SUBJECT 1: Upcoming Holiday
SUBJECT 2: FY20 Subrecipient Annual Financial Report
SUBJECT 3: WIC Replacement Computer Policy
SUBJECT 4: Risk Factor Updates
SUBJECT 5: Policy Update
SUBJECT 6: Updated eWIC Troubleshooting Form

JOB POSTING: Part-Time Breastfeeding Peer Counselor – Cass County Health Department


SUBJECT 1: Upcoming Holiday. The WIC state agency will be closed, and there will be no MOWINS Help Desk support, on Monday, January 18.

SUBJECT 2: FY20 Subrecipient Annual Financial Report. Each local agency must complete Attachment D - Subrecipient Annual Financial Report (located here) at the end of the fiscal year after the final invoice has been submitted. If the local agency has not sent this report, please do so by February 1, 2021. It may be scanned and emailed to or faxed to 573-526-1470. Please contact Lynette Ricks at if you have any questions.

SUBJECT 3: WIC Replacement Computer Policy. The DHSS has determined all replacement computers purchased by DHSS will be laptops. This will allow staff to work remotely if needed. Please note that any laptop, with or without a docking station can still use any desktop peripherals (monitor, keyboard, mouse, etc.) as needed.

SUBJECT 4: Risk Factor Update. USDA Food and Nutrition Services (FNS) is requiring all risk factors be available for assignment in all state WIC programs. Missouri has added the following USDA Justifications to the webpage and updated the Missouri Risk Factor Summary and Priority Sheet:

Risk Factor Number and Name Category Implementation
1 152 Low Head Circumference Infants
Children < 24 months of age
It is not required to measure in the clinic setting. Assign risk factor and document measurement in a SOAP or General Note if provided by participant self-report or documented by the health care provider.
2 336 Fetal Growth Restriction Prenatal Assign risk factor if diagnosed by a physician or self-report of diagnosis by participant.
3 337 History of Birth of a Large for Gestational Age Infant Prenatal
Assign risk factor if diagnosis documented by physician or self-report of diagnosis by participant. If risk factor 153 Large for Gestational Age is assigned to infant, assign 337 to mother.
4 503 Presumptive Eligibility for Pregnant Women Prenatal A WIC Certifier should assign the risk factor to all Prenatal women if they are unable to see a nutritionist or CPA at the certification appointment. A full nutrition assessment must be completed within 60 days. MOWINS will automatically remove the risk factor after 60 days.
5 901 Recipient of Abuse All LA staff will not be required to ask if a participant is a recipient of abuse, but will be required to assign risk factor 901 if abuse is self-reported by the participant or reported/documented by a social worker, health care provider or other appropriate personnel.

SUBJECT 5: Policy Update. Policy 2.3.080 Return, Donation, and Disposal of Formula and WIC-Eligible Nutritionals has been approved and is posted to the webpage. It outlines the guidelines and requirements for the return, donation and disposal of formula and is effective immediately. Please note Section B.1.a and ensure that all exempt infant formula and WIC-eligible nutritionals are to be donated to organizations with physician supervision present. Please continue to encourage participants to purchase one can of formula if tolerance is unknown. This will help decrease the need to donate or dispose of formula. The WIC Acceptance and Action Log has also been revised to include donation of formula.

Please plan to attend one of the following days and times to hear more about this policy and other Nutrition Program updates:

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

If you have any questions please contact your TA nutritionist.

SUBJECT 6: Updated eWIC Troubleshooting Form. The State Agency (SA) has updated the “Troubleshooting eWIC Card Issues” form found on the eWIC - Local Agency page of the MO WIC website. The “Troubleshooting eWIC Card Issues” form should be used if the participant calls the LA in regards to issues using their eWIC card at the retailer. The troubleshooting form will assist the LA in determining the cause of the error at the retailer. Should the LA need further assistance in resolving the card issue, the LA should email the form to the MOWINS Help Desk at

Please contact the MOWINS Help Desk at 1-800-554-2544 or if you have any questions.


WIC Positions

JOB POSTING: Part-Time Breastfeeding Peer Counselor. The Cass County Health Department is accepting applications for a part-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. The candidate must be willing to accept after-hours phone calls. Personal breastfeeding experience is required.

Please send resumes to:
Cass County WIC
103. South Oriole Street
Harrisonville, MO 64701

Call 816-380-8430 for further information.

Missouri WIC is an equal-opportunity employer.