See if you qualify for Medicaid Meals

Medicaid Meals is a nonprofit outreach program of Vista Verde Homes, a 501(c)(3). Answer these questions and we will look for meal programs you may qualify for. It takes about 5 minutes. There is no cost, and the choice of provider is always yours.

Answer what you can — no field is required, and we will follow up if we need anything else.

About you
Do you have Medicaid?

The ID from your Medi-Cal Benefits Identification Card (BIC) or your health plan card. Your plan or provider uses it to find your record; we do not check your eligibility ourselves.

The Medi-Cal managed care plan on your plan card. Choose "I don’t know my health plan" if you are not sure, or fee-for-service if you do not have a managed care plan.

How to reach you

We use this number to reach you about your application. This phone number is optional. Agreeing to text messages is optional: check the box below only if you want them. Consent is not a condition of service. You can send this form without checking it.

Where you live

We are taking applications from the Bronx (ZIP codes 10451–10475) and from anywhere in California (Medi-Cal). Colorado opens later; email info@medicaidmeals.org and we will tell you when we reach you.

The California county you live in. Your Medi-Cal plan and the services available depend on your county.

Health conditions
Do you have a health condition or situation where nutrition support may be helpful?

Check all that apply.

This information is used only to help identify programs that may be appropriate. It does not determine eligibility. It is stored encrypted and shared only as part of a referral you authorize.

If you know a diagnosis code from your records or a recent visit, you can add it. It is not required.

    A few questions
    Who is filling out this form?
    Have you applied for Medicaid home-delivered meals before?
    Do you have a health condition that affects what you eat, or that meals designed for your condition could help with?
    Do you currently get care coordination services, such as Medicaid care management or Managed Long Term Care (MLTC)? (optional)
    Were you discharged from a hospital or care facility in the last 12 months?
    Is it hard to get enough food right now?
    Do you have a mobility limitation that makes shopping or cooking difficult?
    Is it hard for you to shop for food or prepare meals?
    Do you already receive meals from a home-delivered or medically tailored meal program?
    Your consent

    The referral authorization below is needed to send your answers. Agreeing to text messages, calls, or email is optional. Consent to text messages is not a condition of service.

    Participation is voluntary. You can withdraw at any time. Completing this form does not guarantee eligibility or services.

    Text messages are optional. Consent is not a condition of service. You can send this form without checking the text-message box.

    Check eligibility for Medicaid home-delivered and medically tailored meals – Medicaid Meals