New Jersey. Department of Human Services. Division of Medical Assistance and Health Services2021-06-222021-06-221988-11-16974.905 M484https://hdl.handle.net/10929/71494Downloaded from: state.nj.us/humanservices/dmahs/info/resources/medicaid/#17en-USNew JerseyMedicaidMedicaid CommunicationApplication of Income Toward the Cost of Care PA-3l, Statement of Income Available for Medicaid Payment