The South Carolina Revenue and Fiscal Affairs Office maintains an integrated data system, which links individuals being served by more than 20 state agencies and other organizations. This system has facilitated program improvement efforts and numerous research studies, including a randomized controlled trial (RCT) as a part of the state’s Pay for Success initiative to improve outcomes for low-income mothers and their babies. South Carolina has continued to expand its evaluations, including an RCT on the impact of Managed Care Organizations.