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.

The Healthy Incentive Pilot (HIP) is being evaluated using a rigorous research design. The overall goal of the evaluation is to assess the impact of HIP on participants’ intake of fruits and vegetables. 

The Early Implementation Report addresses the processes involved in implementing and operating HIP, focusing on the early implementation period, from pilot inception to March 2012.