Medi-Cal Medically Tailored Meals Program

The Scope of the MTM Intervention

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The Medi-Cal MTM Pilot Program is a Medically Tailored Meals Intervention for Medi-Cal beneficiaries with a diagnosis of congestive heart failure and who are high utilizers of health care services. The intervention is 12 weeks in duration.

INTERVENTION GOAL

Improve health outcomes and reduce health care costs.

WHO

To be eligible for the pilot program, the Medi-Cal program has identified patients with congestive heart failure who are at high risk of worsening health outcomes.

  • Twelve months continuous enrollment in Medi-Cal.

  • A congestive heart failure diagnosis.

  • Had at least one visit to an emergency department or inpatient visit (hospital or skilled nursing facility) because of a heart failure exacerbation.

  • Had at least one provider or specialist visit in the last twelve months.

COST

Free for eligible Medi-Cal patients.


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All Meals for 12 Weeks

  • Medically tailored meals

  • Tailored for CHF patients

  • Periodic wellness checks during delivery

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Medical Nutrition Therapy

  • Community-based

  • Four sessions

  • Two sessions at home or in community setting

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information & Referral Services

  • Nutrition-based case management

  • Referral to community-based resources


 
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Pilot planning and implementation funded, in part, by Archstone Foundation.