Audit finds transportation, language and immigration status, and outreach efforts key barriers to accessing WIC benefits
Boston — After an audit conducted by her office showed women and families in the Commonwealth face numerous barriers to accessing benefits through the Special Supplemental Nutrition Program for Women, Infants, and Children, state Auditor Suzanne M. Bump is calling on the Executive Office of Health and Human Services and the Department of Public Health, which administers the program, to address the barriers. WIC provides healthy foods, nutrition education, healthcare and other services to Massachusetts families who qualify. Bump’s audit, which examined the period of July 1, 2015, through Dec. 31, 2017, identified barriers to access related to transportation, outreach efforts of DPH, and language and immigration status.
During interviews conducted by Bump’s office, WIC providers pointed to transportation as the largest barrier to access facing program participants. The audit found a lack of public transportation options, gaps in provider locations — particularly in the western part of the state — and urban parking issues as obstacles for many WIC participants. The audit notes some WIC providers have requested and received DPH’s permission to establish temporary mobile service centers in hospitals and women’s homeless shelters to help overcome the barriers.
The audit calls for a number of improvements to DPH’s efforts to identify and notify individuals who may be eligible to receive WIC benefits. First, the audit calls on DPH to assess the effectiveness of its current practice of sending postcards to individuals to notify them that they may be eligible to receive benefits, and to consider other possible outreach options such as email and text messages.
The audit also calls for improvements to DPH’s data-matching and sharing processes. Under current practice, DPH receives participant information from MassHealth and the SNAP program, which it cross references with current WIC participants to identify individuals who likely qualify for WIC but do not currently receive it. Bump calls on the agency to revise its data-sharing process and expand its list of programs it cross references to include participants in Transitional Aid to Families with Dependent Children.
Language and immigration
The audit also points to issues related to language and immigration status as barriers preventing individuals from accessing WIC benefits. The audit calls on DPH to provide translated versions of shoppers’ lists and guides in more languages so participants can effectively identify WIC foods, items and support services to which they are entitled.
Additionally, the audit points to the U.S. Department of Homeland Security’s recently announced public charge rule as a deterrent to eligible people enrolling and using WIC benefits. Under this rule, the federal government will consider participation in Medicaid and the Supplemental Nutrition Assistance Program when determining whether an individual seeking citizenship in the United States is likely to become a public charge. While WIC is exempted from this rule, providers told Bump’s office that eligible participants who are immigrants are more apprehensive about applying for WIC benefits out of fear it may impact their immigration statuses. The audit points to expanded public education as a possible solution to this barrier, noting a provider in Lawrence indicated that the city, as a result of its public education efforts, has not seen a noticeable decrease in program participation.