Skip to main content
U.S. flag

An official website of the United States government

Improving Coordination Between SNAP and Medicaid in State Agencies

Publication Date
Resource type
Federal Register Documents
Notices
Comment Request
Comment Period End Date

Abstract

This is a new information collection request. SNAP and Medicaid serve similar populations, which provides opportunities for state agencies administering the programs to coordinate policies and processes to improve efficiency, customer service, and program access. This study will conduct case studies in up to five states to understand the challenges with improving program coordination and highlight the best practices that could be shared with other states. FNS has identified five objectives for this study:

  1. Identify and describe relevant federal statutory, regulatory, and operational barriers and facilitators that have considerable impact on coordination between SNAP and Medicaid agencies.
  2. Identify and describe relevant state statutory, regulatory, and operational barriers and facilitators that have considerable impact on coordination between SNAP and Medicaid agencies.
  3. Identify and describe systems used by states to determine eligibility and manage SNAP and Medicaid application and recertification information.
  4. Identify and describe similarities and differences in state SNAP and Medicaid applications.
  5. Using information collected from Objectives 1–4, develop a Best Practices Guide that explains how states can better improve coordination between SNAP and Medicaid.

Case Studies

FNS will reach out to a maximum of ten states to participate in in-depth case studies and expects five to participate. The case studies will involve semi-structured interviews with policy and program administrators and staff of state SNAP and Medicaid agencies, data systems staff from SNAP and Medicaid offices, local SNAP and Medicaid offices, and community-based providers that assist in SNAP and Medicaid application and renewals. After recruiting the five state SNAP and Medicaid agencies, FNS expects one selected local SNAP agency and one selected local Medicaid office to participate in each state. FNS expects that approximately 50 percent of individuals invited to participate will choose not to participate and oversampled to account for nonresponse.

Request for Public Comments

Written comments must be received on or before June 5, 2023.

  • Comments may be sent to: Michael Burke, Senior Social Science Research Analyst, Food and Nutrition Service, U.S. Department of Agriculture, 1320 Braddock Place, Alexandria, VA 22314. Comments may also be submitted via email to michael.burke@usda.gov.
  • Comments will also be accepted through the Federal eRulemaking Portal. Go to http://www.regulations.gov and follow the online instructions for submitting comments electronically.

All written comments will be open for public inspection at the office of the Food and Nutrition Service during regular business hours (8:30 a.m. to 5:00 p.m.), Monday through Friday at Braddock Metro Center II, 1320 Braddock Place, Alexandria, VA 22314.

All responses to this notice will be summarized and included in the request for Office of Management and Budget approval. All comments will be a matter of public record.

Page updated: November 22, 2023