation in public programs.

What does this mean for WIC? The good news is the updated rule does not apply to the WIC program. WIC participation is not considered during the citizenship application process. The bad news is the ruling brings confusion and might unnecessarily scare away participants who are immigrants. As WIC staff, it is important to educate yourself on the basics of the rule and be prepared to help participants who have questions. The National WIC Association has several helpful publications and resources for participants and clinics about the new rule and immigration in general. The Center for Law and Social Policy (CLASP) has several helpful resources focused on the new rules, including an updated fact sheet with key information and messaging about the final public charge rule and a Q&A for early childhood stakeholders. Protecting Immigrant Families has fact sheets to help parents understand whether public charge applies to them and make decisions about enrolling their children in health and nutrition programs.

Please contact Anne Strope at with questions.

SUBJECT 3: Direct Ship Process. The state agency (SA) requests packing slips from direct shipment of formula and WIC-eligible nutritionals be sent to the SA to verify receipt of the product and faster payment processing. Please fax packing slips to Laura Thompson at 573-526-1470.

Please contact Jill Crossland at 573-522-2831, or by email at if you have any questions.

SUBJECT 4: Clarification on Similac Products. Similac® Special Care® 24 is a 24 cal/fl oz premature infant formula for feeding low-birth-weight infants and premature infants. It contains higher macronutrient density to support weight gain and higher micronutrient density to help infants meet vitamin and mineral needs with a lower amount of total volume. It is contraindicated for an infant who is not considered low birth weight or an infant who can consume higher volumes of formula. Abbott recommends discontinuing use of Similac Special Care with Iron once an infant has reached 8 lbs. If continuing to use this formula for infants above that weight, a toxicity of Vitamin A and other micronutrients is possible.

Similac® With Iron 24 Cal, is a 24 cal/fl oz, milk-based, iron-fortified formula used for term infants who need an increased caloric-density feeding. Similac with Iron 24 Cal is not an approved Missouri WIC formula.

LA nutritionists and CPAs are encouraged to talk with the health care provider (HCP) to verify that the infant meets appropriate criteria before issuing a prescribed formula. The following questions will help guide the conversation with the HCP:

  • Verify the name of the formula. Similac® Special Care® 24 and Similac® With Iron 24 are two different formulas.
  • Does the infant have a diagnosis for prematurity or low birth weight? USDA defines low birth weight as < 5 lbs 8 oz and very low birth weight as < 3 lb 5 ounces at birth.
  • Is the infant currently less than 8 lbs?
  • How much volume of formula are they getting per day?

If not appropriate, the CPA should recommend an alternate WIC-approved formula. For questions or help in making formula recommendations, please call your TA nutritionist. If your TA nutritionist is not available, please contact Jill Crossland at


WIC Positions

JOB POSTING: Nutritionist/Dietitian – People’s Health Centers. People’s Health Centers WIC Program has an immediate opening for a full time Nutritionist/Dietitian in the WIC program. The candidate must have graduated from an accredited four-year college or university with a Bachelor’s degree in Public Health Nutrition, Dietetics, Home Economics, or closely related field; including or supplemented by at least fifteen (15) semester hours in food and nutrition including diet therapy and community nutrition. The selected candidate will provide nutrition education to WIC eligible participants and assess their nutritional needs for certification eligibility. Resumes will be accepted by online application to

WIC is an equal opportunity employer.