MI-WIC Release 5.6 WebcastDecember 5, 2013

Laurie PerrelliJulie LothamerTerri Riemenschneider

Release 5.6

Thursday December 12th – stop using MI-WIC by 5:00 p.m.

Friday December 13th – Release available in clinics

2014 MI-WIC Release Dates

April 10/11August 14/15

December 11/12

WC E-Notice sent Letter sent to Health Officers

Bug Fixes

CEVAL Mid-Cert Screens display of BF questions Mid-Cert screen not saving on “Next” Wrong future appointment date pulled into Care Plan Issue with Income History and some Adjunct Data

disappearing Issue scheduling CEVAL appointment if a Termed client is

in Active Record box Non-discrimination statement appearing twice in

Compliance Letter Notes in Breast Pump Details screen not saving Proxy duplicating

Other

Text Messaging status

Wal-mart issue

Clinic User Manual – plan to post on WIC website

Food Packages for Breastfeeding Partial Dyad

MI-WIC System will now enforce the policy:

Partially Breastfed Infants Maximum Food Package During the 1st Month is Up to 104 fl oz reconstituted powder /1 can

To Support Breastfeeding

During the First MonthBP cannot be assigned a NPP food package SOIBP cannot be assigned a IFF food package

Click icon to add picture

After 1st Month

Customizing IBP Food Packages

IBP Food Packages First Month Second Month

What message does this give moms?

IBP Package* will come with 1 can & have to be customized up to the max *Pregestimil and Alimentum exceed 104 oz and cannot be given in powder during the 1st month Max is based on the age of the infant

New TITLE – PC Education To eliminate confusion, Yes is selected ONLY if it is

EDUCATION given by a PEER

Column Title Change PC Column confusion. Yes in this column = Educational

contact But all notes made by Peers were being entered as a

YES

Client PortalAvailable starting 12/20/13 at Michigan.gov/wic

Features of Client PortalApplicant Screening:

Client can be screened for WIC eligibility

Find closest agency “Eligible” clients can

schedule a MI-Path (MPATH) appointment (Pcert/Cert) if agency allows or request an appointment

Client can set up web access account:

Next appointment Shopping list/balance Vendor listing Contact agency

regarding need for appointment

Client Portal Website What is WIC? Am I Eligible for

Michigan WIC? I am a WIC Client

without a Client Portal Website account-Sign up

I already have a Client Portal Web site account to Login

WIC Clinics in my area WIC grocery stores in

my area WIC Resources Links

Let’s talk about the changes to MI-WIC that support the Client Portal…

Client request appointments Allows clients to request

appointment through client portal

Local Agency monitors requests schedules appointments

Client portal appointments Allows applicants to schedule

appointments through client portal

Local Agency Sets Client Portal (MI-PATH)

appointment schedule, if desired

Client Portal Appointment requests

Client Portal Appointment screenClinic/Miscellaneous/Client Portal Appointments

For existing clients or if LA does not wish to allow applicants to schedule M-Path appointment Client

requests appointment

Click on row to make active

Client Portal Appointments MPath

Setting up MI-Path AppointmentsAdmin Module Templates Add Scheduler Staff

Click New, MI-Path MI-Path Template

Add MI-Path Scheduler Staff (column)

Designate MPATH appointments for times you want to allow client to schedule

Auto dialer update

If LA allows appointments

Update Autodialed template to include MI-PATH appointment type

CEVAL Process

Currently BF question bug Multiple appointments scheduled on same day – bug If C-Eval and NCRD on same day, schedule C-Eval to

allow access to C-Eval screen flow Note for NCRD on appointment screen

When scheduling 11 month olds for a CEVAL appointment, change the Scheduling Category to C1

Set up Autodialer to include CEVAL so clients are called to remind of their appointments

Autodialer set up for CEVAL Admin

Scheduling Tasks

Autodialer

Policy UpdateDecember 5, 2013

1.11 Annual Quality Services Review Conduct an annual review of each primary clinic (including

subcontractors) that ensures that WIC services are provided in accordance with MDCH/WIC policies and federal regulations

