1. What is WIC?
WIC is the Special Supplemental Nutrition Program for Women, Infants and Children. It is funded by the United States Department of Agriculture Food and Nutrition Service (USDA FNS) and administrated in Maine by the State of Maine WIC Agency in the Department of Health and Human Services, Maine CDC. Services are provided by local WIC agencies statewide.
The Maine WIC Nutrition Program serves income-eligible women who are pregnant, breastfeeding an infant from birth to 12 months, or less then 6 months postpartum, as well as infants and children up to their fifth birthday. Participants must live in Maine, and have income less then 185% of the current federal poverty guideline (see current income guidelines) or be enrolled in the MaineCare, TANF or SNAP (formerly Food Stamps) programs. Working families, single dads, foster parents, and custodial grandparents may all be eligible to apply for WIC!
Approximately 23,000 Maine citizens currently receive WIC Nutrition Program benefits.
WIC is provided at almost 85 sites in Maine through contracts the State has with eight local agency providers!
- All participants receive a nutrition and health risk assessment.
- Infants are weighed and measured at least 4 times during the first year to assess growth.
- All children are weighed and measured at least every 6 months, and have a hemoglobin screening test done at least once per year.
- All pregnant women are weighed frequently during their pregnancy to assess for proper weight gain.
- All participants receive personalized nutrition education directed to specific nutrition risks or their personal request for information.
- Pregnant and breastfeeding women receive education and support about breastfeeding. When needed, a breastfeeding mother may receive an electric or manual breast pump to help her continue to provide breastmilk for her infant.
- All participants receive food benefits tailored to their specific needs.
USDA required all states to implement food benefit changes by October 1, 2009. The changes were designed to:
- Strengthen WIC's breastfeeding promotion and support
- Meet the 2005 Dietary Guidelines for Americans and the Healthy People 2010 goals and objectives
- Provide consistency with American Academy of Pediatrics recommendations on infant feeding
- Add greater variety and choice, and foods that appeal to diverse populations
Women and children receive food benefits tailored according to their needs. The Maine WIC Nutrition Program has maximum food amounts set by the United States Department of Agriculture Food & Nutrition Services (USDA FNS), which funds the program nationwide. Foods and maximum amounts provided to WIC participants are listed below:
Milk (when needed, substitution with fortified soy beverage and/or calcium-set tofu may be provided for children and women):
- Children: ~16 ounces/day
- Pregnant women: ~23 ounces/day
- Exclusively breastfeeding women: ~25 ounces/day
- Postpartum women: ~16 ounces/day
- Breastfeeding women exclusively nursing 2 or more infants from same pregnancy: ~37 ounces/day
Cheese: up to 1 pound per month (substitutes for 3 quarts of milkr)
- Pregnant and postpartum women, children: 1 dozen per month
- Exclusively breastfeeding women: 2 dozen per month
- Breastfeeding women exclusively nursing 2 or more infants from same pregnancy: 3 dozen per month
100% fruit juice:
- Children: ~4 ounces/day
- Pregnant and exclusively breastfeeding women: ~4.5 ounces per day
- Postpartum women: ~3 ounces per day
- Breastfeeding women exclusively nursing >2 infants from same pregnancy: ~6 ounces per day
Fruits and vegetables: fresh, frozen and/or canned
- Children: $8 per month
- Pregnant, postpartum and breastfeeding women: $10 per month
- Breastfeeding women exclusively nursing 2 or more infants from same pregnancy: $15 per month
- 36 ounces per month (all children and women) (at least half of choices are primarily whole grain; all cereals must meet criteria for low sugar content and minimum iron fortification level; in addition, the Maine WIC food list identifies cereals which provide 400 gm folic acid per serving in order to help all women of childbearing age to obtain the necessary amount per day for birth defect prevention)
Whole grains: whole wheat bread, brown rice, oatmeal, and/or whole wheat or soft corn tortillas
- Children: 2 pounds/month
- Pregnant, breastfeeding and postpartum women: 1 pound/month
- Breastfeeding women exclusively nursing 2 or more infants from same pregnancy: 1.5 pounds per month
Peanut butter and/or legumes
- Children and postpartum women: choice of 18 ounces peanut butter or legumes (1 pound dried or 4 cans) per month
- Pregnant and exclusively breastfeeding women: 18 ounces peanut butter and choice of legumes (1 pound dried or 4 cans) per month
- Breastfeeding women exclusively nursing 2 or more infants from same pregnancy: 2-18 ounce jars of peanut butter and choice of legumes (1 pound dried or 4 cans) per month
Canned fish: light tuna, salmon, sardines (all water packed)
- Exclusively breastfeeding women, partially breastfeeding women with 2 or more infants from same pregnancy who are partially breastfed, pregnant women with more than 1 fetus: 30 ounces per month
- Breastfeeding women exclusively nursing 2 or more infants from same pregnancy: 45 ounces per month
Infants receive food benefits according to individual need, feeding choice (exclusive breastfed, partial breastfed, non-breastfed) and age:
|Feeding Choice||Age||Food Item||Maximum amount WIC can provide|
|Exclusively breastfed||Birth-5 months||No formula or food|
|6-12 months||Infant fruits and vegetables||2 jars (4 oz.) per day|
|Infant meats||1 jar (2.5 oz.) per day|
|Infant cereal||24 oz. per month|
|Partially breastfed||0-30 days||Formula||1 can powder|
|1-3 months||Formula||12-14 oz. per day|
|4-5 months||Formula||14-17 oz. per day|
|6-12 months*||Formula||10-12 oz. per day|
|Infant fruits and vegetables||1 jar (4 oz.) per day|
|Infant cereal||24 oz. per month|
|Non-breastfed||0-3 months||Formula||26-28 oz. per day|
|4-5 months||Formula||28-31 oz. per day|
|6-12 months*||Formula||20-22 oz. per day|
|Infant fruits and vegetables||1 jar (4 oz.) per day|
|Infant cereal||24 oz. per month|
* Infants 6 months and older who are prescribed a medical formula (hydrolysate, elemental, metabolic, or premature) may receive the 4-5 month formula amount if a medical condition exists that prevents them from initiating solid foods. The higher formula amount may be provided until they begin to eat solids.
