Launched in 2018, the Medically Tailored Meals pilot program was designed to help Medi-Cal patients with congestive heart failure by reducing hospital readmissions and emergency department visits by providing tailored meals meeting specific dietary needs.
The program’s success in improving health outcomes and reducing costly emergency room visits encouraged the Department of Health Care Services (DHCS) to expand the Medically Tailored Meals program to all 58 counties through Medi-Cal transformation and a new set of services called Community Supports.
Medically Tailored Meals are one of 14 new services offered through Medi-Cal that provide members with access to new and improved services to get well-rounded care that goes beyond the doctor’s office or hospital.
Medically Tailored Meals: Overview
Malnutrition and poor nutrition can lead to severe health outcomes, especially among Medi-Cal patients with chronic health conditions. Medically Tailored Meals aim to improve health outcomes, reduce hospital readmissions, and enhance patient satisfaction by providing essential nutrition.
Key Features:
- Post-Discharge Delivery: Meals are delivered to patients’ homes immediately following discharge from a hospital or nursing home.
- Customized Nutrition: Meals are tailored to meet the dietary needs of those with chronic diseases, designed by registered dietitians (RD) or certified nutrition professionals based on evidence-based guidelines.
- Comprehensive Services: Includes medically tailored groceries, healthy food vouchers, and food pharmacies.
- Educational Support: Behavioral, cooking, and nutrition education is included when paired with direct food assistance.
Key Benefits:
- Address Food Insecurity: Mitigates poor health outcomes linked to food insecurity.
- Support Complex Care Needs: Tailored to individuals with chronic conditions.
- Improve Health Outcomes: Studies show improvements in diabetes control, fall prevention, and medication adherence.
Patient Testimonial:
“Three days a week, I come home from dialysis tired and hungry. In less than five minutes from fridge to plate, I have a great tasting meal ready to eat. My husband has diabetic needs and I have renal diet needs, so we order our meals and put them in the fridge separately. Mom’s Meals makes mealtime a lot easier in our household.”
Eligibility:
- Eligible Populations: Eligible Medi-Cal members include those with chronic conditions like diabetes, cardiovascular disorders, congestive heart failure, stroke, chronic lung disorders, HIV, cancer, gestational diabetes, and chronic mental or behavioral health disorders. Also, those being discharged from a hospital or skilled nursing facility or at high risk of hospitalization or nursing facility placement are also eligible.
- Service Limitations: Up to two meals per day for up to 12 weeks, extendable if medically necessary. Meals eligible for reimbursement by alternate programs are not covered.
Cost Savings and Improved Health Outcomes:
- Health Outcomes: Research indicates a 22% to 58% decrease in emergency department visits and a 27% to 63% decrease in inpatient admissions among Medically Tailored Meals recipients, translating to significant health care cost savings.
Mom’s Meals: A Success Story
Mom’s Meals has partnered with Medi-Cal to deliver medically tailored meals to patients in the Inland Empire, focusing on individuals with severe and chronic illnesses such as diabetes and kidney disease. These meals, aligned with Medi-Cal’s mission to improve health outcomes and reduce healthcare costs, provide nutritious, balanced meals directly to patients’ homes. The goal is to help patients develop healthier eating habits, reduce hospital admissions, and lessen the strain on the healthcare system.
Inland Empire Health Plan, one of the Medi-Cal managed-care insurers, has contracted with Mom’s Meals to provide these services. Patients receive weekly deliveries of meals that are customized to their dietary needs. The meals are convenient, microwave-ready, and delivered within 48 hours of processing.
The program aims to empower patients to sustain a healthy diet long after the meal deliveries end. By making medically tailored nutrition accessible, Mom’s Meals is helping Medi-Cal to support some of its sickest and costliest patients in the Inland Empire, ultimately contributing to better health outcomes and advancing Medi-Cal’s mission to provide comprehensive, patient-centered care.
Join Us in Our Mission
You can experience the profound impact of Medically Tailored Meals by joining the Medi-Cal Community Supports services initiative. Your involvement can make a difference in promoting your health through nutrition.
Learn More
For more information about Medically Tailored Meals and how to get involved, call the state’s Medi-Cal Health Care options at 800-430-4263 or contact your local managed care plan.
In Riverside County and San Bernardino County, Medi-Cal recipients can contact the following managed care plans:
* Inland Empire Health Plan: 800-440-4347
* Kaiser Permanente: 855-839-7613
* Molina HealthCare of California Partner Plan, Inc.: 888-665-4621
Your health and well-being are your health care provider’s top priority. Medically Tailored Meals are designed to enhance quality of life by advancing health care through the power of nutrition. Experience the benefits today and take the first step toward a healthier you.