Florida Department of Elder Affairs ACFP Monthly Reimbursement Claim
Form Template
The Florida Department of Elder Affairs has paired up with the Adult Food Care Program to provide nutritious meals and supplemental food to resident(s) in long-term care services and facilities.
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The Florida Department of Elder Affairs ACFP Monthly Reimbursement Claim app allows users to calculate monthly costs for reimbursement when participating in the program. The app collects data on: name and address of sponsor, agreement number, average daily attendance, number of operating days, total number of centers operated, number of adults enrolled by category, number of meals served by type (breakfast, lunch, dinner, and supplemental), program expenditures and income, etc. The app can be edited and used monthly.
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