Food Package for Food Package for ggQualifying ConditionsQualifying Conditions

PresentersPresentersDenise Gearhart MS RDDenise Gearhart MS RDDenise Gearhart, MS, RDDenise Gearhart, MS, RDContractor, Michigan WIC ProgramContractor, Michigan WIC Program

Kristen Hanulcik MPA RDKristen Hanulcik MPA RDKristen Hanulcik, MPA, RDKristen Hanulcik, MPA, RDNutrition Consultant, Michigan WIC ProgramNutrition Consultant, Michigan WIC Program

Food Package for Qualifying Conditions:Food Package for Qualifying Conditions:O tlineO tlineOutlineOutline

•• Policy 7 03: Food Package for QualifyingPolicy 7 03: Food Package for Qualifying•• Policy 7.03: Food Package for Qualifying Policy 7.03: Food Package for Qualifying Conditions Conditions MIMI WIC ImplementationWIC Implementation•• MIMI--WIC ImplementationWIC Implementation

•• Staff, Client & Health Provider ResourcesStaff, Client & Health Provider Resources•• BreakBreak•• QuestionsQuestionsQQ

Food Package for Qualifying Conditions Food Package for Qualifying Conditions ObjectivesObjectivesObjectivesObjectives

•• Describe the food package for qualifyingDescribe the food package for qualifying•• Describe the food package for qualifying Describe the food package for qualifying conditionsconditions

•• Describe the medical documentation processDescribe the medical documentation processDescribe the medical documentation processDescribe the medical documentation process•• Understand the MIUnderstand the MI--WIC implementation WIC implementation

changeschangeschangeschanges•• Identify and locate staff, client, and health Identify and locate staff, client, and health

provider resourcesprovider resourcespp

Changes in Terminology/ProcessChanges in Terminology/Processg gyg gyOLDOLD NEWNEW

Prescription orPrescription orMedical Justification for MedicalMedical Justification for MedicalMedical Justification for Medical Medical Justification for Medical Alternative Formula form………..Documentation form Alternative Formula form………..Documentation form

Di iDi i Q lif i C ditiQ lif i C ditiDiagnosis ……………..Diagnosis ……………..…………Qualifying Conditions…………Qualifying Conditions

New TerminologyNew Terminologygygy

Formula TypesFormula Types Category of FormulaCategory of Formula

Class I formulas…………...Contract formulasClass I formulas…………...Contract formulas

Class II formulas………......Exempt infant formulasClass II formulas………......Exempt infant formulas

Cl III f l E t i f t f lCl III f l E t i f t f lClass III formulas………….Exempt infant formulas Class III formulas………….Exempt infant formulas and WICand WIC--eligible eligible medical foodsmedical foodsmedical foodsmedical foods

Why Do We Need Qualifying Conditions Why Do We Need Qualifying Conditions d M di l D i ?d M di l D i ?and Medical Documentation?and Medical Documentation?

It is a federal requirementIt is a federal requirement It is a federal requirementIt is a federal requirement

To provide WIC formulas for specific medicalTo provide WIC formulas for specific medical To provide WIC formulas for specific medical To provide WIC formulas for specific medical and developmental conditionsand developmental conditions

To improve communication and coordination of To improve communication and coordination of client services between WIC staff and health client services between WIC staff and health care providerscare providers

Policy 7.03: Food Package for Policy 7.03: Food Package for Qualifying ConditionsQualifying ConditionsQualifying ConditionsQualifying Conditions

Women, infants and children who have:Women, infants and children who have: Women, infants and children who have:Women, infants and children who have:

•• A documented qualifying condition thatA documented qualifying condition thatA documented qualifying condition that A documented qualifying condition that requires use of a WIC formula because use of requires use of a WIC formula because use of conventional foods is precluded, restricted, or conventional foods is precluded, restricted, or ppinadequate to address their special nutritional inadequate to address their special nutritional needs.needs.

What are the Qualifying Conditions?What are the Qualifying Conditions?

premature birth premature birth low birth weightlow birth weight low birth weightlow birth weight failure to thrivefailure to thrive inborn errors of metabolism and metabolic disordersinborn errors of metabolism and metabolic disorders gastrointestinal disordersgastrointestinal disorders malabsorption syndromesmalabsorption syndromes immune system disordersimmune system disorders immune system disordersimmune system disorders severe food allergies that require an elemental dietsevere food allergies that require an elemental diet life threatening disorders, and life threatening disorders, and diseases and medical conditions that impair ingestion, diseases and medical conditions that impair ingestion,

digestion, absorption or utilization of nutrients that could digestion, absorption or utilization of nutrients that could adversely affect nutritional statusadversely affect nutritional statusadversely affect nutritional status.adversely affect nutritional status.

