The Centers on Medicare and Medicaid Services (CMS) awarded the Medicaid Incentives for the Prevention of Chronic Diseases to the State of Hawaii ~ Department of Human Services (DHS) in September 2011. The Hawaii Patient Reward And Incentives to Support Empowerment (HI-PRAISE) five-year project has been facilitated by the University of Hawaii, Center on Disability Studies (UH-CDS) and the John A. Burns School of Medicine (JABSOM). This comprehensive demonstration grant sought to determine if direct incentives provided to participants with chronic disease(s) would improve biometric measures and reduce utilization of acute health care services and related cost. The overarching project objective was to test approaches that are widely available across the State, scalable, easy to access within the community, and promote self-management of chronic diseases.