New Jersey. Department of Human Services. Division of Medical Assistance and Health Services2021-08-052021-08-052011-02-22974.905 M484https://hdl.handle.net/10929/72359Downloaded from state.nj.us/humanservices/dmahs/info/resources/medicaid/#17en-USNew JerseyMedicaidMedicaid CommunicationMedicaid Designation of Authorized Representative Form