In addition, when a Medicaid renewal does come due, states can use income information in the SNAP file to complete the Medicaid renewal without requiring additional information from the participant. Data gathered for a SNAP renewal can be used to renew Medicaid even before the Medicaid renewal is due. Using SNAP income data for Medicaid renewals.The four strategies to coordinate renewals are: We focus on households where the SNAP-Medicaid eligibility overlap is most likely to occur: households without elderly or disabled members, which represent the majority of participants in both programs. Through interviews and site visits with agencies administering these programs, we have identified four major strategies states can use, alone or in combination, to improve integration, streamline operations, and help eligible families keep their benefits at renewal. Due to similarities in eligibility for these two programs, many states are better integrating Medicaid and SNAP through data sharing, coordinated policies, and inclusion of both programs in the same eligibility systems as they streamline and modernize their public benefits delivery systems. State and county agencies administering health and human service programs, including Medicaid and SNAP, are implementing new eligibility systems and policies under the Affordable Care Act (ACA). States can address churn by coordinating Medicaid and SNAP renewals as they modernize their eligibility systems. This process, known as churn, is costly for participants (who go without needed assistance) and for state agencies (which must process new applications). In these cases, the household remains eligible for assistance and frequently reapplies for benefits within a few months. Eligible households can lose benefits when they don’t complete the renewal process, either because they didn’t submit all required paperwork or because the state didn’t process their paperwork in a timely manner. One key opportunity exists when families renew their eligibility for SNAP and Medicaid. This overlap in eligibility and participation provides opportunities for states to coordinate their policies and processes to improve administration, customer service, and program participation. About three-quarters of households receiving Supplemental Nutrition Assistance Program (SNAP, formerly food stamps) benefits in 2014 had at least one member receiving health coverage through Medicaid or the Children’s Health Insurance Program (CHIP), and even more SNAP households may be eligible for one of those programs.