Apply for meal boxes

You’ll need contact details and a name, date of birth, and Medicaid ID for each household member.

Applying with Mealtime USA

Is this a new application or a switch from another provider? *

Tell us who you are, where to deliver, and who else is eating.

First name *Last name *

Home phone *Cell phone *

Email address *

Street address *Apt / unit

City *State *Zip *

Count yourself plus anyone else who'll also receive meals — spouse, children, infants. Every person needs a name, date of birth, and Medicaid ID.

1just you

Name, date of birth & Medicaid

Medicaid is required to participate — enter name, date of birth, and Medicaid ID for every person in the household.

YouName *

Date of birth *Medicaid ID *