Use the most current MDCH/WIC Management Evaluation (ME) checklists and chart review tools (or local agency equivalents). http://www.michigan.gov/mdch/0,4612,7-132-2947-

275726--,00.html

After the evaluation, develop and implement a corrective plan of action, documenting steps along the way

Retain the clinic evaluations, the Corrective Plan of Action and training or feedback provided to staff at the local agency for a minimum of three years and 150 days from the end of the fiscal period that review is performed

1.12 Public Health Disaster/Emergency Planning and Coordination

The WIC Program is not designed to be a disaster assistance program, and therefore is not considered a first line of defense

Emergency situations are highly variable and unpredictable

Work with MDCH WIC Program to determine allowable waivers for policies

1.12 Public Health Disaster/Emergency Planning and Coordination

Local agencies should have a disaster plan that will include: A copy of the parent agency’s disaster preparedness plan, if

applicable. Local governmental/community agency emergency contact

information. (Food pantries, emergency shelters…) State and local WIC staff contact information (phone tree, call

in point). A plan for notifying clients of service disruption, relocation and

availability of WIC services. Forward agency phones, update messages, be able to use back up

cell or land line phones for messages or texting Laptops, cell phones, chargers, generators….

Review plan with staff annually

Newly Released Policies:

WIC E-Notice 2013-132 (November 27, 2013) 2.13A Michigan Risk Codes 7.01 Food Package Determination 7.02 Authorized WIC Foods 7.04 Maximum Food Package 7.05 Customized Food Package

2.13A Michigan Risk Codes

This policy provides updated descriptions for several risk criteria based on USDA criteria revision. All definitions noted have been in place in MI-WIC since the August, 2013 release. The affected risk criteria include: 353+ Food Allergies 354+ Celiac Disease 355 Lactose Intolerance

• 353+ Food Allergies – The definition was revised to

“Diagnosed adverse health effect arising from immune response that occurs reproducibly on exposure to a given food.”

• 354 + Celiac Disease –

The definition is expanded to include “Inflammatory condition of the small intestine precipitated by ingestion of wheat, rye, and barley that can result in damage and malabsorption of nutrients.”

• 355 Lactose Intolerance – The definition was modified to “CPA

documentation of symptoms should indicate that ingestion of lactose-containing dairy products or milk-based formula causes gastrointestinal disturbances such as: abdominal bloating, cramps, flatulence, diarrhea; the avoidance of such dairy products eliminates them.”

The following food package policies have been revised and are already implemented in the MI-WIC system: 7.01 Food Package Determination 7.02 Authorized WIC Foods 7.04 Maximum Food Package 7.05 Customized Food Package If you have questions, please contact

the Consultant du Jour at 1-800-949-1636, option 1, then 2.

Food Package Policy Revisions

7.01 Food Package Determination

This policy wording change clarifies that when determining the need for food package for a breastfeeding woman, the question is whether the woman is nursing two or more infants from the same pregnancy.

7.02 Authorized WIC Foods This policy was revised to indicate: WIC Program food authorization criteria will be

reviewed on a routine basis and adjusted as necessary. Local agencies shall be notified in writing of

authorized food changes and their effective date. Iron fortified formula must supply 67 calories per

100 milliliters (approximately 20 kilocalories per

fluid ounce at manufacturer’s recommended dilution and not standard dilution as previously

stated). The current list of Michigan authorized foods,

effective October 15, 2013. The name change for the list of authorized foods to

Michigan WIC Food Guide and Infant Foods Insert.

7.04 Maximum Food Package This policy clarifies the statement that partially

breastfeeding women must be nursing 2 or more infants from the same pregnancy to receive the exclusively breastfeeding women package.

Also exclusively breastfeeding women nursing 2 or more infants from the same pregnancy will receive 1.5 of the maximum monthly food package for exclusively breastfeeding women.

7.05 Customized Food PackageThis policy extends the customization of

thirty-two (32) cans of evaporated milk substituted for 24 quarts of fluid milk to include women eligible to receive the maximum monthly exclusively breastfeeding food package (pregnant women with multiple fetuses, partially breastfeeding women nursing 2 or more infants from the same pregnancy and exclusively breastfeeding women).

Questions?