What is NOT a Qualifying Condition?What is NOT a Qualifying Condition?

This food package is NOT authorized for: This food package is NOT authorized for:

Any ClientAny ClientS f fS f f Solely for the purpose of enhancing nutrient intake or Solely for the purpose of enhancing nutrient intake or managing body weight without an underlying qualifying managing body weight without an underlying qualifying condition.condition.

Women and ChildrenWomen and ChildrenWomen and ChildrenWomen and Children Food intolerance to lactose or milk protein that can be Food intolerance to lactose or milk protein that can be

successfully managed with the use of one of the other successfully managed with the use of one of the other WIC f d kWIC f d kWIC food packages.WIC food packages.

What is NOT a Qualifying Condition?What is NOT a Qualifying Condition?This food package is NOT This food package is NOT

authorized for: authorized for:

InfantsInfants Only condition is a diagnosed formula Only condition is a diagnosed formula

intolerance or food allergy to lactose, intolerance or food allergy to lactose, sucrose, milk protein or soy protein sucrose, milk protein or soy protein , p y p, p y pthat does not require the use of an that does not require the use of an exempt infant formula.exempt infant formula.

NonNon--specific formula or food specific formula or food intolerance.intolerance.

Food Package for Qualifying ConditionsFood Package for Qualifying Conditions

Clients can receive the same foods and Clients can receive the same foods and amounts of the maximum food package inamounts of the maximum food package inamounts of the maximum food package in amounts of the maximum food package in addition to WIC formula if prescribed by their addition to WIC formula if prescribed by their health care provider.health care provider.pp

Michigan WIC FormulasMichigan WIC Formulas

Class I formulas (contract formulas)Class I formulas (contract formulas)•• Enfamil AR LIPIL Enfamil AR LIPIL •• Enfamil LIPIL with IronEnfamil LIPIL with Iron•• Gentlease LIPILGentlease LIPIL•• Prosobee LIPIL with Iron Prosobee LIPIL with Iron

Michigan WIC FormulasMichigan WIC Formulas

Class II formulas (exempt infant Class II formulas (exempt infant formulas)formulas)

•• Nutramigen LIPILNutramigen LIPILgg•• Nutramigen LIPIL with Enflora Nutramigen LIPIL with Enflora

LGGLGGLGG LGG •• Pregestimil LIPILPregestimil LIPIL

Si il Ali tSi il Ali t•• Similac AlimentumSimilac Alimentum

Michigan WIC FormulasMichigan WIC FormulasMichigan WIC FormulasMichigan WIC Formulas

Class III formulas (exempt infant formulas and Class III formulas (exempt infant formulas and ( p( pWICWIC--eligible medical foods)eligible medical foods)

•• Refer to handout: Michigan WIC Authorized FormulasRefer to handout: Michigan WIC Authorized Formulas•• Refer to handout: Michigan WIC Authorized Formulas Refer to handout: Michigan WIC Authorized Formulas (Effective August 1, 2009)(Effective August 1, 2009)

•• List revised to remove discontinued products & List revised to remove discontinued products & products not used as well as add new productsproducts not used as well as add new productsproducts not used, as well as add new products products not used, as well as add new products

•• New products include:New products include:-- Boost Kid Essentials (retail version)Boost Kid Essentials (retail version)

E f tE f t-- EnfaportEnfaport-- Peptamen Jr. FiberPeptamen Jr. Fiber-- Peptamen Jr. 1.5Peptamen Jr. 1.5pp

InfantsInfants

With a qualifying condition may be With a qualifying condition may be issued exempt infant formulas orissued exempt infant formulas orissued exempt infant formulas or issued exempt infant formulas or WICWIC--eligible medical foods (Class eligible medical foods (Class II or III) with medicalII or III) with medicalII or III) with medical II or III) with medical documentation.documentation.

