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.

National completion rates for SNAP QC reviews have generally declined since peak levels in the 1980s, and State-level completion rates vary widely. This study examines the factors contributing to incomplete reviews of cases and describes best practices associated with high SNAP QC completion rates.