In the SUSTAIN study, participants are Medicaid enrolled individuals over 18 years of age, who have been diagnosed with hypertension, type 2 diabetes, hyperlipidemia, chronic kidney disease and/or metabolic syndrome. Participants will have 4 office visits over 24 weeks and will receive $100 Instacart vouchers every 2 weeks for 8 weeks and may receive behavioral nutrition counseling. The goal is to determine the feasibility and engagement of participants in the SUSTAIN intervention compared to enhanced usual care over 24 weeks through mixed-methods measurement of participant enrollment, adherence, retention, and engagement (counseling, screenings, referrals, and uptake).