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.

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.

In 2001, the Food and Nutrition Service awarded $3.7 million in grants to 14 organizations in 11 states to improve Food Stamp Program access through partnerships and new technology. These projects generally aimed to improve access among the elderly, immigrants, the working poor, and other hard-to-reach groups. The projects used a variety of approaches, including targeted advertising campaigns through community media outlets, informational web sites, computer-assisted pre-screening for eligibility, and direct application assistance.