6 thru 11 months may receive 6 thru 11 months may receive formula (Class II or III) in place of formula (Class II or III) in place of ( ) p( ) psupplemental foods at the same supplemental foods at the same maximum monthly allowance as maximum monthly allowance as i f t 4 th h 5 th fi f t 4 th h 5 th finfants 4 through 5 months of age.infants 4 through 5 months of age.

Food Package for Qualifying ConditionsFood Package for Qualifying ConditionsFoodsFoods PartiallyPartially BreastfedBreastfed InfantsInfants (IBP)(IBP) PartiallyPartially BreastfedBreastfedFoodsFoods PartiallyPartially BreastfedBreastfed InfantsInfants (IBP)(IBP)

AA:: DuringDuring thethe firstfirst monthmonthBB:: 11--33 monthsmonthsCC:: 44--55 monthsmonths

PartiallyPartially BreastfedBreastfedInfantsInfants (IBP)(IBP)66--1111 monthsmonths

CC:: 44 55 monthsmonths

WICWICFormulaFormula

AA:: UpUp toto 104104 flfl ozoz reconstitutedreconstitutedpowderpowder

312312 flfl ozozreconstitutedreconstituted liquidliquidconcentrateconcentrate

BB:: 364364 flfl ozoz reconstitutedreconstituted liquidliquidconcentrateconcentrate oror 384384 flfl ozoz RTFRTF oror435435 flfl ozoz reconstitutedreconstituted powderpowder

concentrateconcentrateoror

320320 flfl ozoz RTFRTForor435435 flfl ozoz reconstitutedreconstituted powderpowder

CC:: 442442 flfl ozoz reconstitutedreconstituted liquidliquidconcentrateconcentrate oror 448448 flfl ozoz RTFRTF oror

oror384384 flfl ozozreconstitutedreconstituted powderpowder

522522 flfl ozoz reconstitutedreconstituted powderpowderInfantInfant cerealcereal 00 2424 ozozB bB b f df d 00 128128 ((3232 44 j )j )BabyBaby foodfoodfruitsfruits andandvegetablesvegetables

00 128128 ozoz ((3232--44 ozoz jars)jars)

Food Package for Qualifying ConditionsFood Package for Qualifying ConditionsFoodsFoods Fully Formula Fed InfantsFully Formula Fed Infants Fully Formula FedFully Formula FedFoodsFoods Fully Formula Fed Infants Fully Formula Fed Infants

(IFF)(IFF)A: 0A: 0--3 months3 monthsB: 4B: 4--5 months5 months

Fully Formula Fed Fully Formula Fed Infants (IFF)Infants (IFF)

66--11 months11 monthsB: 4B: 4 5 months5 months

WIC FormulaWIC Formula A: 806 fl oz reconstituted A: 806 fl oz reconstituted liquid concentrate or 832 liquid concentrate or 832 fl RTF 870 flfl RTF 870 fl

624 fl oz 624 fl oz reconstituted reconstituted li idli idfl oz RTF or 870 fl oz fl oz RTF or 870 fl oz

reconstituted powder.reconstituted powder.

B: 884 fl oz reconstitutedB: 884 fl oz reconstituted

liquid liquid concentrate or concentrate or

640 fl oz RTF or 640 fl oz RTF or 696 fl oz696 fl ozB: 884 fl oz reconstituted B: 884 fl oz reconstituted

liquid concentrate or 896 liquid concentrate or 896 fl oz RTF or 960 fl oz fl oz RTF or 960 fl oz reconstituted powder.reconstituted powder.

696 fl oz 696 fl oz reconstituted reconstituted powder.powder.

reconstituted powder.reconstituted powder.Infant cerealInfant cereal 00 24 oz24 oz

Baby food fruits andBaby food fruits and 00 128 oz (32128 oz (32--4 oz4 ozBaby food fruits and Baby food fruits and vegetablesvegetables

00 128 oz (32128 oz (32--4 oz 4 oz jars)jars)

Formula for Women and ChildrenFormula for Women and Children Women and children with a qualifying condition Women and children with a qualifying condition

may receive a WIC formula and supplemental may receive a WIC formula and supplemental foods with medical documentation.foods with medical documentation.

910 fl oz of reconstituted liquid concentrate per 910 fl oz of reconstituted liquid concentrate per month in addition to supplemental foods. month in addition to supplemental foods.

Powder and readyPowder and ready--toto--feed formula may be feed formula may be substituted for liquid concentrate formula at rates substituted for liquid concentrate formula at rates that provide comparable nutritive value.that provide comparable nutritive value.

