This report examines the impact of using Medicaid data to directly certify students for free and reduced-price school meals in the NSLP and SBP in fifteen states in school year 2019-20. It assesses outcomes related to certification, participation, federal reimbursement, and state administrative costs in SY 2019-20 and over the course of the demonstration.

FNS conducted a study of the first two years of this demonstration to describe the implementation process and explore the effects on certification, participation, federal reimbursements, and state administrative costs. This report presents the findings from the first year of the demonstration evaluation, school year 2016–17.

This study—authorized by the 2010 Child Nutrition Act—tests innovative strategies to end childhood hunger and food insecurity. 

The Food and Nutrition Service conducted the Direct Certification with Medicaid (DC-M) demonstration that enables selected States and districts to use household income data from Medicaid files to directly certify students for free school meals. This report focuses on the experiences of States and districts conducting DC-M during School Year (SY) 2013-2014, the second year of the demonstration. It examines whether DC-M leads to changes in the percentage of students certified, the number of meals served, Federal reimbursements, and certification costs incurred by districts. It also assesses State-level administrative costs and identifies the challenges that States and districts face when implementing DC-M.

The Healthy, Hunger-Free Kids Act of 2010 required the Food and Nutrition Service to conduct a demonstration that adds Medicaid to the list of programs used to directly certify students for free school meals. Although students receiving Medicaid are not categorically eligible for free meals, the DC-M demonstration authorizes selected States and districts to use income information from Medicaid files to directly certify those students found to be eligible for free meals.

The Healthy, Hunger-Free Kids Act of 2010 (HHFKA; PL 111-296) required the USDA Food and Nutrition Service to conduct a demonstration that adds Medicaid to the list of programs used to directly certify students for free school meals. Although students receiving Medicaid are not categorically eligible for free meals, the DC-M demonstration authorizes selected States and districts to use income information from Medicaid files to directly certify those students found to be eligible for free meals.

The evaluation used interviews and site visits to capture implementation strategies and stakeholders’ views of the 2012 Enhanced Summer Food Service Program (eSFSP) demonstrations. Results indicated that sites used different strategies for recruitment and outreach; the types of food delivered; training; and technical assistance. Site administrators felt that previous experience operating an SFSP site; good use of partnerships, volunteers, consultants, and activities to make the projects family friendly; a focus on healthful eating; and careful use of resources for efficiency were important to successful implementation. Also, both participating families and site operators felt the demonstrations were an important resource to address summer hunger.

This Congressional report summarizes the implementation and evaluation of two approaches tested in the summers of 2011 through 2013. 

In December 2000, FNS was authorized to conduct a pilot to increase SFSP participation in a number of states with low rates of feeding low-income children in the summer. Under the pilot, meals served by eligible sponsors in the 14 states are reimbursed at the maximum allowable rate. In addition, administrative record keeping for the pilot sponsors was reduced since they were no longer required to record administrative and operating costs separately and they did not have to report costs to state agencies.

FNS conducted the three-year pilot from SY 2000–2001 through SY 2002–2003. The aim of this pilot was to study the impact of the availability of universal-free school breakfast on breakfast participation and measures related to elementary school students’ nutritional status and academic performance. This pilot was not intended to evaluate the current SBP or the value of consuming breakfast.