Medicaid and public health officials implementing CDC’s 6|18 Initiative prevention activities can use this evaluation plan template to track and monitor progress and outcomes of intervention implementation activities.

Fill out one evaluation plan per health condition. Start by listing chosen interventions, as described in the Resource Center for Implementing CDC’s 6|18 Initiative. Then, add the evaluation question, metrics to track progress, data collection methods and timeline, the lead person, and the analysis plan for each evaluation question.