The Military Order of the Cootie is an organization within an organization. Much like the Rangers, or Airborne, or Special Forces are all part of the Army, the Cooties are a part of the VFW. It is a distinction reserved for "active" members of the Veterans of Foreign Wars; those who have succeeded as an officer on any level, or who have demonstrated ability as a leader of a major Post committee or function. These Comrades-in-arms have a special place reserved for them in the MOC; a place of recognition for efforts made by those who want to make a difference in the world around them.  
Military Order of the Cootie - Wikipedia

Supreme Cootie Forms Page