wic coordinator webcast 2/23/12 ~ director’s updates ~ wic funding and status ~ caseload ~ new...

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WIC Coordinator Webcast WIC Coordinator Webcast 2/23/12 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

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Page 1: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Coordinator Webcast WIC Coordinator Webcast 2/23/122/23/12

~ Director’s Updates~ WIC Funding and Status~ Caseload~ New Initiatives

Page 2: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Updates ~WIC Updates ~Breastfeeding

Project FRESH Benefit Level Change to $30

Media and PSA’s

WIC Opinion Survey

Customer Service

Page 3: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Funding and Status~WIC Funding and Status~FY 2012 Funding Level

Breastfeeding Funding and Support

FY 2013 Budget

Food Costs

Page 4: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Caseload ~Caseload ~Final FY 2011 Reports

FY 2012 – First Quarter

Charting Participation

Review Monthly

Page 5: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

New Initiatives~New Initiatives~Looking at Enhancements

Summer EBT for Children

WIChealth.org

Audits, Fraud, Others

Page 6: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Fall Coordinator’s WIC Fall Coordinator’s MeetingMeeting

~Save the Dates~

Oct. 9 and 10, 2012Tuesday and Wednesday

Bay City

Page 7: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC System UpdateWIC System UpdateWIC Coordinator MeetingFebruary 23, 2012

Laurie Perrelli, MS, RDWIC System Requirements Manager

Page 8: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

2012 MI-WIC Releases

Release 5.1- April 12Available in your clinics April 13

Page 9: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Release 5.1 (April 2/13) includes:Breastfeeding Assessment incorporated into

Guided Script

Future Appointments button

Bug FixesUnderweight/overweight MI-WIC auto-risk

assignment by MI-WIC

Client Agreement validation

AND MORE…

Page 10: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Tune into the Release 5.1 Web Cast for more

information

March 29, 2012

Page 11: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Other 2012 MI-WIC Changes

New WHO Growth Charts

New Risk Codes

Page 12: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

2012 MI-WIC ReleasesRelease 5.2 – August 9 (available

in your clinics August 10)

Release 5.3 – December 13 (available in your clinics December 14)

Page 13: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

REMINDER

Clinics must stop using MI-WIC by 5:00 p.m. on the Thursday before the release into the clinic

Page 14: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

A notification has been sent to your Health Officers re: MI-WIC Releases

Page 15: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Questions/Comments?

Laurie Perrelli, MS, RDWIC System Requirements

Manager(517) [email protected]

Page 16: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Risk Criteria Changes WIC Risk Criteria Changes 2011-2012 2011-2012

7 Revised Risks and 1 New Risk 7 Revised Risks and 1 New Risk based on:

◦ Risk Identification and Selection Collaborative (RISC) 5 year review cycle 2 risks revised

◦ CDC 2010 Growth Chart recommendations ◦ NCHS 2010 Terminology for Childhood

Overweight and Obesity◦ Anthropometric definitions or titles are

impacted

Page 17: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Risk Changes-WIC Risk Changes-RevisedRevised 103 Underweight or 103 Underweight or At Risk of At Risk of

Underweight (Infants and Children) Underweight (Infants and Children) ◦ Previous terminology: At Risk of Becoming

Underweight◦ Michigan-Underweight will continue as a

separate High Risk

113 Obese (Children 2-5 years) 113 Obese (Children 2-5 years) ◦ Continues as >95th percentile BMI for age◦ Client-centered sensitivity re: “obese”

Use term for assessment documentation only

Page 18: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Risk Changes-RevisedWIC Risk Changes-Revised 114: Overweight or At Risk of 114: Overweight or At Risk of

Overweight (Children 2-5 years) Overweight (Children 2-5 years) ◦ Previous terminology: At Risk of Becoming

Overweight 121: Short Stature or At Risk of Short 121: Short Stature or At Risk of Short

Stature (Infants and Children)Stature (Infants and Children)◦ Revised cut-offs reflect WHO growth chart

152 Low Head Circumference (0-24 mo)152 Low Head Circumference (0-24 mo)◦ Revised cut-offs reflect WHO growth chart◦ Age criterion expanded to 24 months

Page 19: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Risk Changes-RevisedWIC Risk Changes-Revised344 Thyroid Disorders (All 344 Thyroid Disorders (All

Categories)Categories)Expanded diagnosis definitions

◦ hyperthyroidism◦ hypothyroidism◦ congenital hyperthyroidism◦ congenital hypothyroidism◦ postpartum thyroiditis

Diagnosis by health care provider

Page 20: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Risk Changes-RevisedWIC Risk Changes-Revised351 Inborn Errors of Metabolism 351 Inborn Errors of Metabolism

(IEM)(IEM)◦ All Categories (Infant, Children, Women)◦ IEM are Rare◦ Criteria include new information on

Definitions Justifications Clarifications References

◦ WIC implications Specialized formula for some Support of the dietary care plan developed by a

specialized treatment center Coordination of care opportunities

Page 21: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Risk Changes-NEWWIC Risk Changes-NEW115: High Weight for Length 115: High Weight for Length

(Infants & Children < 24 months of (Infants & Children < 24 months of age)age)◦ No previous criteria for excessive wt-for-

length◦ >97.7 percentile◦ Identification of potential risk for later

overweight or obesity status

Page 22: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Laboratory WIC Laboratory ManualManual

Revised January 31, 2012

Effective April 1, 2012

Page 23: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Laboratory ManualWIC Laboratory Manual

WIC Website (www.michigan.gov/wic)◦WIC Laboratory Manual and Appendices Beneath MI-WIC Policy 2.16 Hematological

Risk Determination Training Manual Section

◦Forms and Resources WIC Daily Client Log: Hemocue (DCH-1489)

WIC Hemocue QC Log (DCH-1488)

Page 24: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Lab Manual ChangesLab Manual Changes

Removal of References to:

◦Hematocrit Procedures

◦Hemocue B Analyzers

Page 25: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Lab Manual Changes (cont’d):Lab Manual Changes (cont’d):

Hand Hygiene RequirementsHand Hygiene Requirements

◦ Hand washing with soap-OR-

◦ Hand Sanitizers Recommend that hand sanitizers contain at least

60% Ethyl Alcohol

Practice Hand Hygiene Before and After Each Client

Continued Requirement for Sinks in the Lab Area

More information on hand hygiene: www.cdc.gov/handwashing

Page 26: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Lab Manual Changes (cont’d):Lab Manual Changes (cont’d):

Personal Protective EquipmentPersonal Protective Equipment

Personal Protective Equipment to include:

◦Full length lab coat-OR-

◦ScrubsScrubs that become soiled with potentially hazardous body fluids must be changed before continuing clinic activities

Page 27: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Lab Manual Changes (cont’d):Lab Manual Changes (cont’d):

Retention schedulesRetention schedules

Changed Retention Schedule of QC and Daily Client Logs to be Consistent with Other WIC Retention Schedules

◦ 3 years, 150 days

Following end of Fiscal Year

Lab logs must be retained in the lab area for 2 months

Copy of Manufacturer’s Package Insert for each lot number of liquid control solutions are retained with the corresponding QC Log

Page 28: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Suspected Child Abuse Suspected Child Abuse and Neglect Reportingand Neglect Reporting

NEW!!! Centralized phone reporting ◦Begins March 5, 2012

◦All reporting of suspected child abuse and neglect

Follow within 72 hours with a DHS-3200 Report of Suspected Child Abuse and Neglect

Page 29: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

The Importance of The Importance of ReferralsReferralsAre your clients receiving the best care?

Page 30: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

MI-WIC Policy 6.02 states:MI-WIC Policy 6.02 states:• “During the initial certification

visit and thereafter as appropriate, each client, parent or caretaker shall be advised of the types of health and community services available, where they are located, how they may be obtained, and why they may be useful.”

Page 31: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Federal Regulations, CFR Federal Regulations, CFR 246.7(b) states:246.7(b) states:• “Program Referral and Access.

State and local agencies shall provide WIC Program applicants and participants or their designated proxies with information on other health-related and public assistance programs, and when appropriate, shall refer applicants and participants to such programs.”

Page 32: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

How are we doing as a How are we doing as a State?State?• Management Evaluation Indicators tell

the story:

• 5.1a Medicaid Referrals – 50% Met

• 5.1b Health and Resource Referrals – 45.5% Met

• 5.1c Substance Abuse Referral Info – 63.6% Met

Page 33: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

We can do We can do better……….How?better……….How?• Chart Audit Training – March• check MPHI Training Website for dates• Saginaw, Livingston County, Kent

County, and Grand Traverse County• Webcast April 12th, 2012• Statewide M.E. results, 2011 and

changes for the coming M.E.’s (head’s up)

• Upcoming CPA Trainings – • March 21st , and 22nd in Grand Rapids• April 24th, and 25th in Clare

Page 34: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Observe CPA staff to Observe CPA staff to determine if they are under determine if they are under documentingdocumenting

Page 35: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

We Can all do Better!We Can all do Better!• Let’s give our WIC Clients our our

best care best care so they may achieve their best outcomestheir best outcomes!

Page 36: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

New Coordinator Survival New Coordinator Survival Skills – coming soonSkills – coming soon

~ Suggested New WIC Coordinator Orientation

~ Archive Webcast Table – roles and viewing times

Page 37: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

New Coordinator Survival New Coordinator Survival SkillsSkills ~Next Steps:

Conference call with new coordinators

Feedback from WIC Local Agency Policy Committee

Page 38: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Local Agency Volunteers Local Agency Volunteers Needed – Video Conference Needed – Video Conference TestTest

March 8, Thursday – WIC video conference test date.

~ 9:30 am to 10:30 am (possibly less time)

April 12, Thursday – WIC Management Evaluation 2011 Feedback &

Related ME Policy Video Webcast

mjbe#3

Page 39: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC Video ConferencingWIC Video Conferencing

March 8 Test Date 9:30 to 10 :30 am Need feedback from four local WIC Agencies:

a) experienced videoconference sites (2)

b) inexperienced video conference sites (2)

c ) need camera ball, or camera

on/connected to your videoconferencing computer

d) volunteer now and/or

e-mail Heather (1-one) Kahn

[email protected]

mjbe #4

Page 40: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC TrainingsWIC Trainings*CPA March 21st – 22nd Grand Rapids April 24th – 25th Clare*WIC Release Webcast

March 29th

*Breastfeeding CoordinatorsMarch 27th

*Time Savers - Milk ExpressionMarch 28th

*ME Related Policy & Feedback WebcastApril 12th

*Preventing Birth Defects: A Collaborative Effort

April 26th - Webcast

Page 41: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

BREAK 10 MinutesBREAK 10 Minutes

Page 42: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

What’s New in What’s New in Breastfeeding?Breastfeeding?

• Training• Pumps• Regional LCs• WIC Conference• New FY Peer Counselor Budgets • MI BF Network Awards

Page 43: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Growing IBCLCsGrowing IBCLCs

CLS CourseIntensive Lactation Management

Preparatory for IBCLC exam

April 16 – 20

FAX the Registration by March 15

Page 44: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Building Bridges to BF Building Bridges to BF DurationDuration

USDA/MWR Project

Partnership Local WIC & Hospital◦Best Practices◦2012: May 30 & 31st

2013 Planning

Page 45: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Breast PumpsBreast PumpsContract Change

Personal Use Electric PumpReturning to Work or School

Separated from Baby

Plan to Continue BreastfeedingPolicy 4.06

Page 46: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Regional Lactation Regional Lactation ConsultantsConsultants

Technical Consultation to the LA expert

Back-up to the LA Expert

Peer Counselor Updates

No Client Contact

Page 47: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC’s WIC’s WOWWOW Conference Conference

Tapping Into the Power of Influence

Yes You CAN!

Helping Moms Return to Exclusive BF

Breastfeeding Education Challenges

Page 48: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Peer Counselor BudgetsPeer Counselor Budgets

FY 2012 – 2013

Use DCH Forms: 385 and 386

Due April 20th

E-mail to [email protected]

Page 49: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

And the Nominee is…And the Nominee is…

Michigan BF Network Awards

◦Health Care Provider◦Public Health◦Community

www.mibfnetwork.org/projects/annual-awards

Page 50: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

VOTER REGISTRATION, VOTER REGISTRATION, CIVIL RIGHTS and CIVIL RIGHTS and OUTREACHOUTREACH

Page 51: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Voter RegistrationVoter RegistrationVoter Registration Important Information

(MI WIC Policy 1.10):1- Remember to offer voter registration to all clients at certification, recertification and at the time of change of address.2- Help the client complete the VR Form when needed3- With Change of Address by phone mail VR form to client.4- Declination Forms must be completed when client answers NO, is under age 18 or already registered at present address.

Page 52: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Voter RegistrationVoter Registration

Page 53: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

When to give the client the When to give the client the Voter Registration (VR) or Voter Registration (VR) or Declination FormDeclination Form

Yes, interested in registering to vote

No, Declination obtained

No, Registered at Present address

Address Change

Under age 18

Give the client the VR Application

Give the Declination Form, have client sign and date

Give the client the Declination form, have client sign and date

Give the client the VR Form to complete or mail if called in

Give them the Declination From

Page 54: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Voter RegistrationVoter Registration WIC E-notice 2012-13 Voter Registration Deadlines

State and National Election Dates for 2012

Election Dates Dates to Send Voter Registration to City, Township or County Clerk’s Office Weekly

Dates to Send Voter Registration to City, Township or County Clerk’s Office Daily

Close of Voter Registration Dates*

2/28/12 Prior to 1/23/12 1/23/12 – 1/30/12 1/30/12

5/8/12 Prior to 4/2/12 4/2/12 – 4/9/12 4/9/12

8/7/12 Prior to 7/2/12 7/2/12 – 7/9/12 7/9/12

11/6/12 Prior to 10/2/12 10/2/12 – 10/9/12 10/9/12

Page 55: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Civil Rights (MI WIC Policy Civil Rights (MI WIC Policy 1.09)1.09)

Page 56: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Civil RightsCivil Rights

All new staff must take the test immediately.

Those who have previously taken and passed the test shall review the Civil Rights policy once a year.

Names of those passing the test shall be reported annually with the Nutrition Services Plans and documented in MI WIC.

Page 57: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Civil RightsCivil RightsMI WIC Policy 9.02 – Employee

Compliance - Guidance #3 states:

The Michigan WIC Employee Confidentiality and Compliance Agreement and Signature Form (9.02A) may be reviewed and signed by WIC staff in conjunction with the annual Civil Rights Training.

Page 58: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Civil RightsCivil RightsRemember to input all of your

staffs’ trainings in MI WIC, to do this go to the:

The Admin ScreenUser SetupStaff InformationSelect staff persons nameStaff Training

Page 59: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Civil RightsCivil Rights

Page 60: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives
Page 61: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

OutreachOutreach

Page 62: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

To get to the Civil Rights Power Point go to: www. Michigan.gov/WIC

Page 63: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Look for Civil RightsLook for Civil Rights

Page 64: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Thank you

Cheryl Bernard, MPA Public Health Consultant [email protected]

Page 65: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

REGISTRATIONREGISTRATIONNOWNOWOPEN ….OPEN ….2012 WIC Training & Educational ConferenceRegister you and your staff TODAY @www.events.mphi.org

Page 66: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

WIC TrainingsWIC Trainings*CPA March 21st – 22nd Grand Rapids April 24th – 25th Clare*WIC Release Webcast

March 29th

*Breastfeeding CoordinatorsMarch 27th

*Time Savers - Milk ExpressionMarch 28th

*ME Related Policy & Feedback WebcastApril 12th

*Preventing Birth Defects: A Collaborative Effort

April 26th - Webcast

Page 67: WIC Coordinator Webcast 2/23/12 ~ Director’s Updates ~ WIC Funding and Status ~ Caseload ~ New Initiatives

Q& A Break 10 MinutesQ& A Break 10 Minutes