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Check If You’re Eligible for Medicaid Meals

Find out if you qualify for medically tailored or home-delivered meals designed to support your health, recovery, and daily well-being.

Eligibility Screening & Referral Authorization

Please complete the form below so we can evaluate available meal assistance programs in your area and determine whether you may qualify for medically tailored or home-delivered meals. Based on the information you provide, Medicaid Meals by Vista Verde Homes will review applicable public, nonprofit, and community-based resources and may refer you to programs that appear to best match your eligibility, location, and stated needs.

Check Eligibility for Medicaid Meals

You agree to complete this screening and allow your responses to be shared with healthcare providers, Medicaid plans, and Social Care Networks to determine whether services may be available to you? If eligible, you authorize us to refer you to a participating Medicaid meal provider or other appropriate service provider. Participation in this screening is voluntary, and completing this form does not guarantee eligibility or enrollment in any program.

Section 1: Personal Information

First name*

Last name*

Date of Birth*

Month

Day

Year

Address*

Unit Number

City*

State

Zip*

Email*

Phone

Section 2: Basic Eligibility

Who is Completing this Assessment?*

Are Your Currently on Medicaid*

Medicaid Client Identification Number

Care Coordination. Do you currently receive care coordination services such as Medicaid care management, Managed Long Term Care (MLTC), or other support services?

Section 3: Health Eligibility

Have you recently been discharged from the hospital within 12 months?*

If Yes, Please Explain.*

Do you have any of the following chronic health conditions?*

Type 1 Diabetes

Type 2 Diabetes

High Blood Pressure

Obesity

High Cholesterol

Cancer

HIV

COPD

End Stage Renal Disease

Chronic Kidney Disease

Congestive Heart Failure

Heart Attack

Stroke

Acknowledgement and Consent

By providing your phone number and checking this box, you are consenting to receive marketing text messages to that number from Medicaid Meals. Message frequency varies. Message and data rates may apply. Text HELP for help. Text STOP to unsubscribe. SMS opt-in data will not be shared or sold with 3rd parties.

Consent to Share Information for Referral

By submitting this form, you: Confirm that the information you provide is accurate to the best of your knowledge. Authorize Vista Verde Homes to use your responses to evaluate potential program eligibility. Consent to the limited sharing of your contact and qualification information with appropriate government, nonprofit, or community-based service providers for the purpose of facilitating referrals. Understand that participation is voluntary and that you may decline or withdraw from the referral process at any time. Acknowledge that Vista Verde Homes is not a healthcare provider, insurer, or government agency and does not guarantee acceptance into any program.If you do not wish for your information to be shared for referral purposes, you may still contact us for general information about available resources.By continuing, you acknowledge and agree to this eligibility screening and referral authorization.

www.vistaverde.org

info@medicaidmeals.org

Medicaid Meals by Vista Verde Homes

EIN: 99-1152633
Salt Lake County
Utah, United States.

Legal & Program Disclaimer

Medicaid Meals is a DBA of Vista Verde Homes which is a 501(c)(3) nonprofit organization (EIN: 99-1152633) dedicated to providing education, basic eligibility guidance, and referral assistance to individuals regarding available community resources, including potential access to home-delivered meals, medically tailored meals, or other nutrition supports covered under certain state Medicaid programs (such as Home and Community-Based Services (HCBS) waivers, managed care benefits, In Lieu of Services (ILOS), or Health-Related Social Needs (HRSN) initiatives).

We are not affiliated with, endorsed by, or part of any state Medicaid agency, the Centers for Medicare & Medicaid Services (CMS), the U.S. Department of Health and Human Services, or any government entity. We do not provide medical care, nutritional counseling, insurance enrollment assistance, direct meal delivery, case management, or any direct services. We do not determine eligibility, process applications, guarantee approval, or provide meals ourselves—all eligibility decisions, enrollments, and service delivery are handled exclusively by official third-party providers, state Medicaid agencies, managed care plans, case managers, or authorized programs. Participation in any referenced program is entirely voluntary. Individuals retain full freedom of choice in selecting providers, services, or whether to pursue benefits at all. Any information provided on this site or through our outreach is for educational purposes only and is not intended as legal, medical, financial, or personalized advice. Medicaid-covered meal benefits vary by state, eligibility criteria (e.g., age, disability, chronic conditions, or facility transition needs), and program specifics—coverage is not universal.