Unfortunately, WIC can only provide up to the maximum amounts of infant formula listed above. WIC has always been a "supplemental" program and was never intended to meet all of a baby's nutrition needs. Those who need additional formula and cannot afford to buy it should check with their local WIC office to see if there is a food bank or other place in the community that can help.
The Maine WIC Nutrition Program supports the American Academy of Pediatrics position on breastfeeding.* Unless medically contraindicated, WIC counseling staff members encourage pregnant women to consider breastfeeding for the first year of their infant's life, and to continue to breastfeed as long as it is mutually desired by mother and child. WIC supports exclusive breastfeeding and establishment of adequate milk supply by limiting the amount of supplemental formula provided in the first 30 days of an infant's life to no more than 1 can of powdered infant formula. WIC counseling staff members assist parents with breastfeeding problems or barriers, and refer mothers to qualified lactation counselors as needed. WIC can provide a manual or electric breast pump when needed to help a mother continue to breastfeed. WIC food benefits for breastfeeding women provides the maximum monetary value per month. * American Academy of Pediatrics, Section on Breastfeeding, Breastfeeding and the Use of Human Milk, Pediatrics: 2005; 115; 496-506.
To contain program costs, USDA requires the Maine WIC Nutrition Program to have a rebate contract with a sole source provider for standard cow's milk and soy infant formulas. Maine WIC is part of a multi-state consortium for the infant formula rebate contract. This increases the program's ability to get the best price possible for infant formula, thus significantly saving financial resources which can be used to provide services to more Maine families.The current rebate contract is with Mead Johnson Nutrition Nestle for the provision of Enfamil formulas (Enfamil Newborn, Enfamil Infant, Enfamil Gentlease, Enfamil Reguline, Enfamil Prosobee, Enfamil AR). Partially breastfed and nonbreastfed infants who have a qualifying medical condition may receive a medical formula (hydrolysate, elemental, metabolic, hypercaloric or premature) if the medical condition warrants the use of such a product. Examples of qualifying medical conditions include but are not limited to:
- Low birth weight
- Failure to thrive
- Severe allergies, including allergic vomiting
- Metabolic disorder, including genetic conditions
- WIC participants prescribed hydrolysate, premature or hypercaloric formulas with appropriate medical documentation will receive their formula from WIC.
- WIC participants who receive MaineCare and are prescribed elementals or metabolics with appropriate medical documentation will have their medical formula covered by MaineCare.
- WIC infants not enrolled with MaineCare will receive their medical formula from the Maine WIC Nutrition Program. Monthly maximum amounts (above) apply for all medical formulas.
Fill out the form Maine CDC WIC Nutrition Program/MaineCare Request/Prior Authorization for Medical Formula/WIC-Eligible Nutritionals. This form includes information needed for the MaineCare Prior Authorization process. Fax the form to the WIC office which provides services for the WIC infant or to the Maine CDC WIC Nutrition Program State Agency at 207-287-3993. WIC staff will process the request upon receipt. WIC will fax the Rx form to Goold Health Services (GHS) for MaineCare prior authorization if the formula is to be covered by MaineCare.
If the formula has been approved by MaineCare, and more formula is needed than what was originally prescribed, the health care provider must update the request with GHS. If the medical formula is being provided by WIC, and an amount greater than what the WIC program can provide is needed, initiate a request for additional formula to be provided by MaineCare. Note: If the infant is receiving standard cow's milk or soy-based formula, MaineCare will not provide formula above the amount that WIC provides.
