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WIC EBT Feasibility Study and Cost‐Benefit Analysis

WIC EBT Feasibility Study and Cost‐Benefit Analysis

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Virginia Department of Health <strong>WIC</strong> <strong>EBT</strong> <strong>Feasibility</strong> <strong>Study</strong> <strong>and</strong> Cost-Benefit <strong>Analysis</strong><br />

<strong>and</strong> food type <strong>and</strong> dates these benefits are available. Virginia has indicated that their <strong>WIC</strong><br />

clinics will require terminals with this functionality.<br />

The e-<strong>WIC</strong> contractor provides the State with the required quantities of e-<strong>WIC</strong> cards. Contractor<br />

fees include the card graphics design, card production <strong>and</strong> card delivery. The contractor<br />

calculates card stock needs based on caseloads, card loss <strong>and</strong> client turnover rates. Contractors<br />

do not produce the cards themselves; this service is contracted to card production firms that meet<br />

ISO 9000 st<strong>and</strong>ards at facilities that meet the security requirements of credit <strong>and</strong> debit card<br />

issuers.<br />

The e-<strong>WIC</strong> contractor is also responsible for providing help desk services to staff, retailers <strong>and</strong><br />

clients. Client help desk support is a significant cost driver for <strong>EBT</strong> contractors; States often<br />

take measures to reduce their <strong>EBT</strong> cost per case month (CPCM) pricing by providing a greater<br />

level of training to clients, counseling clients identified as frequent users, <strong>and</strong> requiring the <strong>EBT</strong><br />

contractor to provide clients with web-based access to account information. North Carolina has<br />

elected to move Food Stamp <strong>EBT</strong> client help desk services in-house to reduce the CPCM fee<br />

charged by their <strong>EBT</strong> Contractor. By law, some States require on-shore or even in-state<br />

customer service centers, which generates a higher CPCM.<br />

The contract with an e-<strong>WIC</strong> service provider usually contains performance st<strong>and</strong>ards concerning<br />

system uptime; transaction response times; retailer equipment installation <strong>and</strong> repair times; help<br />

desk response times; <strong>and</strong> more. States enforce these st<strong>and</strong>ards by initiating payment hold-backs<br />

<strong>and</strong>/or liquidated damages when st<strong>and</strong>ards are not met.<br />

4.1.1.1 The Clients’ Perspective<br />

From the clients’ perspective the difference between on-line<br />

outsourced <strong>and</strong> in-house e-<strong>WIC</strong> should be transparent. In the online<br />

environment the head of household is issued a magnetic stripe<br />

card at the local office <strong>and</strong> selects a PIN. All of the household’s<br />

benefits may be accessed with one card – unlike the paper-based<br />

system, where separate vouchers, <strong>and</strong> sometimes multiple vouchers,<br />

are issued to each <strong>WIC</strong> participant in a household. With on-line e-<br />

<strong>WIC</strong>, cards may be issued to additional household members, as<br />

transactions are recorded at the host system in real time <strong>and</strong> there is little risk of a household<br />

redeeming the same benefits twice.<br />

The card <strong>and</strong> PIN serve as the client’s identification at the POS. Because each item of the<br />

purchase must be approved by the host system, the card is swiped prior to beginning a purchase<br />

transaction. Generally, the client’s account, an itemized list of authorized food items, is then<br />

downloaded by the host to the POS. Non-<strong>WIC</strong> items, items that are not part of a household’s<br />

benefits, <strong>and</strong> expired benefits will not be approved for purchase. Upon completion of the<br />

transaction, the client is provided with a receipt that indicates items purchased as well as the<br />

benefits remaining in the household’s account. The POS immediately uploads the transaction<br />

data back to the host system.<br />

When the client returns to the <strong>WIC</strong> clinic for services <strong>and</strong> is authorized for additional benefits,<br />

the benefits are uploaded (either real time or through overnight batch processing) to the host<br />

13 V 1.2 August 20, 2008

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