Tuesday, July 1, 2025 7/1/2025

Making Enrollment a Snap for people with disabilities with a SNAP Cross-Enrollment

Award Number: R01NR020885
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/18/2023
PERIOD OF PERFORMANCE END DATE: 05/31/2028

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Making Enrollment a Snap for people with disabilities with a SNAP Cross-Enrollment - This five-year pragmatic trial is embedded in an existing program providing SNAP cross-enrollment outreach and enrollment assistance program among approximately 1 million Michigan Medicaid beneficiaries. This project will be conducted in partnership with Michigan Department of Health and Human Services and Benefits Data Trust and with guidance from an Advisory Committee. The proposed study will leverage the program’s random selection of households for treatment to estimate the effect of SNAP outreach and enrollment assistance among low-income adults with functional limitations. Households are randomly selected for either an information-only arm or an information plus assistance arm while a 3rd equivalent group waits for treatment, forming a control comparison arm by default. Medicaid data from adults aged 18 and older will be used to identify people with functional limitations, including those who: (a) receive disability benefits (e.g. SSDI, or, if younger than age 65, SSI); (b) are Medicaid eligible due to disability or blindness; (c) are eligible for home and community-based services or (d) are home help recipients needing assistance with Activities of Daily Living. Outcomes will be measured using Medicaid claims and SNAP utilization data. Aim 1 characterizes Medicaid beneficiaries at baseline with disproportionately lower SNAP utilization (participation and benefit amounts) for people with and without functional limitations and examine interactions with age, and presence of ambulatory care-sensitive conditions. Aim 2 evaluates the impact of a cross-benefit enrollment intervention on health care utilization, including inpatient hospital and emergency department utilization (emergency department visits; hospitalization and length of stay; end-of-the-month utilization; and utilization for ambulatory care-sensitive conditions) and on nursing home utilization (admission and length of stay) among community-dwelling adults with functional limitations. Aim 3 evaluates the impact of a cross-benefit enrollment intervention on SNAP utilization (participation and benefit amounts) and tests SNAP utilization as a mediator of intervention effectiveness health care utilization among community-dwelling adults with functional limitations. Aim 4 tests for effect modification of the intervention impact based on age, and presence of ambulatory care-sensitive conditions, among community-dwelling adults with functional limitations. Through these aims, this study evaluates a promising new intervention that may improve food affordability for low-income adults with functional limitations, who experience disproportionately high rates of food insecurity.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $398,569 )
2025	2025	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	000	3	6/24/2025	NON-COMPETING CONTINUATION	$398,569
														Subtotal = $398,569

Issue Date FY: 2024 ( Subtotal = $373,961 )
2024	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	004	2	9/12/2024	NON-COMPETING CONTINUATION	$0
2024	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	003	2	7/3/2024	NON-COMPETING CONTINUATION	$0
2024	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	001	2	5/16/2024	NON-COMPETING CONTINUATION	$373,961
2024	2023	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	002	1	7/3/2024	NEW	$0
2024	2023	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	000	1	10/12/2023	NEW	$0
														Subtotal = $373,961

Issue Date FY: 2023 ( Subtotal = $363,607 )
2023	2023	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Nursing Research	000	1	8/18/2023	NEW	$363,607
														Subtotal = $363,607

Grand Total All Awards = $1,136,137

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Making Enrollment a Snap for people with disabilities with a SNAP Cross-Enrollment

Award Number: R01NR020885

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/18/2023

PERIOD OF PERFORMANCE END DATE: 05/31/2028

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