Your Operational Partner for Food is Medicine.
Fresh House is the social-impact and direct-services division of Caribbean Produce Exchange. We design, operate, and scale Food is Medicine programs across Puerto Rico — for 330 Centers, Medicare Advantage payers, federal programs, and foundations.









Built and proven, at federal scale, in Puerto Rico.
Design your Food is Medicine program in 4 steps.
Map your population to the Food is Medicine pyramid, pick a delivery model that fits your clinical reality (no food storage on-site), and get a personalized program flow — who does what, automatically.
30% of adults live with food insecurity and chronic disease simultaneously.
Section 330 Centers serve this population but absorb logistics, storage, and compliance work outside their clinical mission.
Federal funding is already in place — what's missing is the operator.
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HRSA Section 330. permits FIM as an enabling service
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SNAP-Ed / GUSNIP. 1:1 federal match for nutrition incentives
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Section 1115 + ILOS. HRSN reimbursable under Medicaid
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CMS Z-Codes. audit-ready HRSN documentation
Nine programs you don't have to build.
3 million USDA boxes. 9 months. Federal scale.
During COVID-19, Caribbean Produce Exchange ran the USDA Farmers-to-Families operation across all of Puerto Rico — the operational base every Fresh House program builds on today.
A page tailored to your role.
No generic pitch. We translate the work to what you measure.
Ready to design your pilot?
First meeting is 45 minutes, no commitment, with a preliminary playbook in hand. Several Section 330 Centers are already in active design with us — yours can be next.