Food Package for Qualifying ConditionsFood Package for Qualifying Conditions

FoodsFoods Children (1 through 4 years)Children (1 through 4 years)JuiceJuice 128 fl oz128 fl ozJuiceJuice 128 fl oz128 fl ozWIC FormulaWIC Formula 910 fl oz reconstituted liquid concentrate910 fl oz reconstituted liquid concentrateMilkMilk 13 qt13 qtCheeseCheese 1 lb (maximum allowed without medical 1 lb (maximum allowed without medical

documentation)documentation)Breakfast cerealBreakfast cereal 36 oz36 ozBreakfast cerealBreakfast cereal 36 oz36 ozEggsEggs 1 dozen1 dozenFresh fruits and vegetablesFresh fruits and vegetables $6.00 cash value$6.00 cash valueWhole wheat bread/tortillas Whole wheat bread/tortillas 2 lb2 lbLegumesLegumesOr Peanut butterOr Peanut butter

1 lb dry or 64 oz canned1 lb dry or 64 oz cannedOr 18 ozOr 18 oz

Food Package for Qualifying ConditionsFood Package for Qualifying ConditionsFoodsFoods Pregnant Women (PG) and Partially Pregnant Women (PG) and Partially

Breastfeeding Women (BP) Up to 1 Year Breastfeeding Women (BP) Up to 1 Year Juice singleJuice single 144 fl oz144 fl ozJuice, single Juice, single strengthstrength

144 fl oz144 fl oz

WIC FormulaWIC Formula 910 fl oz reconstituted liquid concentrate910 fl oz reconstituted liquid concentrateMilkMilk 19 qt19 qtBreakfast cerealBreakfast cereal 36 oz36 ozEggsEggs 1 dozen1 dozenEggsEggs 1 dozen1 dozenFresh fruits and Fresh fruits and vegetablesvegetables

$8.00 in cash value$8.00 in cash value

Wh l h tWh l h t 1 lb1 lbWhole wheat Whole wheat bread/tortillasbread/tortillas

1 lb1 lb

Legumes,Legumes, 1 lb dry or 64 oz canned1 lb dry or 64 oz cannedAnd Peanut butterAnd Peanut butter And 18 ozAnd 18 ozCheeseCheese 1 lb (max. allowed without medical documentation)1 lb (max. allowed without medical documentation)

Food Package for Qualifying ConditionsFood Package for Qualifying ConditionsF dF d P t t W (NPP) d B tf diP t t W (NPP) d B tf diFoodsFoods Postpartum Women (NPP) and Breastfeeding Postpartum Women (NPP) and Breastfeeding

Women of Infants (BP) Receiving More Than the Women of Infants (BP) Receiving More Than the Maximum Amount of Formula for Partially Breastfed Maximum Amount of Formula for Partially Breastfed Infants (IBP) (Up to 6 Months)Infants (IBP) (Up to 6 Months)Infants (IBP) (Up to 6 Months).Infants (IBP) (Up to 6 Months).

Juice, single strengthJuice, single strength 96 fl oz96 fl ozWIC FormulaWIC Formula 910 fl oz reconstituted liquid concentrate910 fl oz reconstituted liquid concentrateMilkMilk 13 qt13 qtBreakfast cerealBreakfast cereal 36 oz36 ozEE 1 d1 dEggsEggs 1 dozen1 dozenFresh fruits and Fresh fruits and vegetablesvegetables

$8.00 in cash value $8.00 in cash value

Whole wheat Whole wheat bread/tortillasbread/tortillas

00

Legumes,Legumes, 1 lb dry or 64 oz canned1 lb dry or 64 oz cannedLegumes,Legumes,Or Peanut butterOr Peanut butter

1 lb dry or 64 oz canned1 lb dry or 64 oz cannedOr 18 ozOr 18 oz

CheeseCheese 1 lb (max. allowed without medical documentation)1 lb (max. allowed without medical documentation)

Food Package for Qualifying ConditionsFood Package for Qualifying ConditionsFoodsFoods Exclusively Breastfeeding Women (BE) and Partially Exclusively Breastfeeding Women (BE) and Partially

Breastfeeding Women of Multiple Infants Up to 1 Year Breastfeeding Women of Multiple Infants Up to 1 Year Postpartum and Pregnant Women of Multiple FetusesPostpartum and Pregnant Women of Multiple Fetuses

