Health Services Agency

• Local Breastfeeding Support [pdf]
• Breastfeeding Laws & Regulations
• WIC YouTube Channel

SIGN UP FOR ONLINE EDUCATION

You will need to create an account before completing your first online class. Have your WIC Family ID with you and be sure to select Stanislaus County Health Services Agency as the agency when signing up.

Instructions:

1. Go to: wichealth.org
2. Select “Sign Up” to create an account
3. Complete section “Create an Account”
   NOTE: Be sure to select the right Agency (Stanislaus County Health Services Agency) and Clinic (your WIC office)
   • Enter your WIC Family ID number
   • Complete the questions and click “Register” to finish creating your account
     NOTE: Be sure to create a simple, easy-to-remember Username and Password for future access to your online education account
   • Welcome to Online Education! Once you’ve created an account you can start your online class.

COMPLETE AN ONLINE CLASS

Instructions:

1. Go to: wichealth.org
2. Select “Log in” to access your account.
3. Click “Start Lesson”, pick one of the five categories, and choose a lesson.
   NOTE: In some cases you need to complete a specific class. In these cases WIC staff will notify you which class to complete.
   • Answer the “End of Lesson” questions and click “Submit”.
   • After completing a class, please call 209-558-7377 or text SCWChat to 888-413-8165 to receive your benefits.

• WIC Shopping Guide
• Vendors Accepting WIC
• WIC App Setup Guide (English|Spanish) [pdf]

• Family Resources
• Dentists Accepting Medi-Cal
• Maternal and Family Mental Health Referral Resource Guide English I Spanish

Referrals

There are many reasons to refer your patients to WIC. WIC can assist with nutrition education, breastfeeding support and supplemental food. Use the forms below to refer.

Referral Instructions
Pediatric Referral Use for therapeutic formula referral
Pregnant Woman Referral
Postpartum-Breastfeeding Woman Referral



Referral Instructions

When referring to WIC remember to:
1. Use the appropriate WIC referral form.
2. Complete the form and ensure it includes the patient’s labs (hemoglobin and hematocrit, lead levels and height and weight) and is dated and signed.



Therapeutic Formula

WIC’s Role
If one of WIC’s contract formulas is not appropriate for your patients, there may be a medical condition warranting a therapeutic formula. As part of the patient’s treatment plan, therapeutic formulas should be covered by the health plan when the clinician provides adequate medical justification. WIC can provide formula temporarily while coverage is pending. Should your patient be denied coverage by Medi-Cal or other health insurance, WIC may provide the therapeutic formula. WIC will require a prescription* as well as a letter of denial from the health plan or Medi-Cal.



Formula Options

Choose the formula that is right for your patient. Below are the options provided by WIC.

WIC Contract Formulas (No Rx required)

Therapeutic Formulas (Rx Required)



Therapeutic Formula Coverage Options

Private or Military Insurance:

Physician must submit the required paperwork requesting the formula to the health plan. If the health plan denies the formula, patient should take the complete prescription to their WIC site for Nutritionist evaluation. Local WIC agency may provide therapeutic formula if WIC therapeutic issuance requirements are met.

Medi-Cal Managed Care Plan (Health Plan of San Joaquin, or HealthNet):

Physician must submit a request for prior authorization to the health plan. Medi-Cal Managed Care Plans (MMC) are required to provide medically necessary formulas. For specific MMC policy information on therapeutic formula provision go to MMCD Policy Letter.

Physician needs to provide complete Rx for formula and tell patient to take to a pharmacy that contracts with the specific Medical Managed Care plan. The patient should call membership services for the plan if they need help. The phone number is on the back of their benefits card.

If the patient is experiencing difficulty obtaining plan coverage, they should call the Medi-Cal Managed Care Ombudsman at 1-888-452-8609 to resolve any problems and appeal the denial. Local WIC agency may provide therapeutic formula if WIC therapeutic issuance requirements are met, and until the appeal process is successful.

Full Scope Medi-Cal (a.k.a. Regular Medi-Cal):

The Physician should provide patient with a complete prescription* written on office letterhead or script pad. Physician should tell patient to take Rx to pharmacy for filling.

If the therapeutic formula is denied, the patient should return to their WIC site with verbal or written denial from the Pharmacist stating the reason for denial. Verbal denial will be verified by a WIC Nutritionist by calling the pharmacy. Once denial is verified WIC will issue formula.

WIC Nutritionist will instruct participant to take a complete RX to a different pharmacy if initial pharmacy is unwilling to investigate and resolve the reason for the denial. Local WIC agency may provide therapeutic formula if WIC therapeutic issuance requirements are met.

No Insurance:

For Medical Coverage: Refer patient to C4Yourself to apply for Medi-Cal coverage.

For Temporary Medical Coverage: Refer patient to CHDP Gateway Program at 1-800-722-3777. This program connects children with publicly funded health care and insurance, which expedites enrollment of income eligible children into Medi-Cal if they are not already enrolled.


*Note: Prescription must include patient name, birth date, name of formula, medical diagnosis, amount needed per day, duration, and signature of healthcare provider.