How it works
A simple path from form to follow-up.
Nothing is approved or denied automatically. Every request is reviewed by our team.
- 1
Eligibility questions
Tell us about Medicaid coverage, pregnancy, and whether you have a baby under one.
- 2
Eligible member details
Enter the member's name and date of birth as shown on the insurance card, plus other household members on Medicaid.
- 3
Contact and address
Where you live, how to reach you, and the language you'd like us to call you in.
- 4
Support preferences
Choose ready-prepared meals or raw groceries, and share allergies or dietary needs.
- 5
Final details
Anything else that helps our team follow up.
- 6
Review & follow-up
You'll receive a reference ID. Our team reviews your intake and calls you about next steps.