22-692m Get Medically Tailored Meals for Your Patients
Date: 08/26/22
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
Members can receive healthy meal plans with medically tailored meals
Patients living with serious illness require an equally complex nutrition intervention and can benefit from medically tailored meals (MTMs). Often the patient is too sick to shop or cook and needs access to healthy food. Eating foods that are specifically designed for their diagnosis and illness can help improve their future health outcomes.
Program overview
MTMs are prepared meals or groceries tailored to meet the medical needs of an individual based on their diagnosis and illness. Meal plans are designed by a Registered Dietitian (RD) to help improve the patient’s health, lowering the cost of healthcare and hospitalizations. The program also helps patients receive nutrition education and tools to sustain healthy eating.
This service is covered up to 90 days and available in 90 days increments based on medical necessity. Extensions may be considered after the initial 90 days.
MTMs are available to members:
- Up to two meals per day and/or medically supportive food and nutrition services for up to 12 weeks, or longer if deemed medically necessary.
- Meals delivered to the home immediately following discharge from a hospital or nursing home.
How to refer patients for MTM services
Use the resources below to connect Medi-Cal members to medically tailored meals and other supportive services such as financial assistance, food pantries, medical care and other no-cost or reduced-cost help:
Findhelp: Use the findhelp website to search available community support (CS) programs. The site is easy to use and to refer members. Follow these steps to begin a search:
- Go to communitysupportsecm.findhelp.com.
- Enter a ZIP Code and click search.
- Choose a topic from the top row and browse local programs. Services vary based on the ZIP Code.
- Next, select the CS provider or service that best meets the member's needs.
Provider directory: Use the California Health & Wellness Plan (CHWP) provider directory to locate a CS provider and refer the member. Contact the CS provider to provide the member's information. The provider directories can be found on the CalAIM resource page.
Eligibility and qualifications
- Members with chronic conditions; and
- Members discharged from the hospital or skilled nursing facility; or
- Members at high risk of hospitalization or nursing facility placement; or
- Members with extensive care coordination needs.
- Assessment by registered dietitian or certified nutrition professional.
Additional information
Providers are encouraged to access CHWP’s provider portal for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.
If you have questions regarding the information contained in this update, contact CHWP at 877-658-0305.