Juice, single Juice, single 144 fl oz144 fl ozstrengthstrengthWIC FormulaWIC Formula 910 fl oz reconstituted liquid concentrate910 fl oz reconstituted liquid concentrateMilkMilk 18 qt18 qtMilkMilk 18 qt18 qtBreakfast cerealBreakfast cereal 36 oz36 ozEggsEggs 2 dozen2 dozenFresh fruits and Fresh fruits and vegetablesvegetables

$10.00 in cash value$10.00 in cash value

Whole wheat Whole wheat 1 lb1 lbbread/tortillasbread/tortillasLegumes,Legumes,And Peanut butterAnd Peanut butter

1 lb dry or 64 oz canned1 lb dry or 64 oz cannedAnd 18 ozAnd 18 ozAnd Peanut butterAnd Peanut butter And 18 ozAnd 18 oz

TunaTuna 30 oz30 ozCheeseCheese 3 lb (maximum allowed without medical documentation)3 lb (maximum allowed without medical documentation)

Whole Milk Substitution with Whole Milk Substitution with Q lif i C ditiQ lif i C ditiQualifying ConditionsQualifying Conditions

Women and children 24 months and older with a Women and children 24 months and older with a qualifying condition that requires the use of a WIC qualifying condition that requires the use of a WIC formula (Class II or Class III) may receive whole milk formula (Class II or Class III) may receive whole milk in place of reduced fat or skim milksin place of reduced fat or skim milksin place of reduced fat or skim milks.in place of reduced fat or skim milks.

Cheese Substitution with Qualifying Cheese Substitution with Qualifying C ditiC ditiConditionsConditions

Women and children withWomen and children with Women and children with Women and children with lactose intolerance, milk lactose intolerance, milk allergy, severe lactose allergy, severe lactose maldigestion or other maldigestion or other qualifying conditions qualifying conditions

WithWith medical medical documentation, cheese documentation, cheese may be substituted up tomay be substituted up tomay be substituted up to may be substituted up to the maximum allowance for the maximum allowance for fluid milkfluid milkfluid milkfluid milk

Maximum Cheese Substitution with Maximum Cheese Substitution with Q lif i C ditiQ lif i C ditiQualifying ConditionsQualifying Conditions

Cheese may be substituted for fluid milk not toCheese may be substituted for fluid milk not to Cheese may be substituted for fluid milk not to Cheese may be substituted for fluid milk not to exceed a monthly allowance of :exceed a monthly allowance of : 5 lb for children and postpartum women 5 lb for children and postpartum women p pp p 7 lb for pregnant and partially breastfeeding 7 lb for pregnant and partially breastfeeding

women women 8 lb for exclusively breastfeeding women (9 lb 8 lb for exclusively breastfeeding women (9 lb

total)total) 12 lb for women exclusively breastfeeding 12 lb for women exclusively breastfeeding

multiple infants (13.5 lb total).multiple infants (13.5 lb total).( )( )

Medical Documentation RequirementsMedical Documentation RequirementsMedical Documentation RequirementsMedical Documentation Requirements

A health care provider’sA health care provider’s A health care provider’s A health care provider’s prescription form will not prescription form will not be accepted in place of be accepted in place of th i d di lth i d di lthe required medical the required medical documentation form.documentation form.

Medical Documentation RequirementsMedical Documentation Requirements

Must be made by a licensed health care provider (MD or Must be made by a licensed health care provider (MD or DO). DO).

Form DCHForm DCH--1326 or DCH1326 or DCH--1327. 1327.

May be on an original written document or faxed copy. May be on an original written document or faxed copy.

May be telephoned to a CPA only when absolutelyMay be telephoned to a CPA only when absolutely May be telephoned to a CPA only when absolutely May be telephoned to a CPA only when absolutely necessary. necessary.

W itt fi ti t b id d t th l l li iW itt fi ti t b id d t th l l li i Written confirmation must be provided at the local clinic Written confirmation must be provided at the local clinic within two weeks.within two weeks.