Only health care providers with prescriptive authority in Maine may prescribe medical formulas. This includes those with the following credentials: MD, DO, PA, NP
A medical formula request is approved for up to 6 months. WIC staff will inform the parent when a renewal is needed, and ask the parent to contact the provider, or will send a blank form to the prescriber's office.
Yes, a medical formula can be provided for children and women who have a qualifying medical condition which warrants the use of such a product. If the child or woman is enrolled in the MaineCare Program, the formula will be provided by that program. If the child or woman is not enrolled in the MaineCare Program, WIC will provide the necessary formula.
Maine WIC can provide all other WIC foods as prescribed by the health care provider to a child or woman who receives a medical formula. The health care provider may indicate on the Maine CDC WIC Nutrition Program/MaineCare Request/Prior Authorization for Medical Formula/WIC-Eligible Nutritionals form if there are any foods that must be excluded from the WIC food benefits or the HCP can defer to the WIC Registered Dietitian for assessment of provision of supplemental foods.
Fortified soy beverage and/or tofu can be provided to children for the following reasons: severe lactose intolerance, cow's milk protein allergy, adherence to a vegan diet or cultural preference. These items are available after an assessment by WIC or upon recommendation from the HCP. Effective October 1, 2014, a prescription is not require to issue soy beverage or tofu to children. Soy products may be provided to women upon their request.
The health care provider may contact the local WIC office if there are questions about a formula prescription request. The health care provider may also contact a nutritionist/dietitian at the State Agency at 1-800-437-9300.
Yes. Whole milk is the standard for issuance; 2% or 1 ½%, 1% or nonfat milk may be substituted for children for whom overweight or obesity is a concern, based on individual nutrition assessment and consultation with health care provider if necessary.
Yes; however, the child or woman must also be receiving a medical formula or food. Whole milk may not be issued solely for the purpose of managing or enhancing body weight.
According to USDA federal regulations, the following items cannot be provided by the WIC Program:
- An apparatus or device (enteral feeding tubes, bags, or pumps) used to administer *WIC formulas
- Thickening agents
- Flavor packets
- Parenteral or intravenous nutrition products
- Oral rehydration or electrolyte solutions
- Medicines or drugs
USDA, which funds the Maine CDC WIC Nutrition Program, requires a complete nutrition assessment at enrollment. Part of that assessment process includes information on hematological parameters. A hemoglobin level is done or requested from the health care provider to determine if nutrition risk may be present for iron-deficiency anemia. Referral for a lead screening test is also provided to the parents of children who are 12 and/or 24 months of age.
WIC obtains a hemoglobin value during the initial certification visit for each WIC applicant. Pregnant women are tested once during their certification as a pregnant woman; if the hemoglobin is available from the health care provider, WIC staff will send for the test result. Breastfeeding women are tested once during their certification as a breastfeeding woman. Postpartum women are tested once during their certification as a postpartum woman. Infants are not tested between the ages of 9-12 months.? Children are tested once a year.
WIC can use a hemoglobin or hematocrit test result obtained by the health care provider when the value and date are provided by the health care provider's office. The hemoglobin value must be no older than 90 days before the WIC certification visit, and must reflect the WIC participant's category (i.e., a test result for a pregnant woman must have been done after the beginning of the pregnancy).
The Maine WIC Nutrition Program supports the American Academy of Pediatrics (AAP) policy that exclusive breastfeeding is the ideal nutrition for infants in the first year of life. Human milk is sufficient to support optimal growth and development for full-term infants during the first 6 months after birth, and should be continued with the addition of age-appropriate of solid foods at least through the first 12 months, and thereafter for as long as mutually desired (AAP, Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 1997; 100: 1035-1039). In the absence of human milk, iron-fortified infant formula is an appropriate substitute for feeding the full-term infant during the first year of life. Low-iron formulas exist because iron is perceived by some to cause constipation and other feeding problems. Well-controlled studies have consistently failed to show any increased risk of feeding intolerance with the use of iron-fortified formulas (Pediatric Nutrition Handbook, 4th edition, 1998).
The Maine WIC Nutrition Program cannot provide cow's milk before the age of one, according to USDA Federal Regulations. The Committee on Nutrition of the American Academy of Pediatrics (AAP) recommends the consumption of breast milk or iron-fortified infant formula, along with age-appropriate solid foods, during the first twelve months of life. The AAP recommends that whole cow's milk and low-iron formulas not be used during the first year of life (AAP, The Use of Whole Cow's Milk in Infancy, Pediatrics, 1992, 89:1105-1109).
- Monday - Friday 8am-5pm
- Voice: (207) 287-3991
In-state Toll Free:
TTY: Maine relay 711
Fax: (207) 287-3993
- Mailing address:
11 State House Station
Augusta, ME 04333
Phone Number to your
Local WIC Clinic
East Wilton 207-645-3764
Presque Isle 207-768-3026
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