August 5, 2013 WIC Update

SUBJECT 1: Just in Time for FY14 Planning-New Fit WIC Missouri Resources
SUBJECT 2: CDC Breastfeeding Report Card
SUBJECT 3: WIC and the New Health Insurance Marketplaces
SUBJECT 4: Immunizations
SUBJECT 5: Microcuvettes and Analyzers-Response Requested
JOB OPPORTUNITY: Dietitian/Nutritionist-Cole County Health Department

  1. Just in Time for FY14 Planning-New Fit WIC Missouri Resources: Laminated copies of four new Fit WIC Missouri resources (attached) will be available by October 1, 2013. Look for:

    • A Fit WIC Friendly Clinic poster
    • Local WIC Provider Guidance poster
    • Nutrition Goals poster
    • Physical Activity Goals poster

    LWPs will have the opportunity to participate in activities on the Fit WIC Friendly Clinic poster and display the poster in the LWP clinic for participants to view. The intended audience for the guidance poster is local agency staff. This poster provides additional explanation of the activities. The Nutrition and Physical Activity Goals posters can be used with participants in the goal setting process. All goals listed are evidence based. There are many ways to participate in Fit WIC Missouri, an effort to prevent childhood obesity. Contact your assigned technical assistance nutritionist with questions. (FOUR ATTACHMENTS)

  2. CDC’s Breastfeeding Report Card: This report includes both national and state-specific data about individual behaviors related to breastfeeding, as well as data on support in hospitals and communities, which can either help or hinder mothers’ efforts to meet their breastfeeding goals. In Missouri 77.5% of mothers initiated breastfeeding, which is above the national average of 76.5 percent. The report also found that in Missouri, 39.3% of mothers are breastfeeding at 6 months and 21.6% are breastfeeding at 12 months.

    The state WIC office would like to thank all the local WIC agencies for their breastfeeding promotion and support efforts. Since 50% of all infants in Missouri receive WIC services, the breastfeeding interventions implemented at the local WIC level are obviously impacting statewide breastfeeding rates. The full CDC report is available at For more information about CDC's breastfeeding rates and efforts to improve hospital practices to support breastfeeding, visit If you have questions about breastfeeding rates, please contact Kathy Mertzlufft at or by phone at 573-526-4792.

  3. WIC and the New Health Insurance Marketplaces: USDA has sent the attached list to the state office to share with our local WIC providers and participants. This is for your information only and does not mandate you to provide health insurance information to participants, however the attached does provide ten ways to promote new insurance opportunities. You may find the attached very informative to you and your WIC participants. (ONE ATTACHMENT)

  4. Immunizations: The Bureau of Immunization Assessment and Assurance would like to thank you for your partnership in the screening and referring of WIC participants. With your assistance, we are ensuring children five years and younger are protected against 14 vaccine-preventable diseases, like the whooping cough and measles, recently diagnosed in Missouri. Due in part to your hard work and dedication, 73% of Missouri’s children are protected against vaccine-preventable diseases.

    Please review the Participant Referral Policy ER# 1.01800 that was sent out through the Weekly Updates, March 25th. LWPs should continue to provide screening and referral as a standard part of the WIC Certification process. During contract monitoring, state staff will review the immunization screening and referral process. Please encourage participants to bring their immunization records to the clinic for review. Continue to use the hardcopy shot records and the ShowMeVax registry to screen for immunization status. If there is no immunization record in ShowMeVax or if the participant has immunization records that are not entered into ShowMeVax, submit the participant’s immunization records to the immunization nurse at your facility as a referral or fax a record to the Bureau of Immunization Assessment and Assurance for entry into ShowMeVax. Please use the contact information below when your facility does not have immunization staff to update the record within the agency and the participant immunization records need to be updated in ShowMeVax. Send or fax a legible copy of the record which should include Name, Date of Birth and DCN number to:

    Lynelle Paro, Health Program Representative II
    Division of Community and Public Health, Section for Healthy Families and Youth
    Immunization Assessment and Assurance, 930 Wildwood Drive Jefferson City MO 65109
    Phone: (573) 526-7659
    Fax: (573) 526-0238
    Please see the two attachments

    • Critical information that should accompany every immunization record forwarded to the Bureau of Immunization (BIAA)
    • Sample of a bad and good shot record copy received for entry into ShowMeVax at the Bureau of Immunization

    If you have any questions, please contact your District TA Administrative staff. (TWO ATTACHMENTS)

  5. Microcuvettes and Analyzers-Response Requested: It is time to order microcuvettes by completing the survey. Please follow the instructions below to assure your agency receives your supply of microcuvettes and/or analyzer.

    1. Microcuvette Survey: Please complete and return the attached survey via e-mail to by Tuesday, August 6, 2013. This will assure no interruption in the supply of microcuvettes.
    2. Microcuvette Order: The information from the survey will be used to identify the current supply on hand at each agency and to estimate the needs of each agency for the next six months. The microcuvette order will be shipped directly to your agency.
    3. Analyzers: Analyzers are also available to agencies by completing the request and justification. Tell us why you need the analyzer: replace current analyzer; expand services in another room/satellite site; more efficient work flow; other: explain.

    Local WIC Provider Confirmation: When you receive the order please do the

    1. Verify the number of microcuvettes received with the number listed on the packing slip.
    2. If the number of microcuvettes in the package is the same as the packing slip, sign and date the packing slip.
    3. Fax the packing slip to the State WIC Office within one (1) week of receiving the shipment. The fax number is (573) 526-1470. Confirmation on the packing slip is required in order for the State WIC Office to pay for the microcuvettes.
    4. If the number of microcuvettes received is different from the packing slip, please call Lori Baysinger at 800-392-8209. Thank you for your cooperation. (ONE ATTACHMENT)

WIC Positions

JOB OPPORTUNITY:Dietitian/Nutritionist-Cole County Health Department: The Cole County Health Department is accepting applications for a full time Registered Dietitian/Nutritionist in the Women Infants and Children Department. This position is responsible for providing nutrition and breastfeeding counseling and education to eligible families. Applicants must possess a bachelor’s degree in dietetics, nutrition, or health related field, at a minimum. WIC experience preferred. Submit resumes by Wednesday, August 7 to Melinda Ridenhour,, Cole County Health Department, 1616 Industrial Drive, Jefferson City, MO 65109

A Fit WIC Friendly Clinic poster
Local WIC Provider Guidance poster
Nutrition Goals poster
Physical Activity Goals poster
Ten Ways to Promote New Insurance Opportunities
Immunization Records Samples
Immunization Record Example
Microcuvette Survey August 2013