OBJECTIVES: Providing specialized patient care to patients with no insurance can enable them to better manage their medications, experience optimal outcomes, and ensure more effective use of healthcare services.  This study measured improvement in low-income diabetic patient outcomes through participating in a MTM program. METHODS: Patients comprised of residents participating in the CareNet program, in Lucas County, OH which provides coordinated health care for low-income residents.  Patients received MTM services from their pharmacists on a quarterly basis.  Patients were provided diabetic supplies, such as lancets and test strips, at no cost to encourage participation. The study used a prospective pre-post design following patients for a year. Clinical [HbA1c level, systolic blood pressure (SBP), and diastolic blood pressure (DBP)] humanistic (patient satisfaction, adherence, knowledge surveys and quality of life) and social (caffeine and alcohol consumption, smoking, exercise) outcomes were measured at staggered intervals. RESULTS: A total of 100 patients were enrolled. Clinical measures. Mean HbA1c concentration decreased from baseline to the three-month follow-up. Patients who had an HbA1c level greater than 7% at baseline saw a decrease of 0.5% from baseline to three months.  Mean SBP and DBP values decreased significantly from baseline.  Patients with a baseline SBP>140 mmHg experienced a significant change in BP at 3 months (-16 mmHg).  Patients with a baseline DBP of greater than 90 mmHg experienced a significant decrease of 16.00 mmHg from baseline. Humanistic measures. Patient knowledge increased for all disease states and overall patient satisfaction increased significantly. Social measures. There was a decrease in caffeine and alcohol consumption, a significant decrease in smoking, and increase in exercise. Nine month results for all outcomes will be presented. CONCLUSIONS: Pharmacists can improve quality of care, access to care and positive outcomes for low-income patients in a relatively short amount of time.