This report examines the impact of using Medicaid data to directly certify students for free and reduced-price school meals in the National School Lunch and School Breakfast Programs in 15 states in school year 2017-18. Certification, participation and reimbursement outcomes for Cohort 1 states in their second year of implementation and Cohort 2 states in their first year of implementation are discussed.

This report supplements FNS administrative data on food package costs by estimating the average monthly food costs for each WIC participant category and food package type. It also estimates total pre- and post-rebate dollars spent on 17 major categories of WIC-eligible foods in FY 2014. This report is an update to the previous WIC Food Package Cost Report for FY 2010.

This report estimates the average monthly food costs for each of 5 WIC participant subgroups and estimates total dollars spent on 17 major categories of WIC-eligible foods in FY 2010. The participant and food level costs in this report are USDA’s first estimates since implementation of the 2009 WIC food package changes.

Student eligibility for free meals is determined by application or by direct certification. Although direct certification systems vary by State and LEA, all such systems are designed to eliminate the need for paper applications. Effective in SY 2011-12, LEAs must conduct direct certification three times per year: once at or around the start of the school year, and again three and six months after that initial effort. All direct certification systems now match student enrollment lists against SNAP agency records and the records of other assistance agencies whose participants are categorically eligible for free meals. The matching process, whether automated or manual, requires no action by the children’s parents or guardians.

In 2006, FNS asked the Institute of Medicine to review the WIC food packages. The IOM proposed major changes to improve nutrition and encourage breastfeeding but also expressed the concern that changes related to partial breastfeeding may have unintended consequences. The IOM recommended that FNS conduct an impact study evaluating the birth month breastfeeding changes to the WIC food packages. 

This study describes some of the choices state agencies made as they exercised the flexibility offered during the implementation and describes the resulting food packages.

In 1991 and 1998, FNS conducted national studies of WIC vendors to determine the extent of vendor violation of program rules. After the 1998 study, FNS issued regulations to correct vendor practices. The 2005 study replicates the 1998 study to determine whether the regulations were effective, and to measure the frequency of vendor violations and the degree to which vendors charge accurate prices for WIC transactions.

The purpose of this report is to illustrate the types and amounts of foods being prescribed within the WIC food package for each category of participants. This report does not provide information on redemption of the food prescriptions, or on actual food consumption; at this time, comprehensive data are available only on food prescriptions.

This is the first of a series of annual reports which will assess the administrative error associated with school food authorities’ approval of applications for free and reduced-price school meals. More than 95 percent of students who were approved for benefits on the basis of an application were receiving correct benefits, based on the information in the application files. In school year 2004/05, 3.5 percent of all students who submitted an application for free/reduced-price meal benefits had an administrative error in the processing of their applications.

This publication is based on the WIC Infant Feeding Practices Study (WIC-IFPS) sponsored by FNS. The WIC-IFPS is a one-year longitudinal study, which describes the infant feeding practices over the first year of life among a nationally representative sample of approximately 900 mothers who participated in WIC while they were pregnant.