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MI-WIC Release 5.6 WebcastDecember 5, 2013
Laurie Perrelli
Julie Lothamer
Terri 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 10/11
August 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 Month
BP cannot be assigned a NPP food package
SO
IBP 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 Portal
Applicant 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 Appointments
Admin 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 Package
This 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?