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The Direct Certification with Medicaid (DC-M) demonstration added Medicaid to the list of programs used to directly certify students for free school meals. The evaluation compared districts randomly assigned to either conduct DC-M or use normal certification procedures to examine whether DC-M leads to changes in the percentage of students certified, the number of meals served, Federal reimbursements, and certification costs incurred by districts. It also assessed State-level administrative costs and identified the challenges that States and districts faced when implementing DC-M. This report presents findings from the second year of the demonstration, school year 2013-2014.

The impact findings for this study are internally valid estimates of the impact of DC-M for the participating evaluation districts in the participating States. However, this study was not intended to be nationally representative; study States and districts differ in important ways from States and districts nationally. Therefore, the findings cannot be generalized more broadly and interpreted as the effects that would be anticipated from an expansion of DC-M to a broader (or otherwise different) set of States and districts.