Table A1.

Interview Guide Domains and Questions.

CFIR* Domain	Interview Questions
Intervention Characteristics	What kind of evidence do you think is needed for program linkages to be prioritized in your state?
	What policies or processes has your agency put in place to facilitate co-enrollment in [NSLP†, WIC‡, Medicaid, LIHEAP§, Lifeline, housing assistance, or childcare subsidies] and SNAPll?
	Are there any other policies or process that have been implemented to coordinate enrollment or recertification across multiple programs that I haven’t asked about?
Outer Setting	What motivates your work to promote program co-enrollment?
	What are the key resources required to implement these linkages?
	What, if any, additional resources, support, or technical assistance are needed to facilitate cross-enrollment?
	How are opportunities to coordinate enrollment or recertification in multiple programs communicated to your agency?
	What, if anything, have you learned from other states involved in similar work?
	What is the role of current or former program participants in informing this work?
Inner setting	Do you think your state places a priority on coordinating enrollment and recertification across multiple health and human services programs?
	Data from SNAP could in some circumstances be used to facilitate enrollment in many other health and human services programs, such as the National School Lunch Program, WIC, Medicaid and CHIP, childcare subsidies, housing and energy assistance, and discounted phone services. What are your agency’s goals around co-enrollment?
	How could coordination be improved?
	What is the biggest barrier to improving coordination?
Individual Characteristics	Can you tell me a little bit about your role at your agency and your involved in health or human services programs?
	Which health or human services programs do you work on and what do you do?
Process	Who has championed this work?
	How do you know if you are meeting your co-enrollment goals?
	What measures do you care about or pay attention to?
	How do you know if your agency’s actions are effective?
	What do you find most challenging about using SNAP status to enroll people in multiple public benefit programs? What concerns you most in the future of using SNAP status for multiple program enrollment?
	What recommendation do you have for other states doing similar work?

^*Consolidated Framework for Implementation Research (CFIR).

^†National School Lunch Program.

^‡Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

^§Low Income Home Energy Assistance Program (LIHEAP).

^llSupplemental Nutrition Assistance Program (SNAP).