SIGNED FINAL 5-18-2022 Sauk County Health -Quartz MOU _WIC

The Local WIC Agency agrees to:

1. Cooperate and communicate with HMO to ensure appropriate services of WIC participants of the HMO.
2. Make available to HMO members non-billable services which may include one or more of the following:

Immunization screening;

nutrition services and supplemental foods;

breastfeeding promotion and support;

body mass index identification;

Local WIC Agency shall only provide those services to HMO members as determined appropriate at the time of the WIC visit.

1. Refer to and coordinate services with the primary care provider (PCP) of the member as needed according to WIC policies and guidelines, using signed consent when required per WIC confidentiality policies.
2. Give appropriate assistance to member who expresses difficulty in gaining access to HMO and/or to the PCP.
3. Encourage members to seek medical care through HMO.
4.  Provide agency contact information to the HMO and notify the HMO of any changes.

HMO agrees to:

1. Refer all WIC categorically eligible HMO members to the Local WIC Agency. This includes pregnant women and children under five years old. This may involve case managers who call HMO members, and ensuring providers in the contracted network are educated about making referrals to WIC
2. Provide Local WIC Agency with the referral processes and point of contact for questions to be used when HMO members require assistance from the HMO.
3. Encourage HMO providers to arrange an appointment for the HMO member within two weeks of the Local WIC Agency referral if the member has not been under care.
4. Provide, on request, feedback to the Local WIC Agency regarding the HMO member’s follow-up or lack of follow-up with the PCP. 
5. Provide HMO contact information to the Local WIC Agency and notify the Local WIC Agency of any changes.