Medical Documentation Must IncludeMedical Documentation Must Include WIC formula, including amount needed per dayWIC formula, including amount needed per day

A h i d l l f d d h i ib dA h i d l l f d d h i ib d Authorized supplemental foods and their prescribed Authorized supplemental foods and their prescribed amountsamounts

Length of UseLength of Use

Q lif i ditiQ lif i diti Qualifying conditionsQualifying conditions

Signature, date and contact information of the healthSignature, date and contact information of the healthSignature, date and contact information of the health Signature, date and contact information of the health care providercare provider

Medical Documentation RequirementsMedical Documentation RequirementsMedical Documentation RequirementsMedical Documentation Requirements

Scanned into the clients record.Scanned into the clients record.

Amounts prescribed not to exceed the maximum Amounts prescribed not to exceed the maximum allowanceallowanceallowance. allowance.

Renewed at least every 6 months.Renewed at least every 6 months.yy

Include authorized supplemental foods allowed or Include authorized supplemental foods allowed or ilk b tit ti (i h d h l ilk)ilk b tit ti (i h d h l ilk)milk substitutions (i.e. cheese and whole milk).milk substitutions (i.e. cheese and whole milk).

Coordination of ServicesCoordination of ServicesCoordination of ServicesCoordination of Services

For WIC clients also For WIC clients also ll d i CSHCSll d i CSHCSenrolled in CSHCS or enrolled in CSHCS or

Medicaid and the formula is Medicaid and the formula is one which may beone which may beone which may be one which may be authorized by these authorized by these programs under certain programs under certain p gp gconditions, then WIC conditions, then WIC should collaborate with should collaborate with them to ensure the them to ensure the nutritional needs of mutual nutritional needs of mutual clients are metclients are metclients are met.clients are met.

Medical Documentation Forms Medical Documentation Forms & Approvals Needed& Approvals Neededpppp

WIC Formulas and Milk WIC Formulas and Milk SubstitutionsSubstitutions

CPACPAApprovalApproval

Local Agency Authorized Local Agency Authorized RD or MDCH RDRD or MDCH RD

Class I Formula (children)Class I Formula (children) XX

Class II Formula (infants)Class II Formula (infants) XX

Class II Formula (children and Class II Formula (children and women)women)

XX

Class III Formula (women, Class III Formula (women, infants, and children)infants, and children)

XX

Whole Milk Substitution with Whole Milk Substitution with XXClass II FormulaClass II FormulaWhole Milk Substitution with Whole Milk Substitution with Class III FormulaClass III Formula

XX

Maximum Cheese Substitution Maximum Cheese Substitution X X

MIMI--WIC ImplementationWIC Implementation Required Fields: Expiration Date Required Fields: Expiration Date

–– For Class I (if child), II, and III formulasFor Class I (if child), II, and III formulas( ), ,( ), ,

AlertAlert–– For infant 6For infant 6--11 months old receiving Class II or Class11 months old receiving Class II or Class–– For infant 6For infant 6--11 months old receiving Class II or Class 11 months old receiving Class II or Class

III formula and not receiving infant foods.III formula and not receiving infant foods. Option to assign the maximum formula allowed for Option to assign the maximum formula allowed for

a 4a 4--5 month old5 month olda 4a 4 5 month old5 month old

ValidationValidationT i f d k ith h l ilk tT i f d k ith h l ilk t–– To assign a food package with whole milk to a To assign a food package with whole milk to a woman or child 2 years or older, a Class II or Class woman or child 2 years or older, a Class II or Class III formula must be included in the packageIII formula must be included in the package

MIMI--WIC ImplementationWIC ImplementationMIMI WIC ImplementationWIC Implementation

MIMI--WIC will calculate formula maximums in each WIC will calculate formula maximums in each food package according to the infant’s age food package according to the infant’s age p g g gp g g grange and category and based on the range and category and based on the manufacturers reconstituted amount for powder manufacturers reconstituted amount for powder formula.formula.

MIMI--WIC ImplementationWIC ImplementationMIMI WIC ImplementationWIC Implementation

BP Woman BP Woman

•• When a BP woman with an IBP 1When a BP woman with an IBP 1--5 months 5 months old is assigned an NPP package, the infant old is assigned an NPP package, the infant can receive more formula than the IBP can receive more formula than the IBP maximummaximummaximum.maximum.

•• When a BP woman with an IBP 6When a BP woman with an IBP 6--11 months11 monthsWhen a BP woman with an IBP 6When a BP woman with an IBP 6--11 months 11 months old does not receive food benefits, the infant old does not receive food benefits, the infant can receive more formula.can receive more formula.

Staff ResourcesStaff Resources

•• Spotlight: Improved Services to Clients with Spotlight: Improved Services to Clients with p g pp g pQualifying ConditionsQualifying Conditions

•• WIC Policy 7.03 WIC Policy 7.03 (Food Package for Qualifying Conditions)(Food Package for Qualifying Conditions)

•• Dujour, MIDujour, MI--WIC HelplineWIC Helpline•• Forms and Information on WIC website:Forms and Information on WIC website:

www.michigan.gov/wicwww.michigan.gov/wicClick on “New WIC Foods” and scroll down to Local Click on “New WIC Foods” and scroll down to Local

CCWIC AgenciesWIC Agencies•• Medical Documentation Forms for Physician, including Medical Documentation Forms for Physician, including

InstructionsInstructions•• List of Authorized WIC FormulasList of Authorized WIC Formulas

Client ResourcesClient ResourcesClient ResourcesClient Resources•• Shopping ListShopping List

Food Card and vignettes on WIC website:Food Card and vignettes on WIC website:•• Food Card and vignettes on WIC website:Food Card and vignettes on WIC website:(Go to “New WIC Foods”, WIC Families)(Go to “New WIC Foods”, WIC Families)

O i id i ttO i id i tt E li h b itE li h b it•• Overview video vignette Overview video vignette –– English on website, English on website, Spanish & Arabic will be posted and sent Spanish & Arabic will be posted and sent on on DVDs to Local AgenciesDVDs to Local AgenciesDVDs to Local Agencies DVDs to Local Agencies

•• Video vignettes on Fruits & Vegetables and Video vignettes on Fruits & Vegetables and Whole Grains will be posted on website and Whole Grains will be posted on website and sent as DVDs to Local Agenciessent as DVDs to Local Agencies

•• wichealth.orgwichealth.org

Health Providers ResourcesHealth Providers ResourcesHealth Providers ResourcesHealth Providers Resources

Forms and Information on WIC websiteForms and Information on WIC website Forms and Information on WIC websiteForms and Information on WIC website(Go to “New WIC Foods”, scroll to Medical (Go to “New WIC Foods”, scroll to Medical Providers)Providers)Providers)Providers)–– New Medical Documentation requirements New Medical Documentation requirements

(including forms and instructions)(including forms and instructions)(including forms and instructions)(including forms and instructions)–– List of Authorized WIC FormulasList of Authorized WIC Formulas

Q lif i M di l C ditiQ lif i M di l C diti–– Qualifying Medical ConditionsQualifying Medical Conditions

Health Provider CommunicationsHealth Provider CommunicationsHealth Provider CommunicationsHealth Provider Communications

WIC Division information to be sent to Family WIC Division information to be sent to Family C s o o at o to be se t to a yC s o o at o to be se t to a yPhysician, Pediatric, and Primary Care Physician, Pediatric, and Primary Care Associations for their member eAssociations for their member e--newsletters.newsletters.Ph i i d f d WICPh i i d f d WIC Physician memo and forms posted on WIC Physician memo and forms posted on WIC websitewebsite

Local agencies may direct physicians to websiteLocal agencies may direct physicians to website Local agencies may direct physicians to website Local agencies may direct physicians to website if neededif needed

Physicians will be directed to contact WICPhysicians will be directed to contact WICPhysicians will be directed to contact WIC Physicians will be directed to contact WIC Division or local WIC agency for more Division or local WIC agency for more informationinformation

ReminderReminderReminder…....Reminder…....

Do not schedule WIC clinics on SaturdayDo not schedule WIC clinics on Saturday Do not schedule WIC clinics on Saturday, Do not schedule WIC clinics on Saturday, August 1, 2009. August 1, 2009.

If you already have a clinic scheduled on If you already have a clinic scheduled on th t S t d l t t li t tth t S t d l t t li t tthat Saturday, please contact clients to that Saturday, please contact clients to reschedule. reschedule.

WIC provides improved coordination of WIC provides improved coordination of i t li t ith lif i ditii t li t ith lif i ditiservices to clients with qualifying conditionsservices to clients with qualifying conditions

15 Minute Break 15 Minute Break –– Will Return ShortlyWill Return Shortlyyy

Food Package for Qualifying ConditionsFood Package for Qualifying ConditionsFood Package for Qualifying ConditionsFood Package for Qualifying Conditions