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Lakeland Florida Form W-2AS: What You Should Know

Please email the following documents to: Community Care Program and Staff Handbook Award Claim & Claims Summary Abbott Terrace Community Care Provider Approval (If requesting a copy for the benefit of a qualifying resident, provide a certified copy of the original award.) Award and Claim Receipts and Form 1, Award Receipt Form ‚ÄĒ Claimants Award and Claim Receipts & Form 1, Claim Receipt for Beneficiary (Award Receipt and Claim Receipt are considered proof of service to the applicant) Abbott Terrace Health Center's Payment for Care Program (P4P) If you have a home or apartment complex, apartment, assisted-living center, or nursing home (including long-term care insurance), your program can be offered through the Abbott Terrace Health Center's Payment for Care (PB4C) program. In order to participate in PB4C, you will need to apply to¬† the program in a private office at the facility where your complex resides. The facility will send the appropriate forms for¬† you to complete, and you will be instructed on when to return the completed forms to the facility. Abbott Terrace Health Center will provide a payment authorization for any PB4C recipient on file in the¬† community health system/facility on an annual basis. To receive a payment authorization we ask that you do the following: If your home or apartment property is a nursing home or assisted living facility, call or visit the facility and pay the medical provider directly. To schedule an appointment contact the facility directly. The medical provider will¬† receive your payment authorization on a paper form and will make a note of your name, address and phone number when they have your check/direct deposit. The medical provider needs a paper signed by you which can be mailed¬† to the address above. You will need to provide a copy of the medical provider's insurance policy¬† (when available) as well as a list of those who are covered by your insurance policy. You and your physician may wish to¬† rehearse this communication with your physician before sending your payment authorization.¬† Payment may not be sent until the medical provider provides the necessary information to Abbott Terrace Health Center¬† in a timely manner.

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