New Jersey. Department of Human Services. Division of Medical Assistance and Health Services2021-07-152021-07-152001-09-13974.905 M484https://hdl.handle.net/10929/72106See also Medicaid Communication 01-26 Downloaded from: state.nj/us/humanservices/dmahs/info/resources/medicaid/#17en-USNew JerseyMedicaidFair Hearing RequestMedicaid CommunicationRevised Fair Hearing Request