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Guidance for providers on WIC Medical Referral Forms, blood work requirements, breastfeeding services, special or prescription formulas, and information about the WIC & Clinician: Partners in Good Health booklet.
The Medical Referral Form is a form you fill out that helps identify the medical or nutritional risk factor(s) needed for enrollment in WIC. Although the Medical Referral form is not mandatory, it helps WIC serve your patients better by:
WIC follows the CDC recommended schedule for preventing and controlling iron-deficiency anemia in high-risk populations. WIC's bloodwork requirements are:
The WIC program offers breastfeeding support services to women during and after their pregnancy. 'Mother to Mother' Peer Counselor support is available at all 31 local WIC clinics.
WIC offers approximately 30 special formulas for participants with special medical needs. To request a special formula, you will need to complete the Massachusetts WIC Nutrition Program Request for Special Formula and Food form to document the diagnosis warranting a medical need for the formula. A thorough dietary assessment and counseling will be provided by a WIC nutritionist to resolve more common conditions not requiring special formulas such as constipation, spitting or loose stools.
MassHealth has primary responsibility for payment of special formulas for MassHealth members who are eligible to receive benefits through the WIC Program. WIC Participants, who are MassHealth members, will be guided to receive special formulas through their MassHealth insurance.
To assist families, Massachusetts WIC will provide 1 month of benefits, in order to allow for the MassHealth Prior Approval process and will act as a safety net for families should the process take longer.
If you have questions regarding the MassHealth process for prescribing special formulas to MassHealth WIC participants, please contact the following Customer Service Centers, depending on your patients MassHealth coverage type:
Some MassHealth plans require Medical Providers to submit a completed MassHealth Medical Necessity Review Form when prescribing special or prescription formulas.
MassHealth - WIC Participants will continue to receive all other WIC services including nutrition counseling and education, immunization screenings, health and social service referrals, Farmers' Market in the summer, as well as a WIC food package, including infant foods, that is appropriate for their nutrition and medical needs.
The WIC & Clinician: Partners in Good Health booklet has all the material you need to know. You'll find information about helping patients receive WIC benefits, health outcomes research, WIC approved foods, and a whole lot more!