wic program department of healthwic program department of health debbie eibeck, m.s., r.d., l.d....
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WIC Program Department of Health
Debbie Eibeck, M.S., R.D., L.D. Chief, Bureau of WIC Program Services
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What is WIC? Short-term intervention program to improve the
health status and influence lifetime
nutrition and health behaviors in a targeted
high risk population. 2
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• Nutrition Education and Counseling • Supplemental Nutritious Foods • Breastfeeding Promotion and Support • Referrals for Health Care
WIC Services
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• Categorically eligible • Physical presence • Income eligible • At nutrition risk
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WIC Eligibility Criteria
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• Women who are pregnant, breastfeeding, or have recently been pregnant
• Infants
• Children under the age of 5
Over 450,000 clients are served in Florida
Who are WIC Participants?
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• Automatically income eligible for WIC if
currently on Medicaid, Food Assistance (SNAP) and/or Temporary Cash Assistance (TCA)
or • Household gross income < 185% of
federal poverty level
Income Eligibility
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• Based on • A anthropometric (weight and height
measurements) • B biochemical (hemoglobin or
hematocrit test) • C clinical/medical health history • D dietary assessment • E environmental
Nutrition Assessment/Risk
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• Provided at least quarterly • Specific to client’s risk and interest • Client sets personal nutrition goal(s)
Nutrition Education
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High Risk Counseling • Development of nutrition care plan • Specific plans for follow-up
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Fruits and Vegetables Whole grains – 100% whole wheat
bread, corn tortillas, brown rice Dry Beans or Peanut Butter Dairy – Milk, Cheese Eggs 100% Fruit Juice Cereal Baby Foods Canned Fish – Fully Breastfeeding or
Pregnant with multiple fetuses
WIC Foods
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• Between WIC and other health and social
service programs/providers: • Immunizations • Healthy Start • Medicaid, Food Assistance, TCA • Health Care Providers
Referrals
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• Encourages early prenatal care for women • Reduces infant mortality • Reduces the incidence of low birth weight
babies • Encourages breastfeeding • Encourages regular health care and dental
care for children • Reduces the incidence of iron deficiency
anemia in children
Health Benefits of WIC
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48
56.6
62.6
63.1
45
47
49
51
53
55
57
59
61
63
65
Sep-07 Sep-09 Sep-11 Sep-13
Perc
ent
Prenatal Entry into WIC in 1st Trimester
Prenatal Entry
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70
72.7
74.8
77.4
69
70
71
72
73
74
75
76
77
78
Sep-07 Sep-09 Sep-11 Sep-13
Perc
ent
WIC Infants Ever Breastfed
Breastfeeding Initiation
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Breastfeeding Duration
6.6
8.3
13.8
14.9
6
7
8
9
10
11
12
13
14
15
16
Dec-07 Sep-09 Sep-11 Sep-13
Perc
ent
WIC Infants Fully Breastfed at least 26 weeks
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Childhood Obesity
30.6
29.4
28.5
27.6
27
27.5
28
28.5
29
29.5
30
30.5
31
Sep-07 Sep-09 Sep-11 Sep-13
Perc
ent
Overweight & Obese Children > 2 years of age
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WIC EBT Implementation
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• Met HB1263 Mandate • On-Time • On-Budget
• Pilot began July 2013 in Miami-Dade
• Statewide Implementation - November 2013 to March 2014
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• Clients • More discreet WIC transaction • Flexibility in purchasing • Simplified checkout
• Vendors • More efficient redemption & payment process • Averts common errors
• State • Improves program accountability • Increased data for nutrition counseling and
program compliance monitoring 17
Benefits of WIC EBT
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WIC Vendors
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• WIC Purchases By Food Item • Strict Prescription Controls • Quantity and UPC
controlled • WIC EBT Protects Against
Excess Charges • Balance Provided Each Sale
• Items and Quantities • Benefits Expire Monthly
• Unused expunged • Next Prescription Available
WIC EBT Register Receipt
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• Cost Containment • Analytics Highlight Potential Investigations • Conduct In-Store Compliance Buys • Conduct Audits • Investigate Social Media Sales • Abuse Hot Line 1-855-283-5135
Program Abuse Prevention/Identification
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• Work with state agencies to build referrals to WIC into each agency’s programs where appropriate.
• Increase awareness among private health care providers of the importance in making patient referrals to WIC.
• Encourage health care systems’ maternity practices to provide support, education, and counseling on breastfeeding.
• Encourage and support hospitals taking steps recommended by the UNICEF/WHO’s Baby-Friendly Hospital Initiative.
What can the Cabinet Do?
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Questions
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