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This study examines the relationship between implementation of a state’s multi-tiered system of supports (MTSS) framework focused on reading and student achievement. The MTSS program targets students in grade K-3 and is being implemented in 10 schools across the state with leadership from the State Department of Education. School leadership teams used a collaborative process to document implementation of programming within schools that facilitated conversation around continuous improvement. Results demonstrate moderate to strong associations between implementation domains and student achievement in ELA. A regression analysis indicates that reading achievement for program year 2 is positively associated with MTSS implementation while controlling for baseline achievement. These findings offer evidence of the impact of the state’s MTSS framework